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Sausage Alfredo Pasta with Fried Sage

Sausage Alfredo Pasta with Fried Sage

Fettuccine tossed in a garlicky cream sauce with browned Italian sausage and crisp fried sage.
Prep Time 10 minutes
Cook Time 25 minutes
Total Time 35 minutes
Course Main Course
Cuisine Italian
Servings 6 servings
Calories 740 kcal

Equipment

  • Large skillet
  • Large pot
  • Paper towel lined plate

Ingredients
  

Main Ingredients

  • 1 lb dry fettuccine pasta
  • 2 tsp kosher salt for the pasta water
  • 3 tbsp olive oil
  • 20 fresh sage leaves whole
  • ½ lb hot Italian sausage casings removed
  • 2 cloves garlic minced
  • 2 cup heavy cream
  • ½ tsp freshly ground black pepper
  • ½ cup freshly grated Parmigiano Reggiano plus more for serving

Instructions
 

Cooking

  • Cook the pasta. Boil the fettuccine in salted water to al dente, reserve 1/2 cup of the cooking water, and drain.
  • Crisp the sage. Heat the olive oil until shimmering and fry the sage in batches for a few seconds until crisp, then drain on paper towels.
  • Brown the sausage. Cook the sausage chunks in the same oil for 6 to 8 minutes until browned and 160 degrees F inside, add the garlic for 30 seconds, then move the meat to a plate and pour off the extra fat.
  • Build the sauce. Bring the cream to a low boil in the skillet, scraping up the browned bits, then return the sausage and add pepper.
  • Toss and top. Toss in the pasta, loosen with pasta water if needed, and finish with the cheese and fried sage.

Notes

Substitutions: Use mild sausage for less heat or half and half for a lighter sauce.
Tips: Skip salt in the sauce, since the sausage and cheese are already salty.
Storage: Refrigerate up to 3 days and reheat to 165 degrees F. Do not freeze.
Keyword Cream Sauce Pasta, Fettuccine Alfredo, Fried Sage Pasta, Italian Sausage Pasta, Sausage Alfredo Pasta