Creamy Pasta Sauce Recipe with Fusilli & Sausage

fusilli creamy pasta sauce recipe

This creamy pasta sauce recipe is easy to make and has a secret ingredients to boost the pasta sauce flavor, anchovy paste.  You can find the pre-made  anchovy paste at any grocery markets and it’s very inexpensive. It’s so versatile, you can use anchovy paste for enhancing flavor in everything from pasta to soups.  Because it’s so potent, you only need a small dose per recipe.  Most anchovy pastes available in the market are made from ground anchovy fillets, water, olive oil, vinegar.  They can come with or without sugar. Don’t worry, your pasta sauce will not taste fishy, something I was afraid of the first time around.  If anchovy paste isn’t for you no worries, simply proceed with the rest of the ingredients, ratios and steps and you’ll be enjoying a scrumptious creamy tomato pasta sauce too.

Fusilli Creamy Pasta Sauce Recipe

I chose fusilli because that was the only pasta available in my pantry this week, but I am pleased with the result.  Feel free to use any of the pasta of your choice, such as: Spaghetti, Liguini, Penne, Farfalle, Bucatini, Orecchiette, angel hair, pasta shells, etc..
Fusilli Creamy Pasta Sauce Recipe

I hope you enjoy this creamy pasta sauce recipe!  It hasn’t been passed down from generation to generation or anything like that, but I’ve enjoyed it a few times in my home and wanted to share.  Let me know how it works out for you!

fusilli creamy pasta sauce recipe

Fusilli with Creamy Pasta Sauce Recipe
Prep Time
5 mins
Cook Time
15 mins
Total Time
20 mins

Course: Main Course
Cuisine: Italian
Servings: 6
Calories: 379 kcal
Author: rika agustini
  • 2 tablespoons olive oil
  • 1 teaspoon olive oil
  • 1 pound fully cooked chicken sausage
  • 1 medium onion chopped
  • 3 cloves garlic minced
  • 1 - 1 1/2 teaspoons anchovy paste
  • 1 can (14.5 oz) San Marzano style tomatoes diced
  • 3/4 teaspoon white sugar
  • 1 teaspoon Italian seasoning
  • 4 oz heavy cream choose Organic, like Horizon brand
  • 1 tablespoon butter optional
  • 1/4 teaspoon salt or more according to your liking
  • black pepper to taste
  • 1 pound uncooked pasta
  • 3 cups fresh spinach leaves
  1. Prepare pasta according to package directions or until al dente, drain.

  2. Heat 1 teaspoon olive oil in a saucepan, add sausage and cook until browned for about 2 minutes. Set aside.

  3. Heat 2 tablespoons olive oil, then saute onion and garlic over medium heat until tender. 

  4. Add anchovy paste and cook for about 30 seconds. 

  5. Add tomatoes, sugar, italian seasoning, salt and pepper to taste.

  6. Bring to boil until the sauce is evaporated and thicken for about 4-5 minutes.

  7. Reduce the heat to low, stir in whipping cream and butter. Cook for 2 more minutes

  8. Add the cooked pasta, cooked sausage and spinach. Cook for 2-3 more minutes. 

  9. Remove from the stove and serve immediately. 

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  • Reply
    Jan 16, 2017 at 2:34 am

    I love pasta and this sounds so good! I love a good hearty pasta dish, especially with a nice glass of red 🙂

  • Reply
    robin masshole mommy
    Jan 16, 2017 at 3:46 am

    That sounds so good. I love any kind of pasta dish, so I will definitely be trying this one.

  • Reply
    Alli Rutherford Smith
    Jan 16, 2017 at 4:35 am

    My husband will love this pasta dish! It looks so delicious and perfect for a cold winter night. It’s the ultimate comfort food. The creamy pasta sauce looks amazing!

  • Reply
    Franc Ramon
    Jan 16, 2017 at 8:20 am

    The pasta looks so tasty. The sauce is so rich in flavor and would really go well with the pasta.

  • Reply
    Tara L
    Jan 16, 2017 at 9:00 am

    I just pinned this recipe! It looks so yummmy. I want some now. I need a chef for things like this lol.

  • Reply
    Jan 16, 2017 at 9:23 am

    This recipe looks so amazing! It’s making my mouth water right now! I can’t wait to try this recipe.

  • Reply
    FeathersInTheWoods (@la_murano)
    Jan 16, 2017 at 10:01 am

    This recipe sounds amazing! I can’t wait to try it. Thanks for sharing!

  • Reply
    Jenn @ EngineerMommy
    Jan 16, 2017 at 10:08 am

    This recipe looks absolutely amazing. I love the combination of pasta with sausage. And this creamy sauce makes it a mouth-watering dish for sure.

  • Reply
    Jan 16, 2017 at 10:46 am

    Wonderful looking dish with fresh pasta I could make, fresh spinach and great sausage. Anchovies paste isn’t something I keep on hand. Does the taste over power the dish? Might reduce the cream to more whole milk.

  • Reply
    Jan 16, 2017 at 3:55 pm

    Oh my goodness, this pasta looks fantastic. I never think to add sausage to noodles but this sounds so good.

  • Reply
    Chubskulit Rose
    Jan 17, 2017 at 4:27 am

    Looks very delicious! I love the sausage and the veggies you incorporated into it.

  • Reply
    Jan 17, 2017 at 9:17 pm

    Holy moly this recipe looks amazing!! I need this sauce in my life ASAP!!!

  • Reply
    Jan 17, 2017 at 11:15 pm

    All I can say is wow… this looks so tasty, and it’s a full meal in one pan. Yummmm!

  • Reply
    Ave Hla
    Jan 17, 2017 at 11:16 pm

    Omg! This pasta dish looks absolutely mouthwatering! Have to add this recipe to our menu as soon as possible!

  • Reply
    Emily, Our house now a home
    Jan 18, 2017 at 7:10 am

    Oh, this looks so good! There is something so yummy about a good pasta dish, and this one looks delicious!

  • Reply
    Lisa Heath
    Jan 18, 2017 at 8:44 am

    I’m a pasta fiend and this looks so delicious! I’ll have to send it to my bf to see if he will make it for me!

  • Reply
    Jan 18, 2017 at 11:20 am

    I love pasta and always love trying out new recipes, thanks for sharing. I will try this one this weekend and add the sausage

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