This Creamy Garlic Parmesan Fettuccine with Beef Sausages is rich, indulgent, and packed with flavor. Tender fettuccine is coated in a luscious garlic parmesan cream sauce, complemented by hearty, seared beef sausages. A quick and satisfying pasta dish for any night of the week!
Why You’ll Love This Recipe
- Creamy & Comforting – A velvety parmesan sauce coats every strand of pasta.
- Hearty & Satisfying – Beef sausages add a protein-packed, smoky flavor.
- Quick & Easy – Ready in under 30 minutes, making it perfect for busy weeknights.
- Customizable – Add spinach, mushrooms, or red pepper flakes for extra depth.
Ingredients You’ll Need
- 12 oz fettuccine pasta
- 2 tablespoons butter
- 1 tablespoon olive oil
- 4 beef sausages, sliced
- 4 cloves garlic, minced
- 1 cup heavy cream
- ¾ cup whole milk
- 1 cup grated Parmesan cheese
- ½ teaspoon salt (adjust to taste)
- ½ teaspoon black pepper
- ½ teaspoon Italian seasoning
- ¼ teaspoon red pepper flakes (optional)
- ½ cup pasta water (reserved)
- Fresh parsley, chopped (for garnish)
Tools You’ll Need
- Large pot
- Skillet or frying pan
- Wooden spoon or tongs
- Grater for Parmesan
- Strainer
How to Make Creamy Garlic Parmesan Fettuccine with Beef Sausages
Step 1: Cook the Fettuccine
- Bring a large pot of salted water to a boil.
- Cook the fettuccine according to package instructions until al dente.
- Reserve ½ cup of pasta water, then drain and set aside.
Step 2: Sear the Beef Sausages
- Heat olive oil in a large skillet over medium heat.
- Add the sliced beef sausages and cook for 4–5 minutes, until browned and slightly crispy.
- Remove from the skillet and set aside.
Step 3: Make the Garlic Parmesan Sauce
- In the same skillet, melt butter over medium heat.
- Add minced garlic and sauté for about 30 seconds until fragrant.
- Pour in heavy cream and whole milk, stirring constantly.
- Add Parmesan cheese, salt, black pepper, Italian seasoning, and red pepper flakes (if using).
- Simmer for 2–3 minutes until the sauce thickens slightly.
Step 4: Combine Everything
- Add the drained fettuccine to the skillet and toss to coat in the sauce.
- Stir in the cooked beef sausages. If the sauce is too thick, add reserved pasta water a little at a time until you reach your desired consistency.
- Let it cook for 1–2 minutes, allowing the flavors to meld.
Step 5: Serve & Enjoy
- Garnish with fresh parsley and extra Parmesan cheese.
- Serve hot and enjoy this creamy, comforting dish!
What to Serve With This Pasta
- Garlic Bread – Perfect for soaking up the creamy sauce.
- Caesar Salad – A crisp, fresh contrast to the rich pasta.
- Roasted Vegetables – Try asparagus or zucchini for added texture.
Tips for the Best Fettuccine
- Use High-Quality Parmesan – Freshly grated Parmesan melts better and enhances the flavor.
- Don’t Overcook the Pasta – Keep it al dente so it holds up in the creamy sauce.
- Adjust Sauce Thickness – Add more pasta water if the sauce gets too thick.
- Experiment with Add-Ins – Mushrooms, spinach, or sun-dried tomatoes add extra depth.
Storing & Reheating
- Refrigerate: Store leftovers in an airtight container for up to 3 days.
- Reheat: Warm gently on the stove over low heat, adding a splash of milk or cream to loosen the sauce.
- Freeze: Not recommended, as the cream sauce may separate.
Frequently Asked Questions
Can I use a different pasta shape?
Yes! Try penne, linguine, or rigatoni for a fun twist.
Can I make this dish lighter?
Swap heavy cream for half-and-half or whole milk, but expect a slightly thinner sauce.
Can I use a different protein?
Absolutely! Chicken, shrimp, or Italian sausage work great.
Conclusion
This Creamy Garlic Parmesan Fettuccine with Beef Sausages is a comforting, restaurant-quality meal made at home. With a rich, flavorful sauce and hearty beef sausages, it’s a guaranteed crowd-pleaser!
Preparation Time: 10 minutes
Cooking Time: 15 minutes
Cuisine: Italian-American
Nutritional Information (Per Serving):
Calories: 620 | Protein: 25g | Carbohydrates: 55g | Fat: 35g | Fiber: 3g | Sodium: 780mg

Creamy Garlic Parmesan Fettuccine with Beef Sausages
- Total Time: 25 minutes
Description
This Creamy Garlic Parmesan Fettuccine with Beef Sausages is rich, indulgent, and packed with flavor. Tender fettuccine is coated in a luscious garlic parmesan cream sauce, complemented by hearty, seared beef sausages. A quick and satisfying pasta dish for any night of the week!
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Ingredients
- 12 oz fettuccine pasta
- 2 tablespoons butter
- 1 tablespoon olive oil
- 4 beef sausages, sliced
- 4 cloves garlic, minced
- 1 cup heavy cream
- ¾ cup whole milk
- 1 cup grated Parmesan cheese
- ½ teaspoon salt (adjust to taste)
- ½ teaspoon black pepper
- ½ teaspoon Italian seasoning
- ¼ teaspoon red pepper flakes (optional)
- ½ cup pasta water (reserved)
- Fresh parsley, chopped (for garnish)
Instructions
Step 1: Cook the Fettuccine
- Bring a large pot of salted water to a boil.
- Cook the fettuccine according to package instructions until al dente.
- Reserve ½ cup of pasta water, then drain and set aside.
Step 2: Sear the Beef Sausages
- Heat olive oil in a large skillet over medium heat.
- Add the sliced beef sausages and cook for 4–5 minutes, until browned and slightly crispy.
- Remove from the skillet and set aside.
Step 3: Make the Garlic Parmesan Sauce
- In the same skillet, melt butter over medium heat.
- Add minced garlic and sauté for about 30 seconds until fragrant.
- Pour in heavy cream and whole milk, stirring constantly.
- Add Parmesan cheese, salt, black pepper, Italian seasoning, and red pepper flakes (if using).
- Simmer for 2–3 minutes until the sauce thickens slightly.
Step 4: Combine Everything
- Add the drained fettuccine to the skillet and toss to coat in the sauce.
- Stir in the cooked beef sausages. If the sauce is too thick, add reserved pasta water a little at a time until you reach your desired consistency.
- Let it cook for 1–2 minutes, allowing the flavors to meld.
Step 5: Serve & Enjoy
- Garnish with fresh parsley and extra Parmesan cheese.
- Serve hot and enjoy this creamy, comforting dish!
Notes
- Use High-Quality Parmesan – Freshly grated Parmesan melts better and enhances the flavor.
- Don’t Overcook the Pasta – Keep it al dente so it holds up in the creamy sauce.
- Adjust Sauce Thickness – Add more pasta water if the sauce gets too thick.
- Experiment with Add-Ins – Mushrooms, spinach, or sun-dried tomatoes add extra depth.
- Prep Time: 10 minutes
- Cook Time: 15 minutes
- Cuisine: Italian-American