How many servings does this recipe make?

This recipe makes 4 servings. You can adjust the portion size directly on this page.

What ingredients do I need for Creamy Sausage-Tomato Rotini?

You need 9 ingredients. The key ingredients include: 1 lb sweet bulk sausage or 1 lb hot Italian sausage, 1/2 cup finely chopped onion, 3 garlic cloves, finely chopped, 1/2 teaspoon crushed red pepper flakes, and more.

Is Creamy Sausage-Tomato Rotini suitable as meat & poultry?

Yes, Creamy Sausage-Tomato Rotini falls under the Meat & Poultry category and is a great choice for this type of meal.

How do I store leftover Creamy Sausage-Tomato Rotini?

Store leftovers in an airtight container in the refrigerator for up to 3–4 days. Reheat gently before serving.

Creamy Sausage-Tomato Rotini Recipe

Name: Creamy Sausage-Tomato Rotini
Prep time: 15 min
Cook time: 30 min
Total time: 45 min
Yield: 4 servings
Ingredients: 1 lb sweet bulk sausage or 1 lb hot Italian sausage; 1/2 cup finely chopped onion; 3 garlic cloves, finely chopped; 1/2 teaspoon crushed red pepper flakes; 1 (28 ounce) can Italian-style stewed tomatoes; 1 1/2 cups half-and-half or 1 1/2 cups light cream; 12 ounces rotini pasta (corkscrew pasta) or 12 ounces gemelli pasta (twisted ropes); 3 tablespoons finely snipped fresh basil; freshly ground romano cheese

Try this homemade Creamy Sausage-Tomato Rotini recipe the whole family will love. Made with sweet bulk sausage, onion, garlic and red pepper. Easy step-…

This Creamy Sausage-Tomato Rotini relies on simple, everyday ingredients such as finely chopped onion, crushed red pepper flakes, finely snipped fresh basil and freshly ground romano cheese. It comes together quickly and makes 4 servings, at about 754 kcal each. The step-by-step instructions below are written to be easy to follow, even on a busy day.

It's versatile enough for an easy weeknight dinner yet satisfying enough for guests at the weekend. Serve it with your favorite sides, and keep any leftovers for a quick meal the next day.

Updated Jun 30, 2026

Serves 4 Meat & Poultry

Servings: persons

1 lb sweet bulk sausage or 1 lb hot Italian sausage
1/2 cup finely chopped onion
3 garlic cloves, finely chopped
1/2 teaspoon crushed red pepper flakes
1 (28 ounce) can Italian-style stewed tomatoes
1 1/2 cups half-and-half or 1 1/2 cups light cream
12 ounces rotini pasta (corkscrew pasta) or 12 ounces gemelli pasta (twisted ropes)
3 tablespoons finely snipped fresh basil
freshly ground romano cheese

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Quick Info

Servings
4 servings
Calories
754 kcal
Category
Meat & Poultry

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