
Italian Sausage Pasta brings together savory crumbled sausage, tender bow-tie pasta, and fresh vegetables in a rich tomato sauce. This satisfying dish comes together in just 30 minutes, making it perfect for busy weeknights when you need something delicious without spending hours in the kitchen. The combination of perfectly seasoned sausage with the slight bitterness of spinach and earthiness of mushrooms creates a restaurant-quality meal right at your kitchen table.
I first threw this together when my brother showed up unexpectedly for dinner. Had some sausage that needed using up and not much else. He asked for the recipe three times before leaving, and now makes it for his kids every week. Something about the way the bow-tie pasta catches little bits of sausage in its folds makes every bite perfect.
Quality Ingredients
Italian Sausage - 1 pound (about 450g), mild, sweet, or spicy, crumbled.
Farfalle Pasta (Bow-tie) - 1 pound (about 450g).
Fresh Spinach - 5 ounces (about 140g).
Crimini Mushrooms - 8 ounces (about 225g), sliced.
Tomato Sauce - 24 ounces (about 700ml).
Garlic - 2 cloves, minced.
Italian Seasoning - 1 teaspoon.
Olive Oil - 2 tablespoons.
Red Pepper Flakes (optional) - ¼ teaspoon.
Salt and Black Pepper - To taste.

The Cooking Process
Pasta PreparationFill a large pot with water, adding a generous pinch of salt. Bring to a rolling boil before adding your farfalle. Cook until al dente, about 10 minutes. Drain thoroughly.
Mushroom SautéWhile pasta cooks, warm olive oil in a large skillet over medium-high heat. Add sliced mushrooms, arranging in a single layer. Let them sit undisturbed for 1-2 minutes until they begin to brown before stirring. Cook until they've released their moisture and begun to caramelize, then remove and set aside.
Sausage PerfectionIn the same skillet, crumble the Italian sausage directly into the hot pan. Break it apart with a wooden spoon and cook until nicely browned and no pink remains, about 5-7 minutes. Tilt the pan and spoon out excess fat if necessary.
Flavor BuildingAdd minced garlic directly to the hot sausage, stirring constantly for about 30 seconds until fragrant. Sprinkle in Italian seasoning and red pepper flakes (if using), letting them toast briefly.
Sauce AssemblyPour your tomato sauce into the skillet, scraping up any browned bits from the bottom of the pan. Add fresh spinach by the handful, letting it wilt down before adding more. Cover and simmer for about 10 minutes, allowing the flavors to meld and the spinach to fully wilt.
Final TossAdd the drained pasta directly to the sauce, tossing gently but thoroughly to coat every piece. Return the mushrooms to the pan, folding them in carefully. Remove from heat and let stand for a minute before serving.
My youngest son used to pick out every mushroom until I started chopping them finely so they'd blend into the sauce. Now mushrooms are his favorite part, and he doesn't even realize he once hated them. Family dinners around this pasta have become a place where we all slow down and actually talk about our day - something about comfort food brings out conversation.
Perfect Pairings
The robust flavors of this sausage pasta need simple accompaniments. A green salad with a light vinaigrette provides refreshing contrast to the rich main dish. I particularly love arugula with lemon and olive oil alongside this pasta - the peppery greens and bright citrus cut through the richness beautifully. Warm crusty bread is non-negotiable for sopping up every last bit of that flavorful sauce.
Creative Variations
Transform this versatile recipe to suit your taste or what's in your pantry. Replace spinach with kale for heartier texture or swap mushrooms for roasted red peppers for sweetness and color. For a creamier version, stir in a splash of heavy cream at the end. During summer months, I often add fresh cherry tomatoes in the last few minutes of cooking - they burst and add gorgeous fresh flavor.
Leftover Magic
Store any remaining pasta in a covered container in the refrigerator where it keeps beautifully for up to three days. The flavors actually improve overnight as they meld together. Reheat gently in a covered pan with a splash of water or broth to revive the sauce. For a completely different meal, stuff leftover pasta into bell peppers, top with cheese and bake until bubbly for Italian stuffed peppers.

Chef's Wisdom
Pasta Water Power - Save a cup of pasta cooking water before draining and add a splash to your finished dish if it seems dry. Sausage Selection - Try half spicy and half mild sausage for balanced heat that appeals to everyone at the table. Flavor Booster - Add a splash of red wine to the sauce right after the garlic for incredible depth of flavor.
I've made this pasta countless times, for weeknight family dinners and for last-minute guests. There's something deeply satisfying about a meal that comes together quickly but tastes like you spent all day in the kitchen. The way my kitchen smells while this is cooking - garlic, herbs, and that wonderful sausage aroma - instantly puts everyone in a good mood before they even take their first bite.
Frequently Asked Questions
- → Can I use a different type of pasta?
- Absolutely! While farfalle (bow tie) or penne work great for catching the sauce, any medium-sized pasta shape like rotini, fusilli, or rigatoni would work well too.
- → What can I substitute for Italian sausage?
- You can use turkey or chicken sausage for a lighter option, or plant-based Italian sausage for a vegetarian version. Ground beef or turkey with Italian seasoning added also works well.
- → Can I make this dish ahead of time?
- Yes! You can prepare it up to 2 days ahead and refrigerate. When reheating, add a splash of water or broth to loosen the sauce as pasta tends to absorb liquid as it sits.
- → What can I use instead of spinach?
- Kale, Swiss chard, arugula, or even frozen peas make great alternatives to spinach in this recipe.
- → Is this dish freezer-friendly?
- Yes, you can freeze this pasta dish for up to 3 months. Thaw overnight in the refrigerator and reheat gently on the stovetop with a splash of water or broth to refresh the sauce.