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Spicy Sausage Bowtie Pasta in skillet on white table with a white napkin next to it

Spicy Sausage Bowtie Pasta

  • Author: Heather
  • Total Time: 45 mins
  • Yield: 8-10 1x


You won't be able to resist this Spicy Sausage Bowtie Pasta! Every bite is bursting with flavor and it will have your taste buds dancing!


  • 1 pound Italian Sausage
  • 16 Ounces Cherry Tomatoes
  • 1 Bunch of Asparagus
  • 2-3 Cups Spinach
  • 1/2 Onion
  • 1 Pound Pasta
  • 3 Garlic Cloves
  • 1 Cup Parmesan Cheese
  • 2-4 Tablespoons Half & Half or Cream
  • 1/2 - 1 Cup Pasta Water - reserved
  • 1 Tablespoon Butter
  • 1 Tablespoon EVOO
  • 1-2 Tablespoons Fresh Basil
  • Salt & Pepper to taste
  • Pinch of Red Pepper Flakes 


  1. Place a pot of heavily salted water on the stove and bring to a boil. Add in pasta and cook for 5-7 minutes or until just under al dente. Drain and reserve 1 cup of pasta water for later.
  2. In a large cast iron skillet, add in sausage and cook until browned, making sure to break into bite-size pieces.
  3. Remove the sausage and place on a plate lined with paper towels to cool. 
  4. In the same skillet add the butter & olive oil and onion and saute for 5 minutes until it starts to get tender. Then add in the minced garlic cloves and cook for another 2-3 minutes.
  5. Add in the cherry tomatoes that have been halved and quartered and turn the heat to medium. Let cook for about 7-10 minutes until the tomatoes soften and begin to burst. Chop the asparagus into quarters and add to the skillet - cook for 3 minutes.
  6. Add in 1 cup of pasta water and 2 tablespoons of half and half or cream. Stir together then add in cooked pasta and sausage. Toss together so everything is coated with the tomato sauce.
  7. Add the spinach then top with a lid to let wilt for 2-3 minutes. Once wilted, stir everything together and add the parmesan cheese. Add more cream or pasta water if more liquid is needed and cover to let cook for just a couple more minutes.
  8. Add salt & pepper to taste and a pinch of red pepper flakes.
  9. Remove from heat and top with fresh basil and more parmesan if desired. Serve immediately and enjoy!


  • Leftovers can be stored in the fridge for up to 3 days.
  • You can use just 1/2 of the sausage for this dish or up to the whole pound - depending on your preference.
  • Prep Time: 15 mins
  • Cook Time: 30 mins
  • Category: Pasta
  • Method: Cooking
  • Cuisine: Italian


  • Serving Size: 1 cup
  • Calories: 424
  • Sugar: 3.4 g
  • Sodium: 569.9 mg
  • Fat: 19.1 g
  • Carbohydrates: 38.3 g
  • Fiber: 2.5 g
  • Protein: 24.1 g
  • Cholesterol: 65.1 mg

Keywords: Spicy Sausage Bowtie Pasta

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