If you are craving a dish that perfectly balances rich creaminess with bold, smoky flavors, this Creamy Smoked Sausage Pasta Recipe is an absolute winner. It combines tender rotini pasta with browned kielbasa sausage and a luscious tomato-cream sauce, all enhanced by garlic, Italian seasoning, and a generous sprinkle of Parmesan cheese. This hearty and comforting meal is perfect for weeknights or when you want to impress friends without spending hours in the kitchen. Trust me, once you try this recipe, it will quickly become one of your favorite go-to dishes.

Ingredients You’ll Need
Don’t be fooled by the simplicity of these ingredients—each one plays a key role in creating the perfect balance of flavor, texture, and color that makes this recipe shine.
- 2 (12 oz) packages of Kielbasa, sliced: Choose a quality smoked kielbasa to get that perfect crispy edge and smoky flavor.
- 16 oz rotini pasta: The spiral shapes hold onto the creamy sauce beautifully, ensuring every bite is loaded with flavor.
- 2 tbsp butter: Adds richness and a smooth base for sautéing the garlic.
- 2 tbsp minced garlic: Fresh garlic infuses the sauce with irresistible aroma and a subtle bite.
- 1 cup heavy whipping cream: Key to the luscious, velvety texture of the sauce.
- 2 (8 oz) cans tomato sauce: Provides a tangy depth and vibrant color that balances the cream.
- 3 tbsp tomato paste: Concentrates the tomato flavor for richness and added body.
- 1 tsp Italian seasoning: A fragrant blend of herbs that ties all the flavors together.
- Salt and pepper, to taste: Essential for seasoning and bringing out all the flavors.
- 1 cup shredded Parmesan cheese, divided: Adds a nutty, salty finish and helps thicken the sauce beautifully.
- Fresh parsley, chopped, to garnish: Provides a fresh, colorful pop and brightness at the end.
How to Make Creamy Smoked Sausage Pasta Recipe
Step 1: Cook the Pasta to Perfection
Bring a large pot of salted water to a boil, then add the rotini pasta. Cooking it until al dente guarantees that perfect bite and prevents mushiness when mixed with the sauce. Stir occasionally to keep the pasta from sticking. Once done, drain the pasta and set it aside while you prepare the rest of the dish.
Step 2: Brown the Kielbasa for Maximum Flavor
Slice your kielbasa into ½ inch pieces and heat a large skillet over medium heat. Add the sausage and cook them until they are nicely browned and crispy on the edges. This step is crucial because those caramelized bits add a smoky depth and texture contrast that elevate the dish. Once browned, remove the sausage and set it aside for later.
Step 3: Create the Creamy Tomato Sauce
In the same skillet, melt butter over medium heat, then add the minced garlic. Sauté for about one minute until the aroma fills your kitchen, being careful not to let it burn. Next, stir in the heavy cream, tomato sauce, and tomato paste until everything is harmoniously combined. Season with Italian seasoning, salt, and pepper. Let the sauce simmer for around 5 minutes, allowing it to gently thicken. Stir in half of the Parmesan cheese now so it melts right into the creamy sauce, making it even more indulgent.
Step 4: Bring It All Together
Return the browned sausage slices back into the skillet and add the drained pasta. Toss everything together gently, ensuring the pasta is thoroughly coated in that luscious, creamy sauce and the sausage pieces are evenly distributed. Now your dish is almost ready, just top with the remaining Parmesan cheese and sprinkle chopped fresh parsley for a beautiful, fresh finish. Serve immediately while it’s warm and comforting.
How to Serve Creamy Smoked Sausage Pasta Recipe

Garnishes
Fresh parsley sprinkled on top is the perfect touch to bring a hint of brightness and color contrast against the creamy sauce. Additional grated Parmesan sprinkled over the plate adds that extra layer of sharp, savory goodness that Parmesan lovers will adore.
Side Dishes
This creamy and hearty pasta pairs wonderfully with a simple garden salad dressed in a light vinaigrette that cuts through the richness, or some roasted vegetables like Brussels sprouts or asparagus. Garlic bread or a warm, crusty baguette also makes a perfect companion for mopping up every last bit of the sauce.
Creative Ways to Present
Serve this Creamy Smoked Sausage Pasta Recipe family-style right from the skillet to keep it rustic and cozy. For a more elegant presentation, plate it individually garnished with a small sprig of parsley and a delicate drizzle of olive oil. Adding a few red chili flakes on top can add a spicy kick if you like a bit of heat.
Make Ahead and Storage
Storing Leftovers
Place any leftover pasta in an airtight container and refrigerate. It will stay fresh for up to 3 days, retaining much of its rich flavor and creamy texture. Make sure to cool it completely before sealing.
Freezing
While freezing is possible, it’s best to freeze the sauce and sausage mixture separately from the pasta to keep the texture intact. Freeze in tightly sealed containers or freezer bags for up to 2 months. Avoid combining them before freezing to prevent sogginess.
Reheating
Reheat gently on the stovetop over low heat or in the microwave using short bursts, stirring frequently to prevent scorching. If the sauce thickens too much, simply add a splash of milk or cream to bring back that creamy consistency you love.
FAQs
Can I use a different type of sausage for this recipe?
Absolutely! While kielbasa adds a wonderful smoky flavor, you can substitute with smoked andouille, Italian sausage, or any sausage you prefer. Just adjust cooking times accordingly to ensure the sausage is fully cooked and nicely browned.
Is this pasta recipe very spicy?
Nope! The Creamy Smoked Sausage Pasta Recipe is mild and creamy with subtle seasoning. However, if you enjoy heat, you can always add red pepper flakes or a dash of hot sauce during the simmering step to give it some kick.
Can I make this recipe dairy-free?
It would need some adjustment, but yes, you can substitute the heavy cream with coconut cream or a non-dairy cream alternative and swap Parmesan for a plant-based cheese alternative. Keep in mind the flavor and texture will be a bit different but still delicious.
What pasta works best in this recipe?
Rotini is ideal here because its spirals catch the creamy sauce perfectly. However, penne, fusilli, or rigatoni would also work well if that’s what you have on hand.
How can I make this dish vegetarian?
To make a vegetarian version, omit the sausage and add sautéed mushrooms or smoked tofu for texture and smoky flavor. Enhance the sauce with extra garlic and spices to maintain richness and depth.
Final Thoughts
This Creamy Smoked Sausage Pasta Recipe is one of those comforting meals that feel like a warm hug after a long day. It’s incredibly satisfying, packed with flavor, and surprisingly easy to pull together. I promise once you make it, it will become a staple in your recipe box. So go ahead, treat yourself and your loved ones to this deliciously creamy and smoky pasta—you won’t regret it!
