Creamy Italian Sausage Mushroom Pasta: An Easy Weeknight Alfredo Dinner
Craving a hearty, comforting meal that comes together quickly on a busy weeknight? Look no further than this incredible Sausage Mushroom Pasta. Featuring savory Italian sausage, tender mushrooms, and a luxurious, creamy white Alfredo sauce, this dish is designed to satisfy. But there’s a unique twist – a secret sweet ingredient that elevates it from good to absolutely unforgettable. Perfect for two, or easily scalable for more, it’s a go-to recipe when you need a delicious homemade dinner without spending hours in the kitchen.

Life moves fast, and sometimes, balancing passions like capturing the vibrant streets and historic bridges of Pittsburgh (you can see my work at City Life Adventures) with daily tasks leaves little time for elaborate cooking. Especially when evenings are dedicated to chasing golden hour and stunning sunsets, dinner needs to be both quick and deeply satisfying. While the idea of a frozen pizza might be tempting after a long day, a truly delicious and nutritious homemade meal is always more rewarding.
This is precisely when a dependable, quick dinner recipe like this creamy Sausage Mushroom Pasta with Alfredo sauce becomes a lifesaver. It’s more than just rigatoni pasta tossed with sausage and a classic Alfredo; it incorporates an unexpected yet truly delightful secret ingredient that sets this Italian sausage Alfredo apart from many other recipes you might encounter. Its rich flavors and comforting texture make it an instant favorite, perfect for winding down after a busy day.
With years of experience in the kitchen, certain culinary formulas become second nature. Crafting a perfect homemade Alfredo sauce, similar to the one in my popular Alfredo Mac and Cheese recipe, is one such skill. This foundational knowledge empowers me to create robust, comforting dinners in under an hour, using whatever fresh ingredients I have on hand. I’ve explored various mushroom pasta recipes before, from Creamy Tomato and Mushroom Pasta to Butternut Squash Alfredo with Spinach and Mushrooms, each offering its unique charm.
In this particular rendition, I’ve combined a homemade creamy Alfredo sauce with succulent Italian sausage, earthy mushrooms, fragrant onion, and garlic. And then, there’s the surprising twist: dried cherries. Yes, you read that right – dried cherries in a mushroom sausage pasta! It might sound unconventional, but this humble fruit plays a crucial role, introducing a delightful pop of sweetness that perfectly balances the inherent richness of the savory Italian sausage and the decadent cream sauce. It’s a flavor combination that truly needs to be experienced to be believed.
The inspiration for this intriguing addition came from a memorable dining experience at a local Pittsburgh restaurant. The chef there masterfully prepared sausage-stuffed mushrooms, complemented by a mushroom cauliflower puree and roasted mushrooms adorned with dried cherries. The harmony of flavors was undeniable, and it sparked the idea to integrate these elements into a comforting pasta dish. The result is a truly elevated take on Italian sausage, button mushrooms, and dried cherries, culminating in what I believe is one of the best creamy mushroom sausage pastas you’ll ever prepare in your own kitchen.
To complete this delightful meal, consider serving it alongside a fresh Green Onion Salad for a crisp contrast, and a batch of warm, homemade Small Batch Dinner Rolls, perfect for soaking up every last drop of that incredible Alfredo sauce. This combination creates a perfectly balanced and satisfying dinner, ideal for two.

Key Ingredients for Your Delicious Sausage Mushroom Pasta
Crafting the perfect creamy sausage and mushroom Alfredo pasta starts with selecting quality ingredients. Here’s a closer look at what you’ll need to bring this comforting dish to life:
- Pasta: For this recipe, I highly recommend using rigatoni. Its distinctive ridged shape and wide tubular form are exceptional at catching and holding onto every luscious drop of the creamy Alfredo sauce, ensuring a flavorful bite every time. Other excellent alternatives include penne, cavatappi, or even medium shell pasta – anything with a good surface area or internal cavity to capture that rich sauce.
- Oil: A neutral-flavored oil, such as vegetable or olive oil, is essential for browning your sausage evenly and developing its savory flavor without imparting unwanted tastes.
- Italian Sausage: The star of the show! Opt for a high-quality ground Italian sausage. Whether you prefer sweet, mild, or even hot Italian sausage will depend on your taste preferences. Mild Italian sausage offers a balanced flavor profile with fennel and garlic, while sweet Italian sausage might have a touch more sweetness (often from ingredients like basil or sugar), and hot Italian sausage brings a pleasant chili kick. If you can only find links, simply remove the casings before cooking.
- Butter: Unsalted butter forms the rich, foundational base of our homemade Alfredo sauce. Its creamy texture and nutty flavor are indispensable for creating a truly luxurious sauce.
- Onion and Garlic: These aromatics are the backbone of almost any great sauce. Diced yellow or white onion, cooked until softened and translucent, provides a subtle sweetness and depth. Freshly minced garlic adds that unmistakable pungent, savory flavor that makes the sauce truly shine.
- Mushrooms: While I used readily available white button mushrooms for their mild, earthy flavor and tender texture, feel free to experiment. Cremini mushrooms (also known as baby bellas) are another fantastic choice, offering a slightly deeper, meatier flavor. For an even more intense umami boost, you could even incorporate a mix of gourmet mushrooms like shiitake or oyster mushrooms.
- Heavy Whipping Cream: This is non-negotiable for a truly authentic and decadent Alfredo sauce. The high-fat content of heavy whipping cream is crucial not only for its rich, velvety texture but also for its ability to naturally thicken as it reduces, eliminating the need for any flour or starch. Do not substitute with lighter creams or milk, as they lack the necessary fat to achieve the desired consistency and richness.
- Dried Cherries: The secret ingredient! These add a surprising yet harmonious burst of sweet-tart flavor, cutting through the richness of the sausage and cream and adding an unexpected layer of complexity to every mouthful. If cherries aren’t available, dried cranberries can be a suitable alternative.
- Parmesan Cheese: For the best flavor and melt-factor, always use freshly shredded or grated Parmesan cheese. The pre-grated variety in a green can often contains anti-caking agents that can make your sauce gritty and less flavorful. Opt for a block of Parmigiano-Reggiano and grate it yourself for superior results.
- Fresh Basil: A sprinkle of fresh chopped basil at the end adds a vibrant, aromatic freshness that brightens the entire dish and provides a beautiful contrast to the rich, savory flavors.
Choosing the Right Italian Sausage for Your Pasta
When it comes to crafting a truly authentic and flavorful Italian sausage pasta, the type of sausage you choose makes a significant difference. Italian sausage, typically made from pork, is pre-seasoned with a distinctive blend of spices, most commonly fennel and garlic. This seasoning profile is what gives the dish its signature taste.
You’ll usually find Italian sausage sold in two main forms: ground in a package or as links. If you purchase links, it’s easy enough to prepare them for this recipe by simply squeezing the flavorful meat out of its casings. As for flavor profiles, you can typically choose from:
- Sweet Italian Sausage: Often contains a hint of sweetness from ingredients like basil or sugar, alongside the traditional fennel and garlic.
- Mild Italian Sausage: The most common type, offering a balanced savory flavor with pronounced notes of fennel and garlic.
- Hot Italian Sausage: Contains added chili pepper, providing a delightful spicy kick for those who enjoy a bit of heat in their pasta.
Choose the variety that best suits your palate. And if you happen to have any leftover cooked Italian sausage, don’t let it go to waste! It’s fantastic in my Sausage Gravy recipe for two, perfect served over Biscuits and Gravy or even creamy Mashed Potatoes for two.

The Magic of Dried Cherries in Your Savory Dinner
It’s true, dried cherries aren’t a common sight in traditional savory dinner recipes, but their inclusion in this pasta dish with mushrooms and cream is nothing short of brilliant. This isn’t just a quirky addition; it’s a carefully considered flavor choice that truly enhances the entire culinary experience.
The subtle, sweet-tart burst that dried cherries provide acts as a perfect counterpoint to the rich, umami flavors of the Italian sausage and earthy mushrooms, and the decadent creaminess of the Alfredo sauce. It’s a classic example of how opposing flavors can attract and create a more complex, well-rounded profile that keeps you coming back for more. Think of it as a subtle bright note that cuts through the richness, preventing the dish from feeling too heavy.
One of the best aspects of using dried cherries in this recipe is how effortlessly they plump up. Rather than requiring pre-hydration, they soften and release their sweet juices directly into the simmering cream sauce, infusing it with their delightful flavor while saving you an extra step. This makes the preparation process even smoother and quicker.
While I wholeheartedly encourage you to embrace this unexpected ingredient, I understand that some might be a little skeptical. If you’re truly hesitant, you can certainly omit them, and the dish will still be delicious. However, I promise that giving them a try will open up a new world of flavor possibilities and elevate your pasta experience to something truly special.

Step-by-Step Guide: Crafting Your Sausage Mushroom Alfredo Pasta
Creating this delicious Alfredo pasta with sausage and mushrooms is a straightforward process, made even easier by the fact that you can cook the pasta and prepare the sauce simultaneously. This efficient approach means you’ll have a gourmet-tasting meal on the table in no time. Follow these simple steps for a perfect result:
- Prepare the Pasta: Begin by bringing a large pot of water to a vigorous, rolling boil. It’s best to wait until the water is actively boiling before adding salt; this prevents excessive reduction and potential over-salting. Once boiling, generously season the water with a handful of salt (kosher salt is preferred for its milder taste, but table salt works well too). Add your chosen pasta, such as rigatoni, and cook according to package directions until it reaches a perfect al dente texture – firm to the bite but not hard. Drain the pasta, reserving about half a cup of the starchy pasta water, which can be useful later for adjusting sauce consistency.
- Cook the Italian Sausage: While the pasta is cooking, heat a large skillet or Dutch oven over medium heat. Add a teaspoon of vegetable oil, then crumble the ground Italian sausage into the pan. Cook, breaking it up with a spoon, until it’s completely browned and no longer pink. This step is crucial for developing deep, savory flavors. Once cooked, transfer the sausage to a separate bowl, leaving behind any rendered fat in the skillet. Keep the sausage warm.
- Sauté Aromatics and Mushrooms: In the same skillet, melt a tablespoon of unsalted butter over medium heat, scraping up any delicious brown bits (fond) left by the sausage – these add incredible flavor to your sauce. Add the diced onion and sliced mushrooms along with a generous pinch of salt. Sauté until the onions are softened and translucent, and the mushrooms have released their moisture and turned golden brown, typically 5-8 minutes. Stir in the minced garlic and cook for just one more minute until fragrant, being careful not to burn it.
- Build the Creamy Alfredo Sauce: Pour in the room-temperature heavy whipping cream and add the dried cherries (or cranberries). Stir everything together and bring the mixture to a gentle boil. Once boiling, reduce the heat to low and let it simmer for about 3-5 minutes, stirring occasionally. The sauce will naturally begin to thicken as the cream reduces. You want it to be thick enough to coat the back of a spoon but still slightly loose, as it will continue to thicken off the heat and when combined with the pasta.
- Combine and Serve: Remove the skillet from the heat. Stir in the freshly shredded Parmesan cheese, chopped fresh basil, and the cooked Italian sausage. Taste the sauce and adjust for salt and pepper if needed. Finally, add the cooked rigatoni pasta to the sauce and toss gently until every piece is beautifully coated in the creamy, flavorful sauce.
This Italian sausage Alfredo is truly at its best when enjoyed immediately after preparation, as the pasta will continue to absorb the sauce the longer it sits. If you happen to have any leftovers, they can be refrigerated in an airtight container for up to 5 days. To reheat, you may need to add a splash of milk or cream to loosen the sauce.

Sausage Mushroom Pasta: Frequently Asked Questions
The key to perfect Alfredo sauce consistency is mindful simmering. If your sauce becomes too thick during cooking, simply whisk in a tablespoon or two of warm heavy cream (or even some of the reserved pasta water) until it reaches your desired creamy consistency. If it’s too thin, let it simmer gently for a few more minutes, allowing it to reduce further and thicken naturally. Remember, it will also thicken slightly as it cools and when combined with the pasta.
Absolutely! While white button and cremini mushrooms are my go-to choices for their accessibility and flavor, this recipe is very versatile. Feel free to experiment with any variety you enjoy. Shiitake mushrooms will add a more intense, woodsy flavor, while oyster or maitake mushrooms can provide interesting textures. Just ensure they are sliced or chopped to a manageable size for even cooking.
For an authentic and truly rich, creamy Alfredo sauce, heavy whipping cream is essential and should not be substituted. The high-fat content of heavy cream is what gives Alfredo its signature velvety texture and prevents it from curdling when heated. Whole milk or half-and-half contain much less fat and will result in a thinner, less luxurious sauce that won’t thicken properly and may separate. Stick to heavy cream for the best results!
Explore More Delicious Mushroom Recipes
Often, when you buy a package of mushrooms for a recipe, you find yourself with a few leftover. Don’t let them go to waste! Mushrooms are incredibly versatile and can be incorporated into a variety of dishes to add a deep, earthy flavor. Here are a few more delicious recipe ideas that feature mushrooms:
- Mushroom Rice Stuffed Chicken Breast: A flavorful and satisfying main course where tender chicken breasts are filled with a savory mushroom and rice mixture.
- Rich and Savory Mushroom Gravy: Perfect for drizzling over mashed potatoes, roasted vegetables, or even a holiday roast. This gravy is packed with umami.
- Pork Chops with Creamy Mushroom Gravy: A classic comfort meal featuring perfectly seared pork chops smothered in a luscious mushroom gravy.

Creamy Sausage Mushroom Pasta
4 servings
15 minutes
30 minutes
45 minutes
Sausage Mushroom Pasta with Italian sausage, creamy white Alfredo sauce, and a secret sweet ingredient is a hearty and comforting weeknight dinner for two.
Ingredients
- 1/2 pound (8 ounces) uncooked rigatoni pasta
- Kosher salt, to taste
- 1 teaspoon vegetable oil
- 1/2 pound (8 ounces) ground Italian sausage
- 1 tablespoon unsalted butter
- 1/2 cup diced white or yellow onion
- 4 large white button or cremini mushrooms, sliced
- 1 large garlic clove, minced
- 1 cup heavy whipping cream, room temperature (do not substitute)
- 1/3 cup dried cherries or dried cranberries
- 1/2 cup shredded Parmesan cheese (fresh, not the green can)
- 1 tablespoon fresh chopped basil
Instructions
- Bring a large pot of water to a boil. Once boiling, add a big
handful of salt then add rigatoni. Cook as directed on the package until al dente, about 12-13 minutes. Drain into colander. - Meanwhile, make the sauce: In a large skillet over medium heat, heat the oil until hot. Add the sausage and cook until brown and no longer pink, about 8-10 minutes. Transfer to a bowl and keep warm.
- In the same skillet, add the butter and heat until melted., scraping up any brown bits left behind from the sausage.
- Add onion, mushrooms, and a big pinch of salt. Cook until
softened, about 5-8 minutes. Add the garlic and cook 1 minute. - Stir in the cream and dried cherries. Bring to a boil.
- Once boiling, turn the heat down to low and simmer until thickened, about 3-5 minutes. Leave the sauce a little loose because once you add the sausage and pasta, it’ll absorb some of it.
- Stir in the cheese, basil, and cooked sausage. Taste and adjust for salt.
- Add the cooked rigatoni to the sauce and stir until coated.
Notes
- Enjoyed this recipe? Check out Tomato Mushroom Pasta and Butternut Squash Alfredo.
Recommended Products
As an Amazon Associate and member of other affiliate programs, I earn from qualifying purchases.
- 12 Inch Large Skillet
Did you make this recipe?
Let me know what you think! Rate the recipe above, leave a comment below, and/or share a photo on Instagram using #HITKrecipes
First published October 3, 2019