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Home Pasta

Orecchiette Sausage Pasta in creamy tomato sauce

By:Nagi
Published:1 Jun '20Updated:7 Apr '21
176 Comments
Recipe v Video v Dozer v

Orecchiette has one big thing going for it that other pastas do not: its cup shape makes it the perfect vehicle to hold special pasta sauces. The creamy tomato sausage pasta sauce featured in this recipe is orecchiette worthy!

Decadent? Yes. Have salad tomorrow!

Close up of Orecchiette Sausage Pasta in Creamy Tomato Sauce in skillet, ready to be served

Orecchiette Sausage Pasta

Don’t you hate it when you twirl an enormous mound of spaghetti on your fork, only to find that you’ve just got pasta and no toppings??

Even more annoying is when you bring it up to your mouth and loose strands slap around your mouth, causing pasta sauce to splatter all over your face – and your white top.

Such are the challenges of our pasta lovin’ life.

Thankfully, the Italians came up with a solution – little cup shaped pastas called “orecchiette” which act as little scoops to hold pasta sauce. How clever is that?! 🙌🏻

Orecchiette pasta

Truth be told, I do not know if orecchiette pasta was invented to solve the pasta-slapping/sauce splattering/toppingless spaghetti problem.

I just know that it’s wildly practical – and we should all use it more often!! 😂

(PS And you can, in fact, use it for virtually any pasta recipe. Orecchiette Bolognese, anyone??)

Today, I’m sharing a flavour loaded, decadent creamy tomato sausage pasta sauce that I deem to be orecchiette worthy. The little bits of sausage nestled in those little cups, blanketed in that creamy sauce … mmmm! It’s so good it should be illegal!

“Orecchiette” means “ear” in Italian which refers to the ear-like shape of this type of pasta.

Overhead photo of Orecchiette Sausage Pasta in Creamy Tomato Sauce in bowl, ready to be eaten

What you need for Orecchiette Sausage Pasta

Here’s what you need:

What goes in Orecchiette Sausage Pasta in Creamy Tomato Sauce

  • Italian sausages – the better the sausage, the better the sauce! Here in Australia, Italian sausages only come in link form (as pictured above), but squeezing the meat out is cinch to do. In fact, anyone with a lifetime of cooking sausages knows full well the meat wants to come out of the casings!

  • Kale – to break up the richness of the sauce. Spinach works great here too;

  • Tomato Passata or puree – this thickens the sauce as well as providing lovely tomato flavour to cut through the richness of the cream and sausage. Tomato Passata, called tomato puree in the US, is just pure, plain tomato that’s pureed and strained – nowadays found in everyday supermarkets in Australia. But don’t fret if you can’t find it – crushed tomato or even tomato paste can be used in a cinch (quantities in recipe);

  • Parmesan – for a flavour boost!

  • Cream and milk – cream provides the richness, milk thins out the sauce more whilst still keeping the sauce that lovely pink colour!

  • Garlic – because very few of my recipes don’t have garlic;

  • Italian herbs – staying on theme with the sausages. Just use a store bought premix. Not the end of the world if you don’t use dried herbs in this, we get loads of flavour from the sausages; and

  • Red pepper flakes (chilli flakes) – for a hint of warmth. Optional!


How to make Orecchiette Sausage Pasta

Nothing unique about the making part! The sausage pasta sauce comes together in the same time the orecchiette pasta takes to cook (12 minutes), making this a great quick dinner recipe.

How to make Orecchiette Sausage Pasta in Creamy Tomato Sauce

Orecchiette Sausage Pasta in Creamy Tomato Sauce in skillet, fresh off the stove

KEY TIP: Avoid the cheap sausages that are a uniform pink colour – they are loaded with fillers. Look for sausages with specks of meat and white fat, as pictured above.

Close up of spoon scooping up Orecchiette Sausage Pasta in Creamy Tomato Sauce

On the side

I’d love to be able to tell you that this is a complete meal…but it’s a wee bit light on the greens! 😂 So add a fresh salad on the side to round it out – here are a few suggestions:

Close up of a refreshing Cucumber Salad with a tasty Herb & Garlic Dressing
Cucumber Salad with Herb Garlic Vinaigrette
Close up of juicy Tomato Salad with Basil, ready to be served
Cherry Tomato Salad with Basil
Pouring salad dressing over leafy salad
Everyday Salad Dressing
Close up of Balsamic Dressing being drizzled over rocket salad with shaved parmesan
Rocket Salad with Balsamic Dressing and Shaved Parmesan
Close up of Broccoli Salad with Lighter Creamy Dressing with bacon, almonds, cranberries and red onion
Broccoli Salad with Lighter Creamy Dressing
Balsamic Vinegar Dressing - A classic everyone should know: 1 part vinegar, 3 parts oil. Keep for 3 weeks+. www.recipetineats.com
Balsamic Vinegar Dressing
Italian Dressing - the one dressing everyone should ALWAYS have in the fridge! Keeps for 2 weeks. www.recipetineats.com
Italian Dressing Recipe

You know something? I just realised that I forgot to mention another very important characteristic of orecchiette pasta:

YOU CAN EAT IT WITH A SPOON

Which means it falls into a very important category of food I call Couch Food, being food you can eat with a spoon without taking your eyes off the TV.

Or trashy novel. Or a rag-mag.

Just something that requires minimal brainpower so you can concentrate on really savouring Every. Single. Bite! – Nagi x

PS I suppose one could eat this while reading something a little more intellectual, but I just think my brain would implode with all that delicious going on in my mouth as well as having to think while reading? My brain just doesn’t have the bandwidth for that.😇


Watch how to make it

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Orecchiette Sausage Pasta in Creamy Tomato Sauce

Author: Nagi
Prep: 10 minutes mins
Cook: 15 minutes mins
Mains
Italian-esque, Western
4.98 from 92 votes
Servings5 - 5 people
Tap or hover to scale
Print
Recipe video above. Orecchiette has one big thing going for it that other pastas do not: its cup shape makes it the perfect vehicle to hold special pasta sauces. The creamy tomato sausage pasta sauce featured in this recipe is orecchiette worthy. Decadent? Yes. Have salad tomorrow!

Ingredients

  • 400g / 14oz orecchiette pasta (or other pasta)
  • 1 tbsp olive oil
  • 2 garlic cloves , minced
  • 500g / 1lb Italian pork sausages , meat squeezed out of their casings (see video, Note 1)
  • 1/4 cup white wine , anything not too sweet (sub water)
  • 1 cup tomato passata (called "tomato puree" in US, Note 2)
  • 3/4 cup cream , heavy/thickened
  • 3/4 cup milk (any fat %)
  • 1/3 cup parmesan , finely grated
  • 1 tsp Italian herbs (Note 3)
  • 1/4 tsp red pepper flakes (chilli flakes)
  • 1/4 tsp each salt and pepper
  • 3 cups (packed) kale leaves , torn into bite size pieces (or baby spinach, swiss chard, Tuscan kale etc)
  • Parmesan , for serving
Prevent screen from sleeping

Instructions

  • Bring a large pot of water to the boil and cook pasta according to packet directions MINUS 1 minute. Just before draining, scoop out 1 cup of pasta cooking water and set aside. (Note 4)
  • Heat oil in a very large skillet over high heat. Add garlic and cook for 15 seconds.
  • Add sausage meat and cook, breaking it up as you go, until there are some little golden bits - about 4 minutes.
  • Add wine and cook, scraping the bottom of the skillet to remove the golden bits, and allow wine to evaporate - the winey smell will disappear.
  • Add remaining ingredients except kale. Stir well, bring to simmer then turn stove down to low and simmer gently for 2 minutes to bring all the flavours together.
  • Add pasta and kale. Toss well for 1 minute to coat pasta well with the sauce - it will thicken. If the sauce gets too thick, use the reserved pasta cooking water to loosen it up (Note 4).
  • Serve immediately, garnished with freshly grated parmesan

Recipe Notes:

1. Sausage - the better the sausage, the better the pasta! Avoid the very cheap sausages used for backyard BBQ's that are a uniform pink colour (pink = fillers = no good for cooking like this). Look for sausages where you can see chunks of meat and fat, like you see in the recipe video and photos.
If using link sausages (in Australia, we only get Italian sausage meat in sausage form), squeeze the meat from the casings (it's easy, demo in video).
2. Tomato passata -  pureed, strained pure tomatoes, sometimes labelled Tomato Puree in the US (here's a photo of Mutti Tomato Passata sold at Walmart). Readily available in Australian supermarkets nowadays, alongside pasta sauces. If you can't find it, use crushed canned tomatoes and simmer rapidly for 5 minutes to reduce it more. 
3. Italian Herbs - just use a store bought pre mix. Otherwise, make up your own with equal amounts of thyme, basil, oregano, parsley and a pinch of rosemary.
4. Pasta cooking water - the starch in the water thickens the sauce when tossed with pasta. So if the sauce needs thinning, best to use the pasta cooking water instead of just normal water. Great traditional Italian pasta cooking technique to use in every pasta recipe!
5. Nutrition per serving. Never said it was diet. I said it was DELICIOUS! Shave off 80 calories by using light cream or half and half instead of full fat cream (sauce will still be nice and thick from the tomato).

Nutrition Information:

Calories: 817cal (41%)Carbohydrates: 71g (24%)Protein: 32g (64%)Fat: 44g (68%)Saturated Fat: 18g (113%)Cholesterol: 125mg (42%)Sodium: 949mg (41%)Potassium: 859mg (25%)Fiber: 4g (17%)Sugar: 6g (7%)Vitamin A: 4864IU (97%)Vitamin C: 54mg (65%)Calcium: 238mg (24%)Iron: 4mg (22%)
Keywords: orecchiette, orecchiette with sausage, Sausage Pasta
Did you make this recipe?I love hearing how you went with my recipes! Tag me on Instagram at @recipe_tin.

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176 Comments

  1. Dan says

    November 28, 2024 at 12:15 am

    5 stars
    Absolutely delightful! I also made your ‘better than Dominoes’ garlic bread to have with this.

    Reply
  2. Latoya says

    October 27, 2024 at 1:45 pm

    4 stars
    This is one of the best tasting pastas I have had. However I did mess up a bit so my end result isn’t the exact same as the recipe.
    – i used “farmhouse style” pork sausages because the Italian style was sold out.
    – i used 500g pasta
    – i accidentally added the pasta water in when the recipe said to add in all the ingredients, causing it to be too watery. I fixed it with a small amount of cornflour/starch.
    – i added a whole bottle of passata because the flavour of it was weak. Probably because I accidentally diluted it with a bunch of water.
    – i also forgot to put my spinach in.

    Reply
  3. Michelle Kane says

    October 26, 2024 at 11:44 am

    5 stars
    Neglected to rate this incredible recipe of restaurant quality with microwave preparation time!

    Reply
  4. Tania says

    October 2, 2024 at 12:37 am

    5 stars
    I was stoked when I actually had all the ingredients for this recipe at home. Even the Italian pork sausages. My hubby literally licked his bowl clean. . What else can I say but, Nagi, you’ve done it again!

    Reply
  5. Lisa says

    September 19, 2024 at 6:13 am

    5 stars
    Nagi, thank you for another super delicious recipe! The flavors in this dish are so well balanced. Because I love tomatoes, in addition to the passata, I added one 14.5-ounce can of super sweet San Marzano tomatoes well drained, and crushed. Since this added more liquid, I needed to simmer the sauce a little longer before adding the pasta to let it reduce down and thicken up a bit. even with the addition of the tomatoes, the consistency of the sauce was perfect. With cooler weather on the horizon in our area, this is a dish I will make over and over!

    Reply
  6. Alli says

    August 25, 2024 at 2:00 pm

    Just tried this recipe and ‘loved’ it!
    I brag about you,….Nagi, and Dozer and your fabulous recipes all the time to my customers. ALL the time!

    Reply
  7. Ben says

    July 20, 2024 at 4:59 pm

    5 stars
    Absolutely Delicious!!!!!

    Reply
  8. Beth says

    June 23, 2024 at 9:00 am

    5 stars
    Another winner from Nagi!

    Reply
  9. Georgia Grace Hunter says

    May 1, 2024 at 6:57 pm

    5 stars
    supper scrump! definitely does not matter what snags you use – used ya standard el cheapies & still was top notch. nagi, ya legend x

    Reply
  10. Kim says

    April 27, 2024 at 8:11 pm

    5 stars
    Oh WOW. Have recommended RTI to so many people and I will put this at the top of their to do list. Amazing flavours. Thank you Nagi & Dozer.

    Reply
  11. Claire says

    March 30, 2024 at 1:13 am

    5 stars
    This was restaurant quality pasta! I subbed whole milk for cream because it’s what i had on hand, and added a handful of minced onion, other than that I followed the recipe closely. Will become a staple in my house. Also I paired with an Argentine Malbec and my mind was blown. So good!

    Reply
  12. Nicole Oakley says

    March 25, 2024 at 6:43 pm

    5 stars
    Forgot to add the rating to my previous comment!

    Five stars!

    Reply
  13. Nicole Oakley says

    March 25, 2024 at 6:42 pm

    Have made this several times – sometimes with shells and other times with the correct Orecchiette. Always sub the kale with baby spinach and use mild Italian sausage from my local butcher.
    Absolutely delicious meal.

    Reply
  14. Kathryn says

    February 27, 2024 at 1:16 am

    5 stars
    My husband made this on the weekend. One of the best pasta dishes we have had in a long time. Thank you so much!

    Reply
  15. Katrina says

    January 10, 2024 at 9:05 pm

    5 stars
    Absolutely delicious! Lovely flavours. Easy and quick weeknight dinner!

    Reply
  16. Bec Nicotra says

    November 29, 2023 at 10:34 am

    I used the snags I had in my fridge, which unfortunately weren’t the best. This didn’t turn out as well as I’d hoped.
    Next time I make this I’ll be making a trip to the butcher to find the best snags 🙂

    Reply
  17. Wendy M says

    November 26, 2023 at 8:58 am

    5 stars
    Have made this a couple of times now and both hubby and I think it is by far our favorite pasta dish. We use spinach instead of kale but that’s the only change. If you haven’t given it a try you are missing out 😉

    Reply
  18. Tammy says

    November 10, 2023 at 11:18 pm

    5 stars
    Wow, just wow! I’ve cooked many wonderful RTE recipes, but this is my first review. Everything was perfect, can’t wait to make it again.

    Reply
  19. Mary-Anne.B says

    October 28, 2023 at 8:52 am

    5 stars
    Couldn’t find the pasta but used Macaroni instead! Woolworths only had the pork and fennel sausages ( I’m not a fan of fennel) so got “ continental sausages “ from my local butcher. Hubby said the pasta was one of the best dishes I’ve cooked and even my 5 year old ate it and he is one picky eater! Definitely will be on rotation at our place!

    Reply
  20. Jill Turner says

    October 8, 2023 at 9:22 pm

    5 stars
    I cooked this tonight & it was delicious!! I used pork sausages from my local butcher & well drained frozen spinach. I found the orecchiette pasta at Coles. Will be cooking this recipe again. Plenty of leftovers too. Thanks, Nagi x

    Reply
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Hi, I'm Nagi!

I believe you can make great food with everyday ingredients even if you’re short on time and cost conscious. You just need to cook clever and get creative! Read More

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