Orecchiette with Sweet Italian Sausage and Spinach Cream Sauce and an Italian Side Salad

Orecchiette with Sweet Italian Sausage and Spinach Cream Sauce and an Italian Side Salad 4.84/5 (25 votes)

Holy Yum! About two bites into this meal, my kids fell totally silent. And that's unusual! The combination of sausage, mushroom, tiny bits of tomato, spinach and rich cream sauce is dynamite. The pasta, in my opinion, is simply the vehicle. So, choose what your family likes. I enjoy orecchiette because it creates little 'cups' for the sauce to sit. Enjoy!

Orecchiette with Sweet Italian Sausage Cream Sauce



  • 1 pound Orecchiette pasta, or penne pasta
  • 1 pound bulk Italian sausage, casings removed
  • 1 onion, chopped
  • 3 cloves garlic, minced or pressed
  • 2 cups mushrooms, sliced
  • 2/3 cup dry white wine
  • 14 ounce petite diced tomatoes, undrained
  • 1 cup heavy cream
  • 1/2 cup parmesan cheese
  • 2 cups baby spinach


  1. Cook pasta according to package directions. Drain all but 1/2 cup water and reserve for later.
  2. Cook sausage and onion in a large skillet over medium high heat until sausage begins to brown. Drain excess fat.
  3. Add garlic and mushrooms and continue to cook until mushrooms are tender and sausage is cooked through.
  4. Increase heat to high, add wine and let simmer down until almost evaporated.
  5. Reduce heat to medium high, and add tomatoes and cream. Let cook for a few minutes and come to a low simmer. Then stir in parmesan.
  6. Once parmesan has melted, add spinach and stir until wilted.
  7. Plate pasta and top with sauce.

Nutritional Information

Serving Size 489g Calories 720 Fat 26 Sat Fat 13 Sodium 841 Carbs 75 Sugars 4 Fiber 2 Protein 39.

Italian Vinaigrette Salad



  • 4 cups baby mixed greens
  • 1 roma tomato, sliced
  • Italian Vinaigrette (makes a double batch)
  • 1/4 cup olive oil
  • 3 tablespoons red wine vinegar
  • 1 clove garlic, minced
  • 1 teaspoon dried parsley
  • 1 teaspoon dried oregano
  • 1 teaspoon Italian seasonings
  • kosher salt, to taste
  • pepper, to taste


  1. Combine with a blender stick or whisk.
  2. Drizzle greens with vinaigrette, toss, and serve.

Nutritional Information

Serving Size 103g Calories 92 Fat 9 Carbs 3.6 Fiber 1 Protein 1.


KID NOTE: Not a drop left.

VEGETARIAN TIP: Skip the sausage and increase the mushrooms and spinach.

GLUTEN MODIFICATIONS: Use brown rice pasta.


  1. holtfamily says:

    This meal was fantastic! We substituted chicken sausage and light cream and it was still delicious.

  2. Maggie says:

    Delicious! I no longer need to go to Macaroni Grill or Olive Garden. So easy to make and so tasty!!!

  3. mlaroux says:

    I wasn’t a fan of this dish. I felt like the dish was missing something. Maybe a little spice or something. I didn’t like it, but the kiddo ate it up and then some.

  4. stickey77 says:

    Outstanding! Everyone had second helpings so no leftovers. Will definitely be adding this one to my faves!

  5. Dswot1 says:

    Loved this meal even though we forgot the white wine:)

  6. suzif says:

    We loved it! Used zucchini instead of mushrooms.

  7. Randall10615 says:

    Holy cow this was good! Thank you so much to the person who suggested using zucchini instead of mushrooms – excellent substitution. Though in the interest of full disclosure, I admit that I peeled the zucchini so that my kids wouldn’t see ‘green things’ in the dish. The orecchiette was a nice change, and made it much more fun for my kids to put sausage and sauce into the noodle ‘bowls’. We will definitely be making this again!

  8. Trapo says:

    I’m with the others… this was FANTASTIC!!! Will make again and again.

  9. Sbliss says:

    Very good! Used roasted broccoli instead of mushrooms. family loved it. couldn’t figure out what the reserved pasta water was for??

  10. KusmierFamily says:

    This was yummy! I added some asparagus that I had in the fridge and really added to it. The kids don’t seem to notice the mushrooms! Win!

  11. Dianna says:

    Used ground Italian sausage and canned mushrooms for time saving. Sauce very thin so had to thicken. Also used cheese filled tortellini. Delicious.

  12. Stam says:

    Used turkey Italian sausage. 5 stars from the whole family!

  13. Leigh says:

    Great meal! One of our favorites from this site!

  14. AbbyRoberts says:

    So flippin’ delicious. One of the best meals I have ever made or eaten!

  15. jboone says:

    This was excellent! We used hot Italian sausage instead of sweet; sliced 2, 8-ounce packages of fresh mushrooms; and added an entire 8 ounce bag of spinach. We are looking forward to the leftovers and making this again!

  16. careylori@gmail.com says:

    This was a little bit of heaven in your mouth! This one will go into steady rotation in our house.

  17. Elizabeth says:

    This is a favorite and we made it this week as a sub for a different pasta dish. It was just so good that I wanted to send in the feedback. It was excellent! We made it a “double favorite”! I didn’t have spinach (we used too much from another meal), so I used basil from my garden as a sub. Amazing!

  18. mottsthecat says:

    This was a flavorful family favorite and it was easy enough for my 14 y/o to prepare for us on his own!

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