Orecchiette Pasta with Sausage

Orecchiette Pasta with Sausage

Recipe by Mila Gerard

A creamy one-pot pasta made with Italian sausage, orecchiette pasta, spinach, Parmesan cheese, and a flavorful cream sauce.

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Ingredients

  • Orecchiette Pasta with Sausage

  • 1 pound ground Italian sausage

  • 1 medium onion, finely chopped

  • 2 cloves garlic, freshly minced

  • 1 teaspoon salt

  • 1/2 teaspoon Italian seasoning

  • 2 1/2 cups low-sodium chicken broth

  • 1 cup heavy whipping cream

  • 3 1/2 cups dry orecchiette pasta (12 oz or 340 g)

  • 2 cups fresh spinach, chopped

  • 1/4 cup grated Parmesan cheese

Instructions

  • Cook sausage and onion in a large saucepan until browned.
  • Add garlic, salt, and Italian seasoning.
  • Cook for 1 minute.
  • Add chicken broth and scrape the bottom of the pan.
  • Add cream and bring to a simmer.
  • Stir in uncooked orecchiette pasta.
  • Cover and cook for 10–15 minutes until pasta is al dente.
  • Stir in spinach and Parmesan cheese.
  • Adjust seasoning and serve warm.

Notes

  • Heavy cream creates the richest sauce.
  • Other short pasta shapes can replace orecchiette.
  • Add vegetables, chicken, bacon, or ham for variations.
  • Nutritional Information Disclaimer:
  • Nutrition information is an estimate and may vary depending on the ingredients and quantities used.

This Orecchiette Pasta with Sausage is a creamy one-pot pasta dinner made with Italian sausage, small ear-shaped orecchiette pasta, spinach, Parmesan cheese, and a flavorful cream sauce. The pasta cooks directly in the sausage mixture, allowing it to absorb the savory flavors while creating a comforting meal with minimal cleanup.

Ready in about 30 minutes, this recipe is a practical choice for busy weeknights when you want a hearty homemade dinner. The combination of creamy sauce, tender pasta, and seasoned sausage creates a satisfying dish that works well for the whole family.

Recipe at a Glance

Prep Time: 5 minutes
Cook Time: 25 minutes
Total Time: 30 minutes
Servings: 6 servings
Course: Main Course
Cuisine: American-inspired
Calories: Not provided

Why You’ll Love This Recipe

This sausage orecchiette pasta combines convenience with rich, comforting flavors.

Everything cooks in one pot, making cleanup easier.

Italian sausage adds a savory flavor throughout the dish.

Orecchiette pasta holds the creamy sauce well in every bite.

Spinach adds freshness and color.

The recipe is ready in about 30 minutes, making it ideal for busy evenings.

Ingredients You’ll Need

For the Orecchiette Pasta with Sausage

1 pound ground Italian sausage (mild or spicy)

1 medium onion, finely chopped

2 cloves garlic, freshly minced

1 teaspoon salt

1/2 teaspoon Italian seasoning

2 1/2 cups low-sodium chicken broth

1 cup heavy whipping cream

3 1/2 cups dry orecchiette pasta (12 oz or 340 g)

2 cups fresh spinach, chopped

1/4 cup grated Parmesan cheese

Easy Substitutions

Italian Sausage

Italian sausage provides the main flavor, but other sausage varieties can be used depending on preference.

Heavy Cream

Heavy cream creates the richest sauce. Whole milk or lighter cream can be used, but the sauce will be less creamy.

Orecchiette Pasta

Orecchiette works well because its shape holds sauce. Other short pasta shapes can also be used.

Spinach

Fresh spinach can be replaced with other leafy greens depending on availability.

How to Make Orecchiette Pasta with Sausage

Step 1: Cook the Sausage and Onion

Heat a large saucepan over medium-high heat.

Add Italian sausage and chopped onion.

Cook for 4–5 minutes until the sausage is browned and the onion becomes softened.

Step 2: Add Garlic and Seasonings

Add minced garlic, salt, and Italian seasoning.

Cook for about 1 minute until the garlic becomes fragrant.

Step 3: Build the Creamy Sauce

Add chicken broth to the pan.

Use a wooden spoon to scrape the bottom of the pan and release any browned bits.

Add heavy cream and bring the mixture to a simmer.

Step 4: Cook the Pasta

Stir in uncooked orecchiette pasta.

Cover the pan and reduce heat to medium-low.

Cook, stirring often, for about 10–15 minutes until the pasta is al dente.

Step 5: Finish With Spinach and Parmesan

Stir in chopped spinach and Parmesan cheese.

Continue mixing until the spinach softens and the cheese blends into the sauce.

Taste and adjust seasonings if needed.

Serve warm.

Tips for the Best Orecchiette Pasta

Stir the pasta frequently because it cooks directly in the sauce.

Use low-sodium broth to better control the salt level.

Scrape the bottom of the pan after adding broth to incorporate flavorful browned bits.

Add Parmesan near the end so it melts smoothly.

Avoid overcooking the pasta to maintain the best texture.

Common Mistakes to Avoid

Not Stirring the Pasta

Since the pasta cooks directly in the sauce, stirring helps prevent sticking.

Adding Too Much Liquid

The pasta absorbs the sauce while cooking, so avoid adding extra liquid unless needed.

Overcooking the Orecchiette

Cook until al dente so the pasta maintains its texture.

Skipping the Sausage Browning Step

Browning the sausage creates deeper flavor in the final dish.

Variations

Vegetable Orecchiette Pasta

Add vegetables such as carrots, zucchini, mushrooms, or red peppers.

Spicy Sausage Pasta

Use spicy sausage or add red pepper flakes for extra heat.

Chicken Orecchiette Pasta

Replace sausage with leftover chicken, baked chicken breast, or another cooked protein.

Bacon or Ham Orecchiette

Use crispy bacon or leftover ham instead of sausage for a different flavor.

Extra Cheesy Pasta

Top with additional Parmesan or mozzarella cheese before serving.

What to Serve With Orecchiette Pasta with Sausage

This pasta pairs well with:

Garlic bread

Dinner rolls

Breadsticks

Green salad

Roasted vegetables

A simple side salad or vegetables can balance the creamy pasta dish.

How to Store Orecchiette Pasta with Sausage

Storage instructions were not provided with the original recipe information.

For best results, store leftovers in an airtight container and follow standard food storage practices.

How to Reheat Orecchiette Pasta

Reheating instructions were not provided.

When reheating creamy pasta, adding a small amount of broth or milk can help loosen the sauce if it becomes thicker after refrigeration.

How to Freeze Orecchiette Pasta

Freezing instructions were not provided.

Cream-based pasta dishes may change texture after freezing and thawing.

Make Ahead

The recipe does not include specific make-ahead instructions.

The dish is designed for quick preparation and is best enjoyed fresh.

Frequently Asked Questions

What is orecchiette pasta?

Orecchiette is a small Italian pasta shaped like little ears. Its shape helps hold sauces and ingredients.

Can I use another pasta shape?

Yes. Any short pasta shape can replace orecchiette.

Can I use milk instead of heavy cream?

Yes. Milk or lighter cream can be used, but the sauce will be thinner.

Can I add vegetables to this pasta?

Yes. Vegetables such as mushrooms, zucchini, carrots, and peppers can be added.

Can I replace sausage with chicken?

Yes. Cooked chicken can replace sausage for a different protein option.

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    Meet Mila Gerard

    I’m Mila, and the recipes you’ll find here are inspired by the simple joys of good food and everyday cooking. I love creating easy, flavorful recipes with fresh ingredients and approachable flavors. My hope is to make cooking feel enjoyable, inspire you to try something new, and bring delicious food to your table.