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Fettuccini with Italian Sausage and Vegetables

Updated on November 17, 2012
Creamy Tomato Fettuccini with Italian Sausage and Vegetables
Creamy Tomato Fettuccini with Italian Sausage and Vegetables | Source

Tomato Fettucini with Italian Sausage

This pasta recipe is my husband's absolute favorite. I do not make it very often (since it is not necessarily the most health conscious) so when I do it is a special treat. So here is the recipe with photos and step by step directions. I hope that you enjoy it as much as we do.

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1 small zucchini

1 small summer squash

1 red pepper

1 orange pepper

1 15 oz can of diced or crushed tomatoes

1 box of fettuccini

1 small container of half and half

Fresh Parmesan cheese

crushed hot pepper (optional)

1/2-1 lb. of mild ground Italian Sausage (You can use hot if you like a little heat to your pasta)

Olive oil


1. Brown the Italian sausage in a pan until it is completely cooked and crumbles. Remove from pan and set aside.

2. While the Italian sausage is browning, wash and cut the vegetables. You can cut them in any way that you like. I prefer to slice them the long way so that it sort of mimics the pasta.

3. Using the grease from the sausage, add the onion and saute until it is slightly browned. Then add the peppers, squash, and zucchini. If your pan is not very large, you may need to saute the vegetables in two different batches. If you crowd the pan the vegetables will simply steam and not brown at all. You may need to add a little olive oil to the pan if you have to cook the vegetables in two batches.

4. While you are sauteing the vegetables, cook the fettuccini slightly less than the package directions. You want to make sure that the pasta is still slightly firm because it will continue to cook once you add it to the rest of the ingredients. I use a large pot to cook the pasta so that I can reuse the same pot when I add all of the ingredients together.

5. In a separate bowl, combine the diced or crushed tomatoes with a cup of the half and half. **You want to make sure that the half and half is warmed slightly so that when it is added to the other hot ingredients it does not curdle. About 30-45 seconds in the microwave should do the trick.

6. Add the browned sausage and vegetables back into the pasta pot. Slowly, while stirring, add the creamy tomato mixture and finally the pasta. Toss all of the ingredients together and add a handful of Parmesan cheese.

7. Allow all of the ingredients to combine and warm for about 10-15 minutes on low heat. If you like your pasta to be a little spicy, you can add some crushed red pepper flakes. I used to do this before the kids but my husband now just adds it separate to his plate.

8. When the pasta is heated through, pour into a serving bowl and sprinkle the top with a little more Parmesan cheese and serve.

Step by Step Photos

Click thumbnail to view full-size
IngredientsBrowned Italian SausageSliced vegetablesRemember not to crowd the pan when sauteing the vegetables.Combine the tomatoes and half and half.Combined half and half with the tomatoes.Bon appetite!
Ingredients | Source
Browned Italian Sausage
Browned Italian Sausage | Source
Sliced vegetables
Sliced vegetables | Source
Remember not to crowd the pan when sauteing the vegetables.
Remember not to crowd the pan when sauteing the vegetables. | Source
Combine the tomatoes and half and half.
Combine the tomatoes and half and half. | Source
Combined half and half with the tomatoes.
Combined half and half with the tomatoes. | Source
Bon appetite!
Bon appetite! | Source

You can use just about any vegetables that you enjoy eating in this pasta recipe. If you like mushrooms they would work nicely in this dish. I also put a dish of the fresh Parmesan cheese on the table for anyone (like me) who wants to add a little more to their plate. As you can see by the picture below it is a household favorite and there are not usually any leftovers!

Who needs a fork?  This is finger licking good!
Who needs a fork? This is finger licking good! | Source


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    • cardelean profile imageAUTHOR


      6 years ago from Michigan

      Sounds like a great plan! :)

    • Denise Handlon profile image

      Denise Handlon 

      6 years ago from North Carolina

      I reread this for the ingrediants-plan on trying this on the w/e for the guys. It should make a nice big batch for the cold weather we are expecting. :) YUM

    • cardelean profile imageAUTHOR


      6 years ago from Michigan

      That would be a good button to add wouldn't it pmccray? Hope you get a chance to make it and it tastes just as good for you.

    • pmccray profile image


      6 years ago from Utah

      My mouth is watering just reading this piece. Thank you for sharing, voted up, marked useful, awesome and interesting (to bad there's no "delicious")

    • cardelean profile imageAUTHOR


      6 years ago from Michigan

      The beauty of this dish randomcreative is that you can add or leave out really any of the veggies that you want. If your husband doesn't like tomatoes but can tolerate the tomato sauce, just add a small can of sauce instead of the chunks of tomatoes. If he doesn't like that either, just skip it altogether! Thanks for reading.

    • randomcreative profile image

      Rose Clearfield 

      6 years ago from Milwaukee, Wisconsin

      I love cooking with Italian sausage and peppers! I would leave out the tomatoes for my husband, but he would probably really enjoy this, too.

    • cardelean profile imageAUTHOR


      6 years ago from Michigan

      Nothing was left, not even a veggie Aunt Danette. Give it a try, hopefully he'll eat them.

      Yes, definitely no hot pepper flakes for me either! :) Grace was putting on a show for me the day that I was taking those pictures. That was the most sane one I could get out of her.

    • Denise Handlon profile image

      Denise Handlon 

      6 years ago from North Carolina

      Cara-I remember how delicious this dish is. YUM! I love the flavors mixed together and like Flora mentioned: no hot pepper flakes for me, LOL. wink, wink Although, you did mention that this was optional.

      Great job-voted up and across. Gracie is a hambone!

    • Danette Watt profile image

      Danette Watt 

      6 years ago from Illinois

      This looks great Cara! Anything that might mean getting your uncle to eat some veggies is worth trying.

    • cardelean profile imageAUTHOR


      6 years ago from Michigan

      Thanks lean2800. He starts drooling the moment he sees all of the ingredients. Thanks for stopping by.

      Thanks for your comment Moon Daisy.

      I agree Flora, no crushed pepper for me either.

      Hope you get a chance to give it a try ruthclark3. Thanks so much for making your way over here and reading.

      LOL cclitgirl. I've had that happen to me a few times after reading hubs. In fact on a couple of occasions I did go out to get the ingredients. Let me know if you make it and how it turns out. Thanks for stopping by!

    • cclitgirl profile image

      Cynthia Calhoun 

      6 years ago from Western NC

      Oh wow. It's dinnertime and I wish I could make this NOW! Hehehe...I'll have to go to the store first. :)

    • ruthclark3 profile image

      Ruth Clark 

      6 years ago from Arkansas, USA

      I love to try new recipes and this one looks yummy. I will have to leave out the hot pepper, but other than that, I think my family will love it. Thanks.

    • FloraBreenRobison profile image


      6 years ago

      I think's leave out the optional crushed hot pepper. I've never been a hot pepper fan outside of chilli.

    • Moon Daisy profile image

      Moon Daisy 

      6 years ago from London

      This looks lovely.

    • profile image


      6 years ago

      This looks really good. I can see why it is your husbands favorite.


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