Italian Sausage Fettucine

Italian Sausage Fettucine

Ready in 45 minutes

We can't remember where we got this recipe but it is delicious! Sure, it may require an angioplasty afterwards, but it is worth it!

"A really nice change of pace for a traditional Italian style pasta dish. I've made this dish three times so far. The first two times, exactly as posted...the third time, I couldn't leave well enough alone--I added about a cup of Fontina cheese to the white sauce and served the dish sprinkled with freshly grated Asiago and a few grinds of crushed red pepper. Both versions are excellent."

- sgrishka

Top-ranked recipe named "Italian Sausage Fettucine"

4.3 avg, 24 review(s) 83% would make again


Are you making this? 
5 ea Italian sausage
1 ea Yellow onion
1/2 teaspoon Black pepper
Salt to taste
2 teaspoons Parsley
1 pinch Cayenne
1 teaspoon Garlic powder
2 teaspoons Butter
2 teaspoons Flour
2 cups milk
12 ounces fettuccine

Original recipe makes 6



Make a white sauce with the 2 Tbsp butter, flour and milk. Set aside.

In a frying pan, squeeze the meat out of the sausage casings and fry. Add onion and continue cooking until onions are translucent and sausage meat is cooked all the way through. Add the garlic powder, parsley, salt, pepper, and cayenne pepper to the sausage mixture. Mix thoroughly.

Boil water and cook fettucine according to directions. Add white sauce to meat mixture and simmer while fettucine is cooking.

Drain and rinse fettucine. Ladle the meat and sauce mixture over the hot fettucine.

Grove tips: Use less yellow onion and add some red onion


Added on Award Medal
Verified by stevemur

Platted with vermicelli instead of fettuccine, but still just as delicious! photo by swibirun swibirun

used different pasta but it came out great photo by BrandiAnn BrandiAnn

photo by Ferdrena23 Ferdrena23

cut sausage in round pieces photo by kriscam kriscam

Calories Per Serving: 522 Get detailed nutrition information, including line-by-line nutrition insights?  Try BigOven Pro for Free for 14 days!

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Reviews for Italian Sausage Fettucine All 24 reviews

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2 TBA of flour and I doubled the cayenne pepper with 2 pinches also added some oregano and basil to the dry mix and topped with cheese it was delicious !
GillDunc 4 months ago
I just cooked this. Based on the reviews I added another 2 tsp of flour to the sauce! It came out perfect! I also added some Parmesan cheese and Italian cheese at the end and mixed up. Gave the sauce some cheesiness my hubby and son loved.
SexxyRedneck68 7 months ago
I made a couple of tweaks to the recipe according to what the reviews stated and because I am gluten free. I used half milk and half heavy cream and I started off sautéing the onion & some carrots and then added 1 & 1/2 tbsp of GF flour. Result: the hubby loved it! That always scores A+ in my book. Thanks!
Mrsswill 1 year ago
Next time i make this there will be just one flake of cayenne. Way too hot for us, but good flavors
mquattlebaum 1 year ago
Measurememts on the ingredients list were messed up. It was ok but i'm going to have to change the sauce next time. Following the measurements given in the ingedients, the sauce was way too runny
sharonrumsey 1 year ago
Amazing! My husband fell in love so I made it for the rest of my family for a get together and everyone loved it.
aurora_odet 1 year ago
This was really yummy and a great mix of flavors. Easy too!!
jlburgart 1 year ago
This was NOT for us! It made it to the trash real fast. .
Jbe11 2 years ago
Wow! I made almost this exact recipe a week ago from scratch! First I put the water to boil for the fettucine. Then I cooked the sausage with parsley, cayenne, seasoned salt, garlic powder, Italian seasonig and pepper. Then I made the sauce but added Parmesan to it! It was delicious!
Jolieannac 2 years ago
Quick to make and tasty. I didn't have parsley so I substituted some Basil, and it turned out nicely.
ChefRodney 2 years ago
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