Skillet Sausage Pasta

This is the kind of one-pan wonder that makes you look like a culinary genius while secretly being ridiculously easy to pull off.

Picture this: smoky sausage sizzling away with tender onions, pasta cooking right in a rich, tomatoey broth, and everything coming together in one beautiful skillet.

The magic happens when that pasta absorbs all those incredible flavors instead of just sitting on top like some boring afterthought.

We’re talking about creamy, cheesy comfort food that’s ready in 30 minutes flat, with minimal cleanup because everything happens in your trusty cast iron skillet.

The smell alone will have your family hovering around the kitchen asking “Is it ready yet?” approximately every 30 seconds.

This recipe is basically a weeknight dinner superhero – impressive enough for guests but simple enough for those nights when you can barely remember your own name.

Ingredients
For the Base
- 1 tablespoon olive oil (extra virgin for best flavor)
- 1 pound fully cooked smoked sausage, sliced into rounds
- 1 cup diced yellow onion
- 2 cloves garlic, minced
For the Pasta and Sauce
- 2 cups low-sodium chicken broth (organic preferred)
- 14 .5 ounce can diced tomatoes, undrained
- 8 ounces dry penne pasta (approximately 2½ cups)
- ½ teaspoon crushed red pepper flakes
- ½ teaspoon salt
- ½ teaspoon freshly ground black pepper
For the Creamy Finish
- ½ cup half and half or heavy cream
- 1 cup Monterey Jack cheese, freshly shredded
- ⅓ cup green onions, thinly sliced
Instructions
Prepare the Aromatics
- 1 Heat 1 tablespoon olive oil in a large, deep cast iron skillet over medium-high heat until the oil shimmers and moves freely around the pan. The skillet should be large enough to hold all ingredients comfortably – at least 12 inches in diameter works best.
- 2 Add the sliced sausage and diced onions to the hot skillet. Cook for 4-5 minutes, stirring occasionally with a wooden spoon or silicone spatula, until the sausage develops golden-brown edges and the onions become translucent and fragrant.
- 3 Add the minced garlic and cook for an additional 1-2 minutes, stirring constantly to prevent burning. You’ll know it’s ready when the garlic becomes fragrant and just begins to turn golden.
Build the One-Pot Base
- 4 Pour in the 2 cups chicken broth, scraping up any browned bits from the bottom of the skillet with your spoon – these add incredible flavor to the final dish.
- 5 Add the entire can of diced tomatoes with their juices, the 8 ounces uncooked penne pasta, ½ teaspoon crushed red pepper, ½ teaspoon salt, and ½ teaspoon black pepper. Stir everything together until the pasta is mostly submerged in the liquid.
- 6 Bring the mixture to a rolling boil over medium-high heat, which should take about 3-4 minutes. You’ll hear the liquid bubbling actively around the edges of the skillet.
Simmer to Perfection
- 7 Once boiling, cover the skillet with a tight-fitting lid and reduce heat to medium-low. The liquid should maintain a gentle simmer – you’ll see small bubbles breaking the surface occasionally.
- 8 Simmer covered for 15 minutes, checking and stirring every 5 minutes to prevent sticking. The pasta should absorb most of the liquid and become tender when pierced with a fork.
Finish with Cream and Cheese
- 9 Remove the lid and stir in the ½ cup half and half or heavy cream. Simmer uncovered for 1-2 minutes until the cream is heated through and the sauce looks cohesive.
- 10 Remove the skillet from heat completely. Add the 1 cup shredded Monterey Jack cheese and stir gently until the cheese melts completely and creates a creamy sauce that coats the pasta.
- 11 Sprinkle the ⅓ cup sliced green onions over the top and serve immediately while hot and creamy.
Recommended Equipment and Kitchen Tools
Essential Tools (for best results)
- Large cast iron skillet or deep non-stick pan (12-inch diameter minimum) – provides even heat distribution and goes beautifully from stovetop to table for serving
- Wooden spoon or silicone spatula – won’t scratch your cookware and handles the stirring without damaging delicate pasta
- Sharp chef’s knife – makes quick work of slicing sausage and dicing onions uniformly
- Cutting board with juice groove – contains any sausage juices and keeps your counter clean
Helpful Upgrades
- Microplane grater – perfect for fresh garlic and allows you to grate cheese fresh for superior melting
- Kitchen scale – ensures precise pasta measurements for consistent results every time
- Instant-read thermometer – helps monitor oil temperature and ensures cream doesn’t overheat
- Measuring cups and spoons set – accurate measurements make the difference between good and amazing
Nice-to-Have Options
- Immersion blender – can partially blend the tomatoes if you prefer a smoother sauce texture
- Food processor – makes quick work of dicing large quantities of onions
- Storage containers with tight lids – perfect for storing leftovers and meal prep portions
Recipe Variations and Dietary Modifications
Gluten-Free Adaptation
- Replace penne with 8 ounces gluten-free pasta (chickpea or rice-based work excellently)
- Increase cooking time by 2-3 minutes as gluten-free pasta typically takes longer to absorb liquid
- Add an extra ¼ cup chicken broth if needed during cooking to prevent sticking
Dairy-Free Modifications
- Substitute ½ cup full-fat coconut milk for the half and half
- Replace Monterey Jack with 1 cup dairy-free cheese shreds (cashew-based melts best)
- Use 2 tablespoons nutritional yeast for extra cheesy flavor depth
Protein Variations
- Swap sausage for 1 pound cooked chicken breast, diced
- Try 1 pound ground Italian turkey, browned and crumbled
- Make it vegetarian with 8 ounces sliced mushrooms and 1 cup white beans
Spice Level Adjustments
- Mild version: omit crushed red pepper, use sweet Italian sausage
- Extra spicy: add 1 diced jalapeño with the onions and use hot Italian sausage
- Smoky variation: add 1 teaspoon smoked paprika with the seasonings
Seasonal Flavor Swaps
- Spring: add 1 cup fresh asparagus pieces in the last 5 minutes of cooking
- Summer: stir in 1 cup cherry tomatoes and fresh basil at the end
- Fall: incorporate 1 cup diced butternut squash with the onions
Nutritional Information and Health Benefits
Key Nutritional Highlights
This hearty skillet meal provides approximately 485 calories per serving, with a balanced macronutrient profile of 22g protein, 38g carbohydrates, and 28g fat. The combination of protein-rich sausage, complex carbohydrates from pasta, and calcium from cheese creates a satisfying meal that helps maintain stable blood sugar levels. Each serving delivers about 6g fiber from the tomatoes and pasta, supporting digestive health and satiety.
Health Benefits of Main Ingredients
The diced tomatoes provide lycopene, a powerful antioxidant that becomes more bioavailable when cooked, supporting heart health and potentially reducing inflammation. Garlic and onions contain sulfur compounds that may help boost immune function and provide anti-inflammatory benefits. The Monterey Jack cheese contributes calcium and phosphorus for bone health, while also providing complete proteins with all essential amino acids. Olive oil offers heart-healthy monounsaturated fats and vitamin E.
Dietary Considerations
This recipe contains gluten from wheat pasta and dairy from cheese and cream. It’s naturally nut-free and can easily accommodate various dietary needs with simple substitutions. The sodium content is moderate at approximately 890mg per serving, primarily from the sausage and cheese. For those watching sodium intake, choose low-sodium sausage varieties and reduce added salt.
Smart Swaps and Ingredient Substitutions
Common Substitutions:
- Penne pasta → rigatoni, rotini, or shells work equally well for holding the sauce
- Monterey Jack cheese → sharp cheddar, mozzarella, or Gouda provide different flavor profiles
- Half and half → heavy cream for richer results, or whole milk for lighter texture
- Smoked sausage → Italian sausage, chorizo, or kielbasa for varied flavor profiles
Budget-Friendly Swaps:
- Fully cooked sausage → 1 pound ground pork seasoned with fennel and paprika, browned first
- Fresh garlic → 1 teaspoon garlic powder mixed in with dry seasonings
- Monterey Jack → pre-shredded cheese blend (though fresh-shredded melts more smoothly)
Pantry Emergency Substitutions:
- Chicken broth → vegetable broth or 2 bouillon cubes dissolved in 2 cups water
- Diced tomatoes → 1½ cups marinara sauce thinned with extra broth
- Green onions → 2 tablespoons dried chives or ¼ cup diced regular onion
Pro Tips for Substitutions:
- When using different pasta shapes, maintain the 8-ounce weight rather than cup measurements
- Store leftover fresh herbs in ice cube trays with olive oil for future one-pan meals
- Pre-shredded cheese contains anti-caking agents that can affect melting, so fresh-shredded always works better

Make It Diabetes-Friendly
Carb Reduction Strategies:
- Replace 8 ounces regular pasta with 6 ounces whole grain pasta plus 2 cups cauliflower florets (reduces carbs by approximately 15g per serving)
- Use shirataki noodles or zucchini noodles for dramatic carb reduction (cuts carbs to under 10g per serving)
- Substitute half the pasta with 1 cup diced bell peppers and 1 cup diced zucchini
Portion & Blood Sugar Management:
- Reduce serving size to ¾ cup and pair with a large green salad dressed with olive oil
- Add 2 cups fresh spinach in the last 2 minutes of cooking for extra fiber and volume
- Serve with 4 ounces grilled chicken breast to increase protein and improve satiety
Smart Ingredient Swaps:
- Choose turkey or chicken sausage to reduce saturated fat content
- Use low-fat cheese and evaporated skim milk instead of cream to cut calories
- Add 1 cup diced mushrooms and 1 cup diced bell peppers to increase vegetable content
Enhanced Nutritional Profile:
- Estimated carbs per modified serving: 28-32g (compared to 38g in original)
- Increased fiber content helps slow glucose absorption
- Higher vegetable ratio improves micronutrient density

Perfect Pairing Suggestions
Beverage Pairings
A medium-bodied Chianti or Sangiovese complements the tomato-based sauce beautifully, while the wine’s acidity cuts through the creamy cheese. For beer lovers, a wheat beer or pale ale provides a crisp contrast to the rich, smoky sausage. Non-alcoholic options include sparkling water with lemon or iced tea with fresh herbs to cleanse the palate between bites.
Side Dish Recommendations
Garlic bread made with crusty sourdough is classic for a reason – perfect for sopping up every drop of that creamy sauce. A simple arugula salad with lemon vinaigrette adds peppery freshness that cuts through the richness. Roasted Brussels sprouts with balsamic glaze provide a slightly bitter contrast that enhances the pasta’s savory elements. Steamed broccoli with lemon keeps things light while adding crucial vegetables to the meal.
Complete Meal Ideas
Start with bruschetta topped with fresh tomatoes to echo the pasta’s flavors, then serve the skillet pasta as your main course. Finish with lemon sorbet or fresh berries with whipped cream for a light, refreshing dessert that won’t overwhelm after such a satisfying main dish.
Occasion Suggestions
This recipe shines at casual dinner parties where you want impressive flavors without complicated preparation. It’s perfect for weeknight family dinners, potluck gatherings, and cozy date nights at home. The one-skillet presentation makes it ideal for outdoor entertaining when you want minimal cleanup.
Pro Tips and Troubleshooting
Professional Cooking Secrets
Always let your cast iron skillet heat properly before adding oil – this prevents sticking and ensures even browning. When adding the pasta, push it down gently with your spoon rather than stirring vigorously to prevent breaking. The key to perfectly creamy sauce is removing the skillet from heat before adding cheese – residual heat melts it smoothly without creating a grainy texture.
Common Mistake Prevention
Don’t skip the lid during simmering – uncovered pasta will absorb liquid unevenly and may burn on the bottom. If your pasta seems too dry during cooking, add hot broth ¼ cup at a time rather than cold liquid, which stops the cooking process. Avoid pre-shredded cheese for the final step – freshly grated cheese melts more smoothly and creates a silkier sauce.
Storage and Reheating
Store leftovers in airtight containers for up to 4 days refrigerated. When reheating, add 2-3 tablespoons milk or broth to restore creaminess, and heat gently over medium-low heat, stirring frequently. This pasta freezes well for up to 3 months – thaw overnight in the refrigerator before reheating.
Make-Ahead Strategy
Prep all vegetables and slice sausage up to 24 hours ahead. You can even brown the sausage and onions, then refrigerate until ready to finish the dish. The entire recipe can be assembled and refrigerated for up to 2 hours before the final heating and cheese addition.
This skillet sausage pasta proves that the best comfort food doesn’t require complicated techniques or endless ingredient lists – just quality ingredients, proper timing, and one trusty skillet that does all the work for you.