Creamy Pesto Sausage Pasta

This Creamy Pesto Sausage Pasta is the best whole wheat pasta dish! It’s an easy, healthy family favorite made with pesto, sausage and parmesan cheese!

Creamy Pesto Sausage Pasta

Simple pasta recipes are my favorite recipes to make! It usually happens on the exact night I’m making dinner. This creamy pesto sausage pasta was a huge hit with the family and it could not be more simple to prepare. Serve with a nice loaf of crusty bread and a salad and you’ll be good to go!

Creamy Pesto Sausage Pasta

How to Make Creamy Pesto Sausage Pasta

I used a whole wheat small pasta for my dish, however any small pasta shape will work great. Be sure to cook your pasta 1 minute less than the box recommends. It’s always nice for your pasta to have a little bite to it. Mushy paste=bad dinner 🙂

Creamy Pesto Sausage Pasta

Transfer the cooked pasta and browned sausage to a nice pot. Add about 1/4 cup prepared pesto to the pot. For a stronger pesto flavor feel free to add more. We like more of a “slight” pesto flavor.

Creamy Pesto Sausage Pasta

Add cream, stir until hot and top with grated Parmesan and fresh basil. Just like that dinner is done in under 30 minutes. Love this one.

Creamy Pesto Sausage Pasta

Quick and simple weeknight dinner friends. Note that if pasta is left out before serving, sauce will thicken slightly. Add more cream or milk to thin.

Creamy Pesto Sausage Pasta


Creamy Pesto Sausage Pasta

Tips For Making The Best Pasta

*So many things go with pasta! Personalize your pasta according to your family’s favorite ingredients.

*Switch up the protein. Chicken, shrimp, beef….it’s all great.

*Use other chopped vegetables you have in the refrigerator. I give them a quick saute and add them right to the pot.

Creamy Pesto Sausage Pasta

Creamy Pesto Sausage Pasta

This Creamy Pesto Sausage Pasta is the best whole wheat pasta dish! It's an easy, healthy family favorite made with pesto, sausage and parmesan cheese!
Course: Main Course
Cuisine: Italian
Prep Time 10 mins
Cook Time 15 mins
Total Time 25 mins
Servings: 8 servings
Calories: 528kcal
Author: Jenny
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  • Stove


  • 1 pound small pasta dry
  • 1 pound ground sausage
  • 1/4 cup prepared pesto
  • 1 cup heavy cream
  • 1/4 cup fresh grated parmesan cheese
  • 1/2 cup fresh chopped basil leaves


  • Prepare pasta according to package directions. Drain and set aside.
  • Place sausage in a large skillet over medium heat. Cook, crumble and brown. Transfer cooked pasta and sausage to large pot over medium low heat. Slowly stir in pesto and cream. Cook until hot. Before serving sprinkle with Parmesan and fresh basil.


Calories: 528kcal | Carbohydrates: 44g | Protein: 18g | Fat: 31g | Saturated Fat: 13g | Cholesterol: 84mg | Sodium: 498mg | Potassium: 294mg | Fiber: 2g | Sugar: 2g | Vitamin A: 740IU | Vitamin C: 1mg | Calcium: 88mg | Iron: 1mg
Keywords: creamy pesto pasta, easy pasta dish, easy pasta recipe, healthy pasta recipe, pesto pasta recipe, sausage pasta, sausage pasta recipe, whole wheat pasta recipe

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Creamy Pesto Sausage Pasta

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10 Responses
  1. Jennifer

    This looks delicious! I love using whole wheat pasta to make dinner a teeny bit healthier!

  2. Gaby Dalkin

    If I hear the words “creamy” and “pasta,” I’m always in! This dish looks to DIE for!

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