This Creamy Sausage Gemelli Pasta recipe is a family favorite! Tender pasta, savory sausage, meaty mushrooms and fragrant thyme are all smothered in a decadent white wine cream sauce for an easy, comforting dinner you'll be proud to serve family and friends.
You won't hear a complaint about dinner when this Creamy Sausage Gemelli Pasta is on the menu. This family favorite pasta recipe is pure comfort food.
A warm bowl of this creamy pasta dish tastes like it's been simmering away all day on the stove. A velvety white wine cream sauce coats every nook and cranny of the gemelli pasta and is tossed with zesty Italian sausage, tender mushrooms and fresh thyme leaves. Add a spinach salad with balsamic vinaigrette, and this flavorful, crowd-pleasing dinner is served!
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Five Star Review
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"I went looking on Google for a recipe that had sausage, mushrooms and cream and pasta because that's what I had around and immediately found yours. Just what I was craving! And it is absolutely fabulous."
- Jane
Why you'll love this recipe
- Easy, flavorful comfort food: This creamy pasta recipe is simple enough for a weeknight dinner but fancy enough for company.
- Restaurant quality meal: Small things elevate this recipe from average to outstanding like the spiral-shaped gemelli pasta and a white wine reduction that adds extra flavor to the smooth and creamy sauce.
- Make ahead: Yes, you can make pasta dishes ahead of time! Both the sauce and the pasta can be made in advance when you are running short on time.
Ingredients & Substitutions
You can find everything you need for this gemelli pasta recipe in one trip to the grocery store.
Ingredient Notes
Pasta: We love using gemelli for this one. It's that twisty pasta made with two strands swirled together, and it holds onto the creamy sauce like a champ. Look for brands like De Cecco, Colavita or Barilla. Can't find gemelli? No stress. Fusilli, linguine, gnocchi, even ravioli all work great with this sauce. Use what you've got!
Sausage: We usually go with mild Italian sausage (casings removed), but feel free to spice things up with hot Italian sausage if that's your vibe. Sweet Italian sausage also works if you like a more mellow flavor.
Mushrooms: Baby bellas are our go-to, but white buttons or even wild mushrooms are totally fair game. Use whatever you have or whatever looks good at the store.
Shallots: They add a subtle, savory flavor that plays really well with the sausage and cream. If you don't have shallots, a small yellow onion will do the trick just fine.
Cream: This sauce gets its luscious texture from heavy cream. You can use half and half if that's what you've got, but the sauce will be a bit thinner and not quite as rich. We don't recommend milk here. It just doesn't bring the same velvety goodness.
Wine: A splash of dry white wine (like Sauvignon Blanc or Chardonnay) adds great flavor to the sauce. No wine? No problem. Sub in chicken or veggie broth. Just follow the recipe instructions and reduce it a bit to concentrate the flavor.
Thyme: Thyme is our favorite here, but rosemary works too. If you don't have fresh herbs on hand, you can use dried. Remember they're more concentrated, so you'll need less.
Instructions
I cook the white wine cream sauce first so it has time to simmer and reduce before making the pasta.
- Brown sausage: Heat dutch oven over medium heat. Add sausage and cook until lightly browned but not fully cooked, breaking it up as you cook it.
- Add vegetables: Stir in the shallots and mushrooms and cook until vegetables are soft and sausage is cooked through.
- Add liquid: Pour in wine and stir in bay leaf. Cook until liquid is reduced by half, about 15-20 minutes.
- Reduce wine: It should look something like this. Meanwhile, while wine is reducing, make pasta according to package directions.
- Thicken sauce: Stir in cream, thyme, crushed red pepper and nutmeg, if using. Cook for about 5-7 minutes to slightly thicken sauce.
- Combine: Stir cooked pasta into sauce. Ladle into bowls and serve with grated Parmesan cheese and extra red pepper flakes.
FAQs
Leftover gemelli can be refrigerated for up to three days. Reheat on the stovetop or in the microwave over medium heat. Stir in a bit of milk or cream if needed during reheating to keep the sauce nice and creamy.
No need to break the bank here. Any dry white wine works well in a cream sauce. I like using either Sauvignon Blanc or Chardonnay but a crisp Pinot Gris or drier Pinot Grigio can work, too. Just be sure to choose a wine that you enjoy because the flavor of the reduced wine is infused in the sauce.
Pastas with a cream base do not always freeze well as the sauce may separate and become grainy, so I don't recommend freezing this dish for later.
Helpful Tips We Swear By
- Cook pasta to al dente. You want tender pasta with just a bit of chew. This is important because the pasta continues to cook a bit in the pan as the sauce thickens.
- The easiest way to break up the sausage as it cooks is to use a meat masher. Works with all types of ground meats!
- The white wine can take up to 20 minutes to reduce so plan the rest of your meal accordingly. Start the sauce before the pasta so they are done at about the same time.
- Cook the sauce over medium heat for at least 5-10 minutes after you add the cream to thicken it. This is not a thick, Alfredo-type of sauce made with a flour roux, so know it will be naturally thinner but shouldn't be soupy. If it is, keep cooking it until it's as thick as you want it.
- Want to add more veggies to this dish? Chopped spinach, kale or arugula would all work well.
- If you can, spring for the wedge of fresh Parmigiano Reggiano cheese and grate it (with a microplane grater) over each bowl of pasta for the perfect finishing touch.
- Serve crushed red pepper flakes on the side if you want to add spice to individual servings.
Get a Head Start
- Make pasta up to two days ahead of time. Reserve ⅓ cup of pasta water in case you need to add it to the sauce when you make it. Cook pasta to al dente and drain well. Toss gemelli with a bit of olive oil to prevent sticking. Cool completely before storing covered in refrigerator.
- Make the sauce up to two days ahead of time. Cool completely, place in a sealed container and refrigerate.
- Gently reheat any sauce made ahead of time on the stovetop before tossing with pasta. You may need to add reserved pasta water or milk if the sauce is too thick.
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Recipe
Creamy Sausage Gemelli Pasta
Ingredients
- 1 pound bulk mild Italian Sausage
- 2 small shallots, finely diced
- 8 ounces sliced mushrooms
- 1 ½ cups dry white wine
- 1 bay leaf
- 12 ounces dry gemelli pasta, or any medium shape pasta
- 1 ¼ cups heavy cream
- 1 tablespoon fresh thyme leaves
- ½ teaspoon crushed red pepper flakes, plus more for serving
- Pinch nutmeg, optional
- Grated Parmesan cheese
Instructions
- Heat a dutch oven over medium heat. Add sausage and cook until lightly browned but not fully cooked, stirring to crumble. Add shallots and mushrooms and cook until shallots and mushrooms are soft and sausage is fully cooked.1 pound bulk mild Italian Sausage, 2 small shallots,, 8 ounces sliced mushrooms
- Add wine and bay leaf to pan with sausage, shallots and mushrooms, and cook until liquid is reduced by half, about 15-20 minutes1 ½ cups dry white wine, 1 bay leaf
- While wine is reducing, prepare pasta according to package directions, reserving ⅓ cup cooking liquid. Drain and set aside.12 ounces dry gemelli pasta,
- Add cream, thyme, crushed red pepper flakes and nutmeg to wine-sausage mixture in pan and stir to combine. Continue to cook for about 5-7 minutes to slightly thicken sauce. Add cooked pasta to the sausage sauce and stir until combined and heated through. If necessary, thin sauce with reserved cooking liquid, one tablespoon at a time.1 ¼ cups heavy cream, 1 tablespoon fresh thyme leaves, ½ teaspoon crushed red pepper flakes,, Pinch nutmeg,
- Serve with plenty of grated Parmesan cheese and extra crushed red pepper flakes.Grated Parmesan cheese
Notes
- If you can't find gemelli, use fusilli (or any other medium shaped pasta) instead.
- You can use mild or hot Italian sausage.
- A dry white wine works best in this recipe. I used a Sauvignon Blanc.
- The white wine can be replaced with chicken or vegetable broth and reduced according to recipe directions.
- If you don't have shallots, you can use half of a small onion instead.
- Fresh rosemary also works well in place of the fresh thyme.
- Baby bella mushrooms were used to test this recipe but you can use whatever kind you prefer.
Storage:
Leftovers can be refrigerated for up to 3 days. This pasta does not freeze well as the cream sauce tends to separate and become a bit grainy after the freezing/defrosting process.Make Ahead Suggestions:
- Make pasta up to two days ahead of time. Reserve ⅓ cup of pasta water in case you need to add it to the sauce when you make it. Cook pasta to al dente and drain well. Toss gemelli with a bit of olive oil to prevent sticking. Cool completely before storing covered in refrigerator.
- Make the sauce up to two days ahead of time. Cool completely, place in a sealed container and refrigerate. Gently reheat on the stovetop before tossing with pasta. You may need to add the reserved pasta water or milk if the sauce is too thick.
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Nutrition
Nutrition info not guaranteed to be accurate.
Katharine Ashburn says
What can I use instead of wine?
Hi Katharine, you can swap in an equal amount of chicken broth if you prefer. Enjoy!
Dr B says
Nice to have zero leftovers
I tweaked a bit with the addition of garlic and truffle oil took it to a whole new level
Thanks
Yum! Sounds tasty!
Jane says
I went looking on Google for a recipe that had sausage, mushrooms and cream and pasta because that's what i had around, and immediately found yours. Just what i was craving! And it is absolutely fabulous.
After doing it a couple of times, I would just suggest if you don't want it to be soupy, cook down the wine to more of a syrup, and then cook the cream down some. The pasta will absorb a lot of the liquid, but maybe not by the time you want to eat it, which is instantly!
Very happy to say the leftovers, if there are any, reheat beautifully in the microwave.
Congratulations. This is brilliant, and so very simple.
Jane, thanks so much for stopping back to leave your kind words. Love your tips for the dish, too!
Jen says
I made this tonight with spinach linguine and chicken sausage. It was delicious! Thanks for the inspiration.
So glad you created a dish perfect for you! Thanks for coming back and letting us know how it turned out.
Mushrooms Canada says
I love the flavours in this comforting meal! Thanks for sharing!!
-Shannon