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A bowl of creamy garlic sausage pasta with sliced sausage, chopped tomatoes, melted cheese, and fresh parsley sits next to a glass of white wine on a white tablecloth.
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Creamy Skillet Garlic Sausage Pasta

This creamy sausage pasta is the dinner I make when I want comfort food that tastes like a splurge but comes together in one skillet. You are going to fall in love with the combination of garlic sausage, pasta, and roasted garlic in a creamy three-cheese sauce.  It's rich enough that a side salad makes it a full meal, and it's been on my regular rotation for years.
Course Main Course
Cuisine American
Keyword creamy, rich
Prep Time 20 minutes
Cook Time 1 hour 9 minutes
Total Time 1 hour 29 minutes
Servings 8
Calories 567kcal

Ingredients

  • 2 heads garlic
  • 1 tablespoon avocado oil
  • 1 pound smoked garlic sausage like Aidells, sliced
  • 2 cups grape or cherry tomatoes halved
  • ¼ cup white wine optional
  • 1 ½ cups half-and-half
  • 8 ounces Gruyere Cheese shredded (divided)
  • 4 ounces Parmesan Cheese shredded (divided)
  • 3 ounces goat cheese crumbled
  • 1 teaspoon sea salt
  • ½ teaspoon fresh ground black pepper
  • 12 ounces fettuccine cooked according to package directions

Instructions

Roast the Garlic

  • Heat the oven to 400°F. Slice about a quarter inch off the top of each head, just enough that the cloves peek out. Set the heads cut-side up on a piece of foil. Drizzle each with a teaspoon of olive oil and a pinch of salt, then wrap the foil into a little pouch. Roast for 40 minutes. You want the cloves soft, deep gold, and sweet-smelling. Let them cool until you can handle them. Squeeze from the bottom and the cloves slide right out.

Sauce

  • Heat oil in a large skillet over medium-high heat. Add sausage and cook for 8 to 10 minutes, until browned. Remove from skillet. Add tomatoes and cook for three minutes.
  • Add garlic and cook 30 more seconds. Deglaze the pan by adding the wine and scraping up the browned bits.
  • If you don't want to use wine, sub in broth and finish the dish with a squeeze of lemon.
  • Reduce the heat to medium-low and then add the cream. Cook over medium-low heat for 4 minutes, stirring often.
  • Add 6 ounces Gruyere, 3 ounces Parmesan, goat cheese, salt, and pepper. Cook until cheese is melted.
  • Stir in cooked pasta and sausage. Sprinkle with remaining cheese and serve warm.
  • To make ahead, transfer to a casserole dish and top with cheese. Bake in a 350-degree oven for 20 minutes.

Nutrition

Calories: 567kcal | Carbohydrates: 37g | Protein: 32g | Fat: 32g | Saturated Fat: 15g | Polyunsaturated Fat: 2g | Monounsaturated Fat: 8g | Trans Fat: 0.03g | Cholesterol: 137mg | Sodium: 1378mg | Potassium: 301mg | Fiber: 2g | Sugar: 5g | Vitamin A: 1187IU | Vitamin C: 7mg | Calcium: 539mg | Iron: 2mg