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Italian Sausage Pasta Bake

Italian Sausage Pasta Bake is a hearty and delicious pasta recipe made with both a meat sauce and a creamy alfredo sauce.
Prep Time30 mins
Cook Time30 mins
Total Time1 hr
Course: Dinner, Main Course
Cuisine: Italian
Keyword: Italian Sausage Pasta, Italian Sausage Pasta Bake
Servings: 8 servings
Author: Deliciously Seasoned


For the Meat Sauce

  • 2 pound ground hot Italian sausage
  • 1 medium onion, diced
  • 1 teaspoon garlic powder
  • 1 teaspoon slap ya mama
  • 1 teaspoon black pepper
  • ½ teaspoon red pepper flakes
  • 29 ounce can tomato sauce
  • 12 ounce can tomato paste
  • 1 teaspoon oregano
  • 1 teaspoon basil

For the Creamy White Sauce

  • ½ cup butter
  • 1 tablespoon flour
  • 2 cups heavy whipping cream
  • 6 ounce shredded Parmesan cheese
  • Salt and pepper, to taste
  • ½ cup of pasta water
  • 16 ounce box mini bowtie pasta
  • 2 cups mozzarella cheese, shredded


  • Preheat the oven to 350° and spray a 9 x 13 baking dish with non-stick cooking spray. Set aside.

For the Meat Sauce

  • In a large skillet, or frying pan, over medium high heat, cook Italian sausage and onions until sausage is no longer pink and onions are tender. Drain and return to pan.
  • Sprinkle with seasonings, stir.
  • Pour tomato sauce and tomato paste into the meat mixture. Stir to combine, cover and let simmer, stirring occasionally.

For the Creamy White Sauce

  • Cook pasta per package directions for al dente, drain and set aside.
  • In a medium saucepan, over medium heat, melt butter and then stir in flour.
  • Pour heavy whipping cream into the pan and stir until combined.
  • Add Parmesan cheese, stir until melted and add salt and pepper.
  • Add pasta water to cheese sauce, stir.
  • Add cooked pasta to cheese sauce, stir to combine.
  • Pour pasta and cheese sauce into the prepared baking dish followed by the sausage mixture on top.
  • Sprinkle with mozzarella cheese and bake uncovered for 20 minutes or until the cheese is hot and bubbly.
  • Serve with a side salad and garlic bread.