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Creamy Mushroom Sausage Pasta

This mushroom and sausage pasta recipe is an easy weeknight dinner, but it tastes like you slaved over the recipe. It's creamy, rich, and pure comfort food.
5 from 1 vote
Prep Time 10 mins
Cook Time 25 mins
Total Time 35 mins
Course Main Dishes
Cuisine American
Servings 4 Servings
Calories 741 kcal



  • 8 ounces dried pasta
  • 13 ounces ground mild Italian sausage about 4 links removed from casings
  • 2 tablespoons olive oil
  • 3 cups sliced crimini mushrooms
  • 1/4 cup diced shallots
  • 2 cloves garlic minced
  • 1/4 cup white wine
  • 1 cup mushroom broth
  • 1/2 cup half and half
  • 1/4 cup light sour cream
  • 2 ounces cream cheese softened
  • 1/4 cup fresh chopped parsley
  • salt and pepper


  • Cook pasta according to package directions.
  • Meanwhile while pasta is cooking, brown Italian sausage in a pan over medium heat. Once browned transfer to a plate.
  • In the same pan that you cooked the sausage in add two tablespoons of olive oil and heat over medium heat. Stir in mushrooms, shallots and garlic. Cook 5 minutes or until mushrooms are softened and brown.
  • Pour in wine and mushroom broth allow to cook for 5 minutes. Scrape any brown bits that have stuck to the bottom of the pan. Return sausage to the pan.
  • Stir one tablespoon of the hot broth into the half and half to temper it.
  • Stir tempered half and half, sour cream and cream cheese into broth. Continue cooking until the cream cheese has melted and the sauce has thickened slightly, 5 -7 minutes.
  • Add the cooked pasta to the sauce. Stir to coat. Remove from heat and let stand 5 minutes. Stir once more and add chopped parsley. Season to taste with salt and pepper. Serve.


Tempering the half and half will help prevent it from curdling when you add it to the hot broth. 
If you don't have rotini, you can use any short pasta. Elbow macaroni, penne or ziti would work well. 
Nutrition information for estimation purposes only. 


Calories: 741kcalCarbohydrates: 53gProtein: 25gFat: 47gSaturated Fat: 17gPolyunsaturated Fat: 5gMonounsaturated Fat: 21gCholesterol: 100mgSodium: 995mgPotassium: 777mgFiber: 3gSugar: 6gVitamin A: 786IUVitamin C: 9mgCalcium: 119mgIron: 3mg
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Keywords: comfort food, crimini mushrooms, Food, italian, italian sausage, pasta, Recipe