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    Home » Recipes » Italian and American Pasta

    Italian Pink Sauce with Sausage

    Modified: Jan 7, 2026 by Vincent DelGiudice · Published: Aug 3, 2023 · This post may contain affiliate links · 4 Comments

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    Italian Pink Sauce with sausage is one of my family's favorite meals. The sausage balances out the creaminess of this sauce, making for an ultimately delicious and family-friendly pasta.

    Italian pink sauce with sausage warming in pot.

    More traditional Italian sauces: Authentic Bolognese sauce, Classic Linguine Alla Puttanesca, Italian Short Ribs with Gnocchi, and The Not-So-Secret Sunday Sauce.

    A Quick Look at The Recipe

    • ✅Recipe Name: Italian Pink Sauce with Sausage
    • ⏲️Ready in: 1 hour
    • 👪Makes: 8 servings
    • 📋Main ingredients: Sweet Italian Sausage, Crushed Tomatoes, and Heavy Cream.
    • ⭐Why You'll Love This Recipe: This pink sauce is perfect for families because it's guaranteed that the whole family will love this Italian classic!

    Have a question about the recipe? Ask Ai!

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    Jump to:
    • A Quick Look at The Recipe
    • Why This Recipe
    • Ingredient Notes and Substitutions
    • How to Make Italian Pink Sauce with Sausage
    • Pro-Tips
    • What to Serve Pink Sauce with
    • Variations
    • How to Store and Reheat
    • Recipe FAQs
    • More Creamy Pasta Recipes
    • Italian Pink Sauce with Sausage
    • Reviews

    Why This Recipe

    This pink sauce is a classic comfort food. It's on the table in under 45 minutes and makes for an excellent meal for one, dinner for the family, or a dish for a party. My family is never disappointed when I make this!

    I love to include the sausage because it makes this a heavier and fuller meal. I don't like to only serve pasta for dinner (Except when it's a 15-Minute Spaghetti with Garlic and Oil type of night), so adding a meat makes this a perfect quick weeknight meal like our Quick Lamb Ragu with Pappardelle!

    Ingredient Notes and Substitutions

    • Crushed Tomatoes. I love crushed tomatoes in this recipe. If you're looking for a much smoother recipe, you can substitute tomato puree. Personally, I like a chunky sauce!
    • Sweet Italian Sausage. I make my own sweet Italian sausage seasoning. You can find it on this blog: How to Make Homemade Sausage. It is important that you use ground sausage and not links.
    • Heavy Cream. You can lighten up the dish by substituting half-and-half at a 1-to-1 ratio. Or you can substitute an equal amount of coconut cream to make it dairy-free.
    • Rigatoni. I prefer any short pasta with this recipe! Try it with rigatoni, penne, ziti, or elbows!

    *Please see the recipe card below for more information on ingredients.

    How to Make Italian Pink Sauce with Sausage

    There are not many recipes that can be done in under 30 minutes, like 15-minute spaghetti with garlic and oil or garlicky cauliflower pasta. Any meal under an hour is a weeknight meal to me, especially when 20 minutes of it is simmering the sauce.

    Browning the Sausage

    Step 1: Bring a sauce pot to medium-high heat. Once hot, add the sausage in pieces to the pot. Don't stir right away. Let the sausage sit for 2-3 minutes to develop a crust.

    Sausage browning in the pan.

    Step 2: Then use a wooden spoon to scrape the sausage off and stir occasionally until the sausage is browned and no pink remains, about 5 minutes. Remove the sausage from the pot and set it aside.

    Sauteing the Fragrants

    Shallots sauteing in a pan.

    Step 3: If there is enough oil left over from the sausage, lower the heat to medium and add the shallots. Enough oil means that when you tilt the pan, oil runs to the bottom of the pan.

    Garlic and tomato paste added to shallots.

    Step 4: If you don't see enough oil to saute, add a tablespoon or 2 of olive oil. Sauté the shallots for 4-5 minutes or until softened. Then add the garlic and tomato paste.

    Tomato paste combined with fragrants caramelizing in a pan.

    Step 5: Sauté the garlic for a minute while the tomato paste begins to caramelize. Then combine everything by stirring together. Let everything saute for 1 more minute.

    Making the Pink Sauce

    While the sauce is simmering, bring a pot of water to a boil and boil your pasta. SAVE 1 cup of the pasta water to add to the sauce.

    Sauce beginning to simmer in a pan.

    Step 6: Add the crushed tomatoes to the pot. Bring to a simmer, add basil, salt, and return the sausage to the pot. Simmer for 20 minutes, stirring the sauce occasionally to avoid burning it.

    Sausage returned to the sauce.

    Step 7: After 20 minutes of simmering, add half a cup of pasta water to the sauce. Stir and then remove from the heat.

    Heavy cream added to make pink sauce.

    Step 8: Stir in the heavy cream and the parmesan until the pasta reaches a pinkish color. Adjust the heavy cream ratio to make your sauce more or less pink. Remember! The more cream you add, the richer the pasta will taste.

    Italian pink sauce with sausage served with rigatoni and topped with parmesan and basil.

    Step 9: Add the pasta to the sauce until well combined.

    Italian pink sauce with sausage.

    Italian pink sauce with sausage is the perfect cozy family meal that plays on Italian classics like rosa salsa or parma rosa!

    If you really like creamy sauces, try One-Pot Creamy Tomato Orzo, Creamy Sundried Tomato Chicken Pasta, or Creamy Pumpkin Pasta.

    Pro-Tips

    1. When browning the sausage, don't move it right away when adding it to the pot. Let it develop a crust before you stir it. Stirring it right away will result in steaming the sausage instead of searing it.
    2. It is good to take the sausage out about 15 minutes before you're about to cook it so that the temperature gets closer to room temperature.
    3. Stir the sauce occasionally while cooking to make sure it doesn't burn on the bottom of the pan. 

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    What to Serve Pink Sauce with

    • Serve this sauce and pasta on the side of some Crispy Italian Chicken Cutlets or Restaurant-Style Chicken Saltimbocca.
    • This pasta also needs a vegetable side to go along with it, so you can serve it with Italian Lacinato Kale Recipe (Tuscan) or Italian Cabbage Recipe.
    • It is also a great replacement sauce for Chicken Parm Sliders, Eggplant Parm Sandwich, and Air Fryer Zucchini Fritters.

    Variations

    Vodka sauce. If you're looking for a classic pink sauce variation, try our Spicy Vodka Sauce.

    Spicy. If you want to spice this dish up a bit, add crushed red pepper and substitute the sweet sausage for hot sausage.

    Vegetables. Add vegetables to the sauce like peas or chopped up cauliflower!

    How to Store and Reheat

    Store this pasta in an airtight container and leave it in the fridge for up to 4 days. Reheat in the microwave or my favorite way is to reheat in a nonstick pan on the stove over medium-low heat.

    Italian pink sauce makes for great leftovers and is also one of my favorite cold kinds of pasta. Nothing like stealing a couple of rigatonis at 8 AM.

    Recipe FAQs

    What is Pink Sauce Made of?

    Pink sauce is made of a combination of tomatoes and cream. The cream is added once the sauce is removed from the heat.

    What is pink sauce called?

    Pink sauce has a bunch of different names and variations including vodka sauce, rosatella sauce, or rosa sauce. It depends on what country you're in and what the variation is.

    Is pink sauce the same as vodka sauce?

    No, but they're super similar. Vodka sauce deglazes the pan with vodka and has pancetta instead of sausage. It typically doesn't include garlic either.

    More Creamy Pasta Recipes

    • Shrimp over pesto pasta garnished with basil.
      Creamy Pesto Shrimp Pasta
    • Creamy mushroom pasta on a plate garnished with parmesan.
      Creamy Garlic Mushroom Pasta
    • creamy red pepper sauce over rigatoni
      Creamy Red Pepper Sauce
    • cajun shrimp scampi topped with parsley and parmesan
      Cajun Shrimp Scampi

    Please leave a comment and star rating below in the recipe card! I love to hear what you think of our recipes. Feel free to tag us on Instagram @vindelgiudice.

    Italian pink sauce with sausage in sauce pot

    Italian Pink Sauce with Sausage

    Vincent DelGiudice
    A creamy and delicious comfort pasta with sweet Italian Sausage and cream-based tomato sauce. A homemade pasta sauce made in under an hour with high-quality simple ingredients.
    5 from 3 votes
    Print Recipe Pin Recipe
    Prep Time 15 minutes mins
    Cook Time 45 minutes mins
    Total Time 1 hour hr
    Course Main Course, Pasta
    Cuisine American, Italian
    Servings 8 servings
    Calories 509 kcal

    Equipment

    • 1 large sauce pot
    • 1 large pot for pasta

    Ingredients
      

    • 1 28 oz can crushed tomatoes
    • 1 lb ground sweet Italian sausage
    • 2 shallots, chopped
    • 4 cloves garlic, minced
    • 2 tablespoon tomato paste
    • 1 handful basil
    • ¾ cup heavy cream
    • 1 teaspoon salt
    • 1 lb rigatoni or penne
    • ⅓ cup parmesan cheese

    Instructions
     

    • Bring a sauce pot to medium-high heat. Once hot, add the sausage in pieces to the pot. Don't stir right away. Let the sausage sit for 2-3 minutes to develop a crust. Then stir occasionally until the sausage is browned and no pink remains. Remove the sausage from the pot and set aside.
    • If there is enough oil left over from the sausage, lower the heat to medium and add the shallots. If not add a tablespoon or 2 of olive oil. Saute the shallots for 4-5 minutes or until softened. Then add the garlic and tomato paste. Saute the garlic for a minute while the tomato paste begins to caramelize. Then combine everything by stirring together.
    • Add the crushed tomatoes to the pot. Bring to a simmer and then add basil, salt, and the sausage. Simmer for 20 minutes. While the sauce is simmering, bring a pot of water to a boil and boil your pasta. SAVE 1 cup of the pasta water to add to the sauce.
    • After 20 minutes of simmering, add half a cup of pasta water to the sauce. Stir and then remove from the heat. Stir in the heavy cream and the parmesan until the pasta reaches a pinkish color. Then add your pasta to the pot and stir until the pasta is coated with the sauce.
    • Serve with extra parmesan cheese and basil!

    Notes

    1. When browning the sausage, don't move it right away when adding it to the pot. Let it develop a crust before you stir it. Stirring it right away will result in steaming the sausage instead of searing it.
    2. It is good to take the sausage out about 15 minutes before you're about to cook it so that the temperature gets closer to room temperature.
    3. Stir the sauce occasionally while cooking to make sure it doesn't burn on the bottom of the pan. 

    Nutrition

    Calories: 509kcalCarbohydrates: 46gProtein: 18gFat: 28gSaturated Fat: 12gPolyunsaturated Fat: 3gMonounsaturated Fat: 11gCholesterol: 71mgSodium: 814mgPotassium: 364mgFiber: 2gSugar: 3gVitamin A: 435IUVitamin C: 3mgCalcium: 93mgIron: 2mg
    Tried this recipe?We'd love for you to Leave a Review!

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    Comments

    1. Joshua Leibowitz says

      August 03, 2024 at 5:27 am

      5 stars
      This is also called a rosè sauce. I’m going to make it as you have instructed however when the sauce is completed I’m going to add meatballs to the sauce to cook right in there.

      Reply
    2. Shuga Shan says

      December 18, 2023 at 5:25 am

      5 stars
      Super delish!

      Reply
    3. Shuga Shan says

      December 18, 2023 at 5:24 am

      Very good instruction and tips. This recipe was nicely relayed to chefs on ever level and presented in a manner that covers all ground. This recipe is amazing as well! Super tasty. I even recommend a couple dashes of garlic salt and granulated sugar just to heighten your senses. Nevertheless, it is a universal sauce that would great with a variety of pasta types ( ie: rigatoni, rotini, etc.) This one right here is a keeper! Thank you for sharing Vinny. I love a man that can cook! ☺️ xo

      Reply
    4. Frank says

      September 15, 2023 at 1:34 am

      5 stars
      This recipe is incredible! The sausage goes so well with all the flavors. Highly recommend and very easy recipe to follow. I will be making this again very soon!

      Reply
    5 from 3 votes

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    Recipe Rating




    Vinny in the Kitchen.

    Vinny DelGiudice, MS CCC-SLP

    My name is Vinny. I am an Italian-American home cook, a photographer, and previously, a speech pathologist specializing in swallowing and voice disorders. I share the recipes I grew up eating in my home and the recipes that I cook for my family. Always From Scratch is about cooking homemade meals and eating with family.

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