If you’re craving a dish that combines rich, velvety textures with bold, smoky spices, look no further than this Creamy Cajun Sausage Pasta. It’s a perfect marriage of tender turkey sausage, vibrant bell peppers, and a luscious cream sauce, all tossed with perfectly cooked fettuccine. Whether you’re cooking for a weeknight dinner or a casual gathering, this recipe offers a satisfying punch of flavor and comfort in every bite.
Why It Deserves a Spot

This Creamy Cajun Sausage Pasta is a standout because it brings together simple ingredients into an irresistible meal that’s both hearty and elegant. The Cajun seasoning infuses the dish with a spicy kick that wakes up your palate without overwhelming it. Unlike heavier, cream-based pastas, this recipe balances richness with freshness thanks to the cherry tomatoes and bell peppers.
What makes it even better? Using turkey sausage keeps it lighter but still packed with protein, making it a more wholesome choice. Plus, the recipe is incredibly straightforward, using pantry staples and coming together in under 30 minutes. If you love dishes like Creamy Cajun Shrimp Alfredo Pasta or the Creamy Cajun Chicken Bowtie Pasta Skillet, this pasta will quickly become a new favorite in your rotation.
Ingredient Checklist
- 8 ounces fettuccine pasta – for a silky and substantial base
- 1 tablespoon olive oil – to sauté the sausage and veggies
- 1 pound turkey sausage, sliced – lean and flavorful protein
- 1 bell pepper, chopped – adds sweetness and crunch
- 1 onion, chopped – brings depth and aroma
- 3 cloves garlic, minced – essential fragrant punch
- 1 cup heavy cream – makes the sauce rich and luscious
- 1 cup chicken broth – balances the cream with savory notes
- 2 teaspoons Cajun seasoning – the star spice blend for heat and flavor
- 1 cup cherry tomatoes, halved – bursts of freshness and color
- Salt and pepper to taste – to enhance all flavors
- Chopped parsley for garnish – adds a fresh, green finish
Recommended Tools
- Large pot – for boiling the pasta
- Large skillet or frying pan – to cook the sausage and sauce
- Wooden spoon or spatula – for stirring ingredients evenly
- Knife and cutting board – to chop veggies and slice sausage
- Colander – to drain the pasta
- Measuring cups and spoons – for precise ingredient amounts
Creamy Cajun Sausage Pasta in Steps

Step 1: Cook the Fettuccine
Bring a large pot of salted water to a boil. Add the fettuccine pasta and cook according to package instructions, usually around 10-12 minutes, until al dente. Drain the pasta, reserving about ½ cup of pasta water for later use. Set aside.
Step 2: Sauté the Sausage
Heat 1 tablespoon of olive oil in a large skillet over medium-high heat. Add the sliced turkey sausage and cook until browned and cooked through, about 5-7 minutes. Remove the sausage from the pan and set aside.
Step 3: Cook the Vegetables
In the same skillet, add the chopped onion and bell pepper. Sauté for 4-5 minutes until softened and fragrant. Add the minced garlic and cook for another minute, stirring to avoid burning.
Step 4: Build the Creamy Sauce
Lower the heat to medium. Pour in the heavy cream and chicken broth, stirring to combine. Sprinkle in the Cajun seasoning, salt, and pepper. Let the sauce simmer gently for 3-4 minutes, allowing it to thicken slightly.
Step 5: Combine Ingredients
Return the cooked sausage to the skillet, then add the halved cherry tomatoes. Stir everything together and simmer for another 2 minutes to meld flavors. If the sauce seems too thick, add reserved pasta water a little at a time until you reach your desired consistency.
Step 6: Toss in the Pasta
Add the cooked fettuccine to the skillet, tossing gently to coat the pasta evenly with the creamy Cajun sauce. Cook for an additional minute to let everything heat through.
Step 7: Garnish and Serve
Remove from heat. Sprinkle freshly chopped parsley over the top for a fresh burst of color and flavor. Serve immediately and enjoy the rich, spicy goodness of your Creamy Cajun Sausage Pasta.
Better Choices & Swaps

- Protein alternatives: Swap turkey sausage for chicken sausage or a plant-based sausage for a vegetarian twist.
- Pasta types: Penne, rigatoni, or bowtie pasta can replace fettuccine for different textures.
- Dairy substitutes: Use coconut cream or cashew cream instead of heavy cream for a dairy-free version.
- Heat level: Adjust Cajun seasoning quantity or add cayenne pepper for extra spice.
- Vegetables: Add mushrooms, zucchini, or spinach for more nutrient variety.
Troubleshooting Tips
- Sauce too thin? Let it simmer longer to thicken or add a small slurry of cornstarch and water.
- Sauce too thick? Stir in reserved pasta water or extra broth to loosen it up.
- Sausage unevenly cooked? Slice sausage evenly and avoid overcrowding the pan.
- Pasta sticking? Toss the pasta with a little olive oil after draining.
Make-Ahead & Storage
This creamy pasta is excellent for meal prep. You can prepare the dish entirely and store it in an airtight container in the refrigerator for up to 3 days. When reheating, add a splash of broth or cream to refresh the sauce and heat gently on the stove or microwave to avoid curdling.
For freezing, separate the pasta and sauce if possible. Freeze the sauce in a freezer-safe container for up to 2 months. Thaw overnight in the fridge before reheating. The pasta texture may change slightly upon freezing, so freshly cooked pasta is best for serving.
Troubleshooting Q&A
Can I use pre-cooked sausage for this recipe?
Yes, pre-cooked sausage can be used. Just slice and add it during the last few minutes of cooking to warm through without overcooking.
What if I don’t have chicken broth on hand?
You can substitute with vegetable broth or water, though broth adds more flavor. Alternatively, a bouillon cube dissolved in water works well.
How do I make the pasta less spicy?
Reduce the Cajun seasoning to 1 teaspoon or omit any additional cayenne. You can also add a splash of milk or cream to mellow the heat.
Is this dish suitable for picky eaters?
Absolutely! The creamy sauce and familiar pasta shape make it approachable for many. You can adjust seasoning or omit the bell peppers if preferred.
Desserts to Finish
- Creamy Cajun Shrimp Alfredo Pasta – for when you want to try a similar flavorful dish with seafood.
- Cajun Shrimp And Sausage Pasta – another spicy pasta option combining shrimp and sausage in one pot.
- Creamy Cajun Chicken Bowtie Pasta Skillet – a comforting and easy skillet meal with a Cajun twist.
That’s a Wrap
This Creamy Cajun Sausage Pasta nails the balance between indulgence and spice, making it a versatile dish for any occasion. With a handful of ingredients and straightforward steps, you can bring a little taste of Southern-inspired comfort right to your table. Remember, the key to a memorable pasta dish is building layers of flavor and finishing with fresh garnishes that brighten every bite. So grab your skillet, get cooking, and enjoy a plateful of creamy, spicy goodness that’s sure to satisfy.
Ready to add some spice and creaminess to your weeknight dinners? This recipe is a delicious way to do just that, and it pairs beautifully with a simple green salad or crusty bread to soak up every last bit of sauce. Whether you’re a pasta lover or just in need of a quick, flavorful meal, the Creamy Cajun Sausage Pasta is here to deliver comfort and kick in every forkful.
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Creamy Cajun Sausage Pasta
Equipment
- Large Pot
- Large skillet or frying pan
- Wooden Spoon or Spatula
- Knife and cutting board
- Colander
- Measuring cups and spoons
Ingredients
- 8 ounces fettuccine pasta for a silky and substantial base
- 1 tablespoon olive oil to sauté the sausage and veggies
- 1 pound turkey sausage sliced, lean and flavorful protein
- 1 bell pepper chopped, adds sweetness and crunch
- 1 onion chopped, brings depth and aroma
- 3 cloves garlic minced, essential fragrant punch
- 1 cup heavy cream makes the sauce rich and luscious
- 1 cup chicken broth balances the cream with savory notes
- 2 teaspoons Cajun seasoning the star spice blend for heat and flavor
- 1 cup cherry tomatoes halved, bursts of freshness and color
- Salt and pepper to taste, to enhance all flavors
- Chopped parsley for garnish, adds a fresh, green finish
Instructions
Creamy Cajun Sausage Pasta in Steps
- Bring a large pot of salted water to a boil. Add the fettuccine pasta and cook according to package instructions, usually around 10-12 minutes, until al dente. Drain the pasta, reserving about ½ cup of pasta water for later use. Set aside.
- Heat 1 tablespoon of olive oil in a large skillet over medium-high heat. Add the sliced turkey sausage and cook until browned and cooked through, about 5-7 minutes. Remove the sausage from the pan and set aside.
- In the same skillet, add the chopped onion and bell pepper. Sauté for 4-5 minutes until softened and fragrant. Add the minced garlic and cook for another minute, stirring to avoid burning.
- Lower the heat to medium. Pour in the heavy cream and chicken broth, stirring to combine. Sprinkle in the Cajun seasoning, salt, and pepper. Let the sauce simmer gently for 3-4 minutes, allowing it to thicken slightly.
- Return the cooked sausage to the skillet, then add the halved cherry tomatoes. Stir everything together and simmer for another 2 minutes to meld flavors. If the sauce seems too thick, add reserved pasta water a little at a time until you reach your desired consistency.
- Add the cooked fettuccine to the skillet, tossing gently to coat the pasta evenly with the creamy Cajun sauce. Cook for an additional minute to let everything heat through.
- Remove from heat. Sprinkle freshly chopped parsley over the top for a fresh burst of color and flavor. Serve immediately and enjoy the rich, spicy goodness of your Creamy Cajun Sausage Pasta.
Notes
- Use chicken sausage or plant-based sausage as protein alternatives for different dietary needs.
- Swap fettuccine with penne, rigatoni, or bowtie pasta for texture variation.
- For a dairy-free version, substitute heavy cream with coconut cream or cashew cream.
- If the sauce is too thin, simmer longer or add a cornstarch slurry to thicken.
- Store leftovers in an airtight container in the refrigerator for up to 3 days; reheat gently with added broth or cream to refresh the sauce.
