
Creamy Sausage Ditalini Pasta is a go-to comfort dish that feels a little bit fancy but comes together easily in any home kitchen. The blend of savory salsiccia and rich sauce with ditalini truly makes every bite satisfying. I love serving this cozy pasta after a busy day when all anyone wants is something warm and hearty without the fuss.
Everyone at my table cleans their plates when I make this pasta and it is the first dish requested if we are hosting friends. I was hooked after seeing it online and happy to discover how easily it fits into our dinner routine.
Ingredients
- Ditalini pasta: traps sauce thanks to its hollow shape choose imported pasta for best bite
- Italian salsiccia sausage: gives deep meaty flavor brown it well for caramelized notes
- Heavy cream: builds the luscious body of the sauce select cream that is fresh and full fat
- Parmesan cheese: offers nutty salty sharpness always grate it fresh if possible
- Garlic and onion: form the flavor backbone use yellow onion and fresh garlic cloves for sweetness and depth
- Chicken or vegetable broth: lifts the sauce with extra savoriness aim for low sodium varieties so you can taste as you season
Step by Step Instructions
- Cook the Pasta:
- Boil a large pot of salted water add ditalini and stir gently so nothing sticks Cook until just al dente then reserve one cup of the cooking water and drain Set the pasta aside This step gives you perfectly tender noodles that will not turn mushy later
- Brown the Salsiccia Sausage:
- Heat olive oil in a large skillet over medium Use your hands or a fork to crumble the sausage as it cooks Let it get golden brown and crisp at the edges This draws out the oils and builds the first layer of flavor Remove the sausage to a bowl but leave the drippings in your pan
- Sauté Aromatics:
- Drop your chopped onion into the hot skillet Let it sweat over medium low heat stirring every few minutes so it softens and turns translucent Once the edges look sweet and golden stir in the minced garlic Just one minute of stirring wakes up its flavor without burning
- Prepare the Sauce:
- Splash in chicken or vegetable broth swirling the pan to lift up all the caramelized bits from browning Pour in heavy cream and bring to a gentle simmer not a hard boil Stir in a big handful of grated Parmesan Let everything cook together until the sauce thickens and feels silky
- Combine Pasta and Sauce:
- Return cooked sausage to the pan and toss with your creamy sauce Add ditalini pasta stir well so it all gets coated Gradually splash in reserved pasta water a few tablespoons at a time swirling and tossing to get your desired creamy consistency
- Season and Serve:
- Taste the sauce Add salt pepper and a pinch of red pepper flakes if you crave extra heat Toss again Top with chopped parsley and more grated Parmesan Scoop straight onto plates and enjoy while it is piping hot

My favorite element has to be the way ditalini soaks up the creamy sauce every piece becomes packed with flavor My husband always jokes that this pasta is magic because there are never any leftovers
Storage Tips
Leftovers store beautifully in an airtight container in the fridge for three to four days The sauce will thicken as it chills so add a splash of cream or broth before reheating to bring it back to the right texture Gently warm on the stove or in the microwave until steaming
Ingredient Substitutions
If you cannot find salsiccia use sweet or hot Italian sausage with fennel If dairy is an issue try unsweetened oat or cashew cream and swap Parmesan for a vegan alternative Any stock works so use whatever is on hand even a splash of white wine adds good flavor
Serving Suggestions
This pasta shines next to garlicky bread or focaccia Crunchy green salads with a tangy vinaigrette cut through the richness For something special serve with roasted veggies like broccoli or carrots and offer extra Parmesan at the table

Cultural Context
This recipe draws its heart from Italian comfort cooking where simplicity transforms a few grocery staples into something craveable Ditalini is popular in both northern and southern Italian kitchens so you will see similar creamy sausage pastas across regions
Frequently Asked Questions About Recipes
- → What type of sausage works best for this dish?
Italian Salsiccia sausage, either mild or spicy, provides robust, savory flavor. You can also use other Italian-style sausages as a substitute.
- → Can I use a different pasta shape if I don’t have ditalini?
Yes, other small pastas like elbow macaroni, small shells, or even penne are suitable alternatives, though ditalini captures sauce best.
- → How can I make this dish vegetarian?
Replace sausage with sautéed mushrooms and zucchini. Use vegetable broth and plant-based cream for a vegetarian version packed with flavor.
- → What is the key to a creamy sauce?
Use high-quality heavy cream and freshly grated Parmesan. Stir gently and avoid overheating to keep the sauce velvety and smooth.
- → What sides pair well with this pasta?
Serve with garlic bread, roasted vegetables, or a crisp salad to balance the rich, creamy flavors of the main dish.
- → How can I add extra heat?
Add crushed red pepper flakes, spicy Italian sausage, or a pinch of chili powder to heighten the spice level as desired.