
Transport yourself to the Italian countryside with this indulgent pasta dish that combines spicy Italian sausage, sweet sun-dried tomatoes, and fresh spinach in a silky cream sauce. Every twirl of pasta delivers the perfect balance of flavors - from the savory sausage to the subtle sweetness of tomatoes, all wrapped in a garlicky Parmesan cream sauce that clings beautifully to each piece of pasta.
The first time I made this recipe was for a last-minute dinner party, and my guests couldn't believe it wasn't from their favorite Italian restaurant. Now it's become my signature dish - the one everyone requests when they come over. Even my son, who usually picks around any green vegetable, devours the spinach in this creamy sauce.
Essential Ingredients and Selection Tips
- Italian sausage: Choose bulk sausage for easier cooking; spicy or sweet works beautifully
- Penne pasta: The ridges and hollow center capture the sauce perfectly
- Sun-dried tomatoes: Look for oil-packed ones for the best flavor and texture
- Heavy cream: Full-fat creates the silkiest sauce; don't skimp here
- Parmesan cheese: Freshly grated melts more smoothly than pre-grated
- Garlic: Fresh cloves only; pre-minced won't give you the same depth
- Baby spinach: Fresh leaves wilt perfectly into the sauce
Step-by-Step Cooking Instructions
- Perfect Your Pasta:
- Salt your water generously - it should taste like the sea
- Cook pasta just until al dente - it'll continue cooking in the sauce
- Reserve a cup of pasta water before draining - this is crucial!
- Build Your Flavor Base:
- Brown sausage until deeply caramelized
- Let garlic bloom gently in the flavored oil
- Layer in aromatics gradually for depth

After countless times making this dish, I've discovered that the magic lies in the timing. The pasta should finish cooking just as your sauce comes together, allowing you to marry them while everything's hot. My Italian grandmother always said, "The pasta waits for no one," and she was right - serving this dish immediately makes all the difference.
Beyond Basic Pasta
The beauty of this recipe is how it welcomes variations. Sometimes I'll add mushrooms sautéed in butter, or swap the spinach for tender broccolini. During summer, I love adding fresh cherry tomatoes alongside the sun-dried ones. Each variation brings its own personality while maintaining the dish's comforting essence.
Make-Ahead Success
While best served fresh, you can prep components ahead: brown the sausage, slice the sun-dried tomatoes, and grate the cheese. When ready to serve, the final assembly takes just minutes. If you do have leftovers, rewarm them gently with a splash of cream to restore the sauce's silky texture.
Perfect Pairings
A crisp arugula salad with lemon vinaigrette cuts through the richness perfectly. I always serve this with crusty garlic bread for soaking up every last drop of sauce - it's too good to waste!

This pasta has become more than just a recipe in my kitchen - it's a celebration dish, a comfort meal, and a love letter to Italian cooking all in one. The way the cream sauce wraps around each piece of pasta, carrying with it bits of savory sausage and sweet tomatoes, creates something truly special.
Whether you're cooking for a casual family dinner or hoping to impress guests, this dish delivers every time. As my daughter says, "It's like a hug in a bowl." And isn't that exactly what good cooking should be?
Remember, the best Italian cooking is about respecting good ingredients and letting them shine. Take your time with each step, taste as you go, and don't be afraid to adjust the seasonings to make it your own.
Frequently Asked Questions
- → Can I use a different type of pasta?
- Yes, any short pasta like rigatoni, fusilli, or farfalle works well with this creamy sauce.
- → How can I make this lighter?
- Replace heavy cream with half-and-half or use a mixture of chicken broth and cream for a lighter sauce.
- → Can I make this ahead?
- While best fresh, you can reheat it gently with a splash of cream or broth to restore the creamy texture.
- → What can I use instead of spinach?
- Try kale, arugula, or Swiss chard as alternatives to spinach in this recipe.
- → Is this spicy?
- It has a mild kick from red pepper flakes. Adjust or omit them to control the heat level.