
Take a trip to Italy without leaving home thanks to this decadent pasta creation featuring zesty Italian sausage, tangy sun-dried tomatoes, and fresh spinach swimming in a velvety cream sauce. Each forkful delivers a perfect taste harmony - from the meaty sausage to the gentle sweetness of tomatoes, all coated in a garlicky Parmesan cream that beautifully hugs every pasta piece.
I first threw this dish together for an unexpected dinner party, and my friends thought I'd ordered from the local Italian spot. It's now become my go-to dish - the one everybody asks for when they visit. Even my picky kid who normally pushes aside anything green happily gobbles up the spinach when it's in this creamy mixture.
Key Ingredients and Shopping Advice
- Italian sausage: Go for ground sausage to make cooking easier; either hot or mild tastes great
- Penne pasta: Those ridges and hollow middle trap the sauce wonderfully
- Sun-dried tomatoes: Pick the ones packed in oil for maximum taste and softness
- Heavy cream: Use the real deal for the smoothest sauce; this isn't the place to cut calories
- Parmesan cheese: Grab a block and grate it yourself for better melting
- Garlic: Only use real cloves; the jarred stuff won't give you the right flavor
- Baby spinach: New leaves blend perfectly into the sauce
Detailed Cooking Walkthrough
- Nail Your Noodles:
- Make your water super salty - it should remind you of ocean water
- Stop cooking the pasta when it's still slightly firm - it'll finish in the sauce
- Save some pasta water before draining - you'll need this later!
- Create Your Flavor Foundation:
- Cook sausage until it gets dark and crispy edges
- Toast garlic slowly in the flavorful oil
- Add seasonings one by one to build complexity

After making this countless times, I've learned that getting the timing right makes all the difference. Your pasta should finish right when your sauce comes together, so you can mix them while everything's piping hot. My nonna always told me, "Pasta won't wait for anyone," and she was spot on - eating this right away makes it taste so much better.
Creative Twists
What I love about this dish is how flexible it is. Sometimes I toss in butter-cooked mushrooms, or switch out spinach for crisp-tender broccolini. In summer months, I'll mix in fresh cherry tomatoes alongside the sun-dried ones. Each change brings something new while keeping that comfort-food feeling.
Prep-Ahead Strategies
Though it tastes best fresh, you can get parts ready ahead: cook the sausage, cut up the sun-dried tomatoes, and shred the cheese. When you're ready to eat, you can put it all together in minutes. If you end up with extras, warm them up slowly with a splash of cream to bring back that silky sauce texture.
Ideal Side Dishes
A simple arugula salad with lemony dressing balances the richness perfectly. We always have crusty garlic bread on the table for wiping up every bit of sauce - it's too tasty to leave behind!

This pasta has grown into something bigger than just food in my kitchen - it's what we make for celebrations, comfort meals, and when we want to show off Italian cooking at its best. The way that creamy sauce coats each pasta piece, carrying bits of flavorful sausage and sweet tomatoes, creates something truly magical.
Whether you're cooking a casual Tuesday dinner or trying to wow friends, this dish never fails. As my little girl says, "It feels like eating a warm hug." And isn't that exactly what we want from good food?
Just remember, the finest Italian cooking comes from treating good ingredients with respect. Don't rush through the steps, taste as you cook, and feel free to adjust flavors to suit your family's preferences.
Recipe Questions & Answers
- → Can I switch the pasta type?
- Absolutely, try options like fusilli, farfalle, or rigatoni for a great fit with the sauce.
- → What are lighter sauce swaps?
- Use half-and-half instead of cream or mix cream with chicken broth for a less heavy sauce.
- → Can I prepare it ahead of time?
- It’s best fresh, but you can reheat it gently with a splash of broth or cream to bring back the texture.
- → What works instead of spinach?
- Kale, arugula, or even chard are good substitutes to use in place of spinach.
- → How spicy is the dish?
- It’s mildly spicy thanks to red pepper flakes, but you can tone it down or skip them altogether.