Sausage & Mushroom Cream Sauce Pasta 🍄🥩🧄🍝 Deeply Savory, Comfortingly Creamy, and Packed With Meaty Mushroom Flavor

This dish delivers cozy, indulgent pasta without feeling heavy — a mix of browned sausage and sautéed mushrooms wrapped in a silky garlic-Parmesan cream sauce.

It’s the kind of rich, earthy comfort food that begs for a glass of red and a second helping.

Ingredients (Serves 3–4)

For the pasta

• 12 oz fettuccine, penne, or tagliatelle
• Salted water for boiling
• ½ cup reserved pasta water

For the sausage & mushrooms

• 1 tbsp olive oil
• 1 lb Italian sausage (mild or spicy), casings removed
• 8 oz mushrooms (cremini, button, or mix), sliced
• 1 small onion, finely chopped
• 3 cloves garlic, minced
• 1 tsp fresh thyme or ½ tsp dried
• Salt and pepper to taste

For the cream sauce

• 1 cup heavy cream or half-and-half
• ½ cup grated Parmesan
• Optional: splash of white wine or chicken broth to deglaze

To finish

• More Parmesan
• Chopped parsley or chives
• Optional: truffle oil or lemon zest

Instructions

Step 1: Cook the pasta
Boil pasta in salted water until al dente. Reserve ½ cup pasta water, then drain.

Step 2: Brown the sausage
In a large skillet, heat olive oil over medium-high. Add sausage and cook, breaking it up, until browned. Remove and set aside.

Step 3: Sauté mushrooms and aromatics
In the same skillet, add mushrooms and cook undisturbed 3–4 minutes to brown. Stir, then add onion and sauté until soft. Add garlic and thyme, and cook 1 minute more. Season with salt and pepper.

Step 4: Deglaze and build the sauce
If using, add a splash of white wine or broth and scrape up browned bits. Reduce slightly. Lower heat and pour in cream. Simmer gently until slightly thickened, 2–3 minutes. Stir in Parmesan until melted.

Step 5: Combine
Return sausage to the skillet. Add cooked pasta and toss to coat, adding pasta water a splash at a time to loosen and emulsify. Simmer briefly to thicken.

Step 6: Serve hot
Top with extra Parmesan, fresh herbs, and a drizzle of truffle oil or lemon zest if desired.

Flavor Variations

• Use browned leeks or shallots instead of onion
• Add spinach, kale, or peas for color and freshness
• Swap cream for mascarpone or crème fraîche for a tangy twist
• Use ground turkey or plant-based sausage instead
• Add toasted walnuts or breadcrumbs for crunch

Pro Tips

• Let mushrooms sear undisturbed for best flavor
• Deglazing adds depth — don’t skip it if you can
• Don’t boil cream — simmer gently to keep it silky
• Reserve pasta water always — it makes the sauce cling beautifully
• Grate cheese finely so it melts evenly

Final Thoughts

Sausage & Mushroom Cream Sauce Pasta is savory, elegant, and packed with earthy flavor — a one-pan comfort bomb that’s just rich enough. It’s the kind of dish that feels indulgent but totally doable on a weeknight.

Brown it. Swirl it. Serve it steaming. 🍄🥩🧄🍝

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