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Italian Sausage Soup with Cream and Pasta Recipe

If you’re looking for a cozy, comforting bowl that feels like a warm hug in a spoon, you’ve got to try my Italian Sausage Soup with Cream and Pasta Recipe. This soup is so rich and hearty thanks to the creamy broth and savory Italian sausage, plus the little short pasta pieces make it incredibly satisfying. I know you’re going to appreciate how easy it is to whip up and how every spoonful just bursts with flavor. Stick around—I’ll share all my best tips so you nail this on your first try (promise!).

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Why You’ll Love This Recipe

  • Rich and Creamy: The heavy cream adds a luscious texture that makes this soup feel indulgent without being heavy-handed.
  • Hearty and Filling: Italian sausage and pasta transform simple ingredients into a satisfying meal you won’t want to end.
  • Easy Weeknight Dinner: Minimal prep and straightforward steps mean you can have this soup on the table after work with no fuss.
  • Customizable Flavor: Feel free to kick up the spice or swap pasta shapes to suit your personal taste and pantry.

Ingredients You’ll Need

This Italian Sausage Soup with Cream and Pasta Recipe relies on classic, easy-to-find ingredients that come together beautifully. Each one plays a role in balancing flavor and texture, so don’t skimp—especially on fresh garlic and good quality sausage!

Flat lay of Italian sausage links with natural casing, a small white onion whole and unpeeled, three whole uncracked garlic cloves, a small white ceramic bowl of crushed red pepper flakes, a small white ceramic bowl of coarse salt, a small white ceramic bowl of whole black peppercorns, a simple white ceramic bowl filled with golden olive oil, a plain white ceramic bowl holding chicken broth, a simple white ceramic bowl with diced ripe red tomatoes, a small white ceramic bowl of uncooked casarecce pasta, a small white ceramic bowl of heavy cream at room temperature, fresh green basil leaves artfully arranged, and small shavings of parmesan cheese scattered neatly—all ingredients arranged symmetrically on a clean white marble surface, soft natural light, photo taken with an iPhone, professional food photography style, fresh ingredients, white ceramic bowls, no bottles, no duplicates, no utensils, no packaging --ar 2:3 --v 7 --p m7354615311229779997 - Italian Sausage Soup with Cream and Pasta, hearty sausage soup, creamy pasta soup, Italian sausage and cream soup, easy comforting soup
  • Italian sausage: I like using sweet or mild Italian sausage to keep the flavors balanced, but spicy sausage works great if you want some heat.
  • Olive oil: Just a tablespoon to sauté the aromatics—extra virgin olive oil adds a subtle fruity note.
  • White onion: Diced small so it melts into the soup and adds sweetness without overpowering.
  • Garlic: Fresh cloves minced for that essential pungent kick that Italian dishes love.
  • Crushed red pepper: Just a teaspoon to bring warmth and mild spiciness to the mix.
  • Salt and black pepper: Basic seasoning that brings all the flavors together—adjust to taste.
  • Low-sodium chicken broth: Six cups provide a clean, savory base without being too salty; low sodium helps you control salt levels.
  • Diced tomatoes: Adds a hint of acidity and texture contrast—canned works perfectly here.
  • Short pasta (like casarecce): I love casarecce because its twisted shape holds onto the creamy broth really well, but ditalini or small shells also do the trick.
  • Heavy cream: This is the secret weapon for that silky texture and richness, so bring it to room temp before using to avoid curdling.
  • Fresh basil and parmesan cheese: These are optional but highly recommended—you’ll add brightness and umami with just a sprinkle.
Note: You’ll find the complete list of ingredients, along with their exact measurements, in the printable recipe card at the bottom of this post.

Variations

I love making this soup exactly as is, but it’s also great as a base you can tweak depending on what you have or your mood. Feel free to personalize it—you’ll find that the creaminess and sausage keep it versatile enough to welcome a few twists.

  • Swap the Pasta: I once tried this with orzo and loved the different texture it gave; just adjust cooking time accordingly.
  • Vegetarian Version: Use plant-based sausage and veggie broth; you’ll miss the meaty flavor, but it’s still hearty with some sautéed mushrooms.
  • Spicy Kick: Add extra crushed red pepper or a dash of hot sauce—my family loves it when I make it with a bit more fire.
  • Make it Soupier: If you prefer a thinner soup, add more broth or skip some cream and swirl in plain yogurt at the end for tang.

How to Make Italian Sausage Soup with Cream and Pasta Recipe

Step 1: Savor cooking the sausage perfectly

Crumble the Italian sausage into a large soup pot over medium heat. Cook it until it’s fully browned and cooked through—about 5-7 minutes—stirring occasionally. This browning is crucial since it builds the soup’s base flavor. Don’t rush this step! Once cooked, drain off excess fat and use a slotted spoon to remove the sausage, setting it aside. This keeps the broth from turning greasy later on.

Step 2: Build the aromatic foundation

Using the same pot, add olive oil and toss in the diced onion. Let it cook gently until translucent, about 3 minutes, so it softens and sweetens naturally. Then stir in the minced garlic, crushed red pepper, salt, and black pepper. Cook for about 30 seconds more until you can literally smell those flavors waking up. The aroma here will have you excited for what’s next!

Step 3: Bring in the broth and tomatoes

Turn the heat up to high, pour in the chicken broth and canned diced tomatoes (with their juices), and bring everything to a rolling boil. This step quickly melds the flavors and preps the soup for the pasta addition. Keep an eye on it so it doesn’t boil over.

Step 4: Cook the pasta right in the soup

Add your short pasta to the boiling broth. This is where timing matters: cook the pasta until al dente according to package instructions—usually between 7 to 15 minutes depending on shape. Stir occasionally to prevent sticking. When the pasta is perfectly tender with a bit of bite, that’s your cue to move on.

Step 5: Finish with sausage and cream

Reduce heat to low and stir the cooked sausage back into the pot. Now gently pour in the room temperature heavy cream and stir to combine. Simmer the soup for 2 more minutes, which marries the creaminess with the savory flavors without risking curdling. This creates that luxuriously silky texture I can’t get enough of.

Step 6: Serve and garnish with love

Ladle your soup into bowls and sprinkle fresh basil leaves and freshly grated parmesan cheese over the top. These simple garnishes brighten and layer the flavors just right. Now grab a crusty bread slice and dig in!

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Pro Tips for Making Italian Sausage Soup with Cream and Pasta Recipe

  • Don’t Skip Draining the Sausage Fat: Trust me, removing excess fat keeps the soup from turning oily and keeps the broth clean and flavorful.
  • Bring Cream to Room Temperature: Adding cold cream can cause it to splinter or curdle—letting it warm up helps it blend smoothly into the hot soup.
  • Cook Pasta Just Right: Pasta continues to absorb liquid as soup sits, so aiming for al dente keeps it from getting mushy if you have leftovers.
  • Serve Immediately or Cool Quickly: If you’re not eating right away, cool the soup fast to reduce bacteria growth and keep the pasta texture intact.

How to Serve Italian Sausage Soup with Cream and Pasta Recipe

A white bowl filled with creamy soup that has several layers visible: at the bottom is the light orange creamy broth, next is a mix of cooked light yellow pasta sticks and small chunks of browned ground meat, scattered red tomato pieces add color, and the top layer is sprinkled with some shredded white cheese and thin green herb strips. The bowl is placed on a white marbled surface, with part of a metal spoon showing on the left side and additional bowls blurred in the background. photo taken with an iphone --ar 2:3 --v 7 - Italian Sausage Soup with Cream and Pasta, hearty sausage soup, creamy pasta soup, Italian sausage and cream soup, easy comforting soup

Garnishes

I always top mine with fresh basil leaves torn by hand—it adds a fresh herbal brightness that plays beautifully off the rich sausage and cream. A generous sprinkle of finely grated parmesan adds a salty, nutty finish that turns the soup into a real indulgence. Sometimes, I even drizzle a little extra virgin olive oil for that silky touch.

Side Dishes

This soup pairs wonderfully with some crusty Italian bread, like a rustic baguette or ciabatta, perfect for dipping. A simple green salad with a zesty vinaigrette cuts through the richness and balances your meal. If I’m in a hurry, some garlic bread or cheesy breadsticks are always a hit with the family.

Creative Ways to Present

For a special dinner, I love serving the soup in rustic bowls garnished with whole basil leaves and a shaving of parmesan that guests can add themselves. Sometimes I add a small herb sprig or a swirl of basil pesto on top for a colorful touch. It’s such a crowd-pleaser when presented this way, especially alongside a bottle of Italian red wine.

Make Ahead and Storage

Storing Leftovers

After cooling the soup completely, I store it in a tightly sealed container in the fridge. The pasta might soak up some liquid overnight, so before reheating, I usually add a splash of chicken broth or water to loosen the consistency. Leftovers are best eaten within 3-4 days for optimal freshness.

Freezing

Freezing this soup is definitely doable if you want to prep ahead. I recommend undercooking the pasta slightly before freezing since it tends to get mushy after thawing. Freeze in airtight containers or heavy-duty freezer bags for up to 3 months. When thawed, reheat gently on the stove with some extra broth stirred in.

Reheating

Reheat leftovers slowly on low to medium heat on the stove, stirring often. Add a splash of broth or water if the soup is too thick. Avoid microwaving without stirring midway or it might heat unevenly. This keeps the cream from separating and the sausage tender and juicy.

FAQs

  1. Can I use turkey sausage instead of Italian sausage?

    Absolutely! Turkey sausage can be a leaner alternative and will still give you great flavor, though the soup might be a little less rich. You may want to add a touch more olive oil to compensate for the lower fat content.

  2. Which pasta types work best in this soup?

    Short, sturdy pasta shapes like casarecce, ditalini, small shells, or even elbow macaroni work wonderfully as they hold onto the creamy broth nicely without falling apart during cooking.

  3. Can I make this soup dairy-free?

    Yes! Replace the heavy cream with coconut milk or a plant-based cream alternative. Keep in mind the flavor and texture will be a bit different but still delicious.

  4. How can I make this soup spicier?

    Increase the crushed red pepper to your desired level or add a pinch of cayenne pepper while sautéing. Some fresh chopped jalapeños or a dash of hot sauce right before serving also work great.

  5. Is this soup freezer friendly?

    Yes, you can freeze this soup, but I recommend slightly undercooking the pasta to avoid mushiness. Freeze in portions and thaw overnight in the fridge before reheating on the stove.

Final Thoughts

I absolutely love how this Italian Sausage Soup with Cream and Pasta Recipe hits all the right notes—hearty, flavorful, and with just the right comfort-food vibe for any season. When I first made it, my whole family went crazy for it, and now it’s a staple in my meal rotation when I want something a little special that requires minimal effort. You’ll find it’s a recipe that not only tastes fantastic but makes you feel like you’ve got a little bit of Italy right in your own kitchen. Give it a try—I know you’ll adore it!

Print
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Italian Sausage Soup with Cream and Pasta Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4.7 from 96 reviews
  • Author: Lisa
  • Prep Time: 15 minutes
  • Cook Time: 40 minutes
  • Total Time: 55 minutes
  • Yield: 6 servings 1x
  • Category: Soup
  • Method: Stovetop
  • Cuisine: Italian

Description

This hearty Italian Sausage Soup combines rich Italian sausage with tender pasta, aromatic garlic and onions, and a creamy tomato broth, finished with fresh basil and parmesan cheese. Perfect for a comforting meal that’s easy to prepare and full of robust flavors.


Ingredients

Scale

Sausage and Meat

  • 1 pound Italian sausage

Vegetables and Aromatics

  • 1 small white onion, diced
  • 3 cloves garlic, minced

Seasonings

  • 1 teaspoon crushed red pepper
  • ½ teaspoon salt
  • ½ teaspoon black pepper

Liquids

  • 1 tablespoon olive oil
  • 6 cups low-sodium chicken broth, plus more if needed
  • 1 (15-ounce) can diced tomatoes
  • 1 cup heavy cream, brought to room temperature

Pasta

  • 8 ounces short pasta (casarecce pasta recommended)

For Serving

  • Fresh basil
  • Parmesan cheese, freshly grated

Instructions

  1. Cook the Sausage: Crumble and cook the Italian sausage in a large soup pot over medium heat until fully cooked through. Drain off the fat, then remove the sausage from the pot with a slotted spoon and set aside in a bowl.
  2. Sauté Aromatics: In the same pot over medium heat, add the olive oil and cook the diced onion until translucent, about 3 minutes. Stir in the minced garlic, crushed red pepper, salt, and black pepper; cook until fragrant, about 30 seconds.
  3. Add Broth and Tomatoes: Increase the heat to high and pour in the chicken broth and diced tomatoes. Bring the mixture to a boil.
  4. Cook Pasta: Add the pasta to the boiling soup and cook according to the package directions until al dente, generally 7-15 minutes depending on the pasta shape.
  5. Combine and Simmer: Reduce heat to low, stir back in the cooked sausage and pour in the heavy cream. Simmer gently for 2 minutes to blend flavors and heat through.
  6. Serve: Ladle soup into bowls and garnish with fresh basil and freshly grated parmesan cheese as desired.

Notes

  • Store leftovers in an airtight container in the refrigerator for up to 4 days.
  • If the soup thickens too much upon standing, add additional chicken broth or water to reach desired consistency.
  • For a spicier soup, increase crushed red pepper or use spicy Italian sausage.
  • You can substitute heavy cream with half-and-half for a lighter version, but the soup will be less rich.

Nutrition

  • Serving Size: 1 cup
  • Calories: 350
  • Sugar: 3g
  • Sodium: 550mg
  • Fat: 22g
  • Saturated Fat: 8g
  • Unsaturated Fat: 12g
  • Trans Fat: 0g
  • Carbohydrates: 20g
  • Fiber: 2g
  • Protein: 18g
  • Cholesterol: 65mg

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