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Sausage alfredo pasta recipe with fried sage 2025 12 05 135904 150x150

Sausage Alfredo Pasta

Sausage Alfredo Pasta with Fried Sage is a creamy and flavorful dish that brings comfort food to a whole new level. This recipe combines tender fettuccini pasta with savory hot Italian sausage and a rich Alfredo sauce, all topped with crispy fried sage leaves.
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Course Dinner, Main Course
Cuisine Italian
Servings 4 servings
Calories 600 kcal

Ingredients
  

Pasta and Sauce Ingredients

  • 1 pound dry fettuccini pasta (1 box)
  • 2 cups heavy cream
  • ½ pound hot Italian sausage
  • 2 cloves garlic (minced)
  • 3-4 tablespoons olive oil
  • Coarse to taste sea salt
  • Freshly grated to taste black pepper
  • Freshly grated to taste Parmigiana Reggiano

Fried Sage Ingredients

  • 20-24 leaves fresh sage leaves

Instructions
 

Cooking

  • Cook the fettuccini to al dente per the package directions.
  • While the fettuccine cooks, heat a large skillet and add the oil until it shimmers.
  • Fry the sage leaves in batches for a few seconds until crispy, then transfer them to paper towels to dry.
  • Keep the oil in the skillet. Separate the sausage into bite-size chunks and sauté them until cooked through.
  • Add the minced garlic and cook for 15-30 seconds until it softens.
  • Transfer the cooked sausage to a plate and set aside. Pour off excess fat from the skillet but try to keep most of the garlic.
  • Add the cream to the skillet and bring it to a low boil while scraping the bottom of the pan.
  • Reduce the heat and return the sausage to the skillet. Season with salt and pepper to taste, then remove from heat.
  • Drain the pasta and place it on a large serving platter or bowl. Pour the sauce over the pasta, toss gently, and sprinkle the fried sage leaves on top.
  • Garnish with grated Parmigiana Reggiano.

Notes

Store any leftover Sausage Alfredo Pasta in an airtight container in the refrigerator for about 3 days. When reheating, add a splash of cream or water to revive the sauce. For a lighter version, substitute heavy cream with half-and-half or a light cream.
Keyword Comfort Food, Creamy Pasta, easy recipes, Quick Dinner, Sausage Alfredo Pasta