Creamy Sausage Bow Tie Pasta Recipes With Blistered Tomatoes

Bow tie pasta recipes don't get cozier: crispy sausage, blistered tomatoes and velvety blush-pink cream, on the table in 30 minutes. Grab your farfalle.
Crispy sausage, blistered tomatoes and velvety blush-pink cream make this the coziest of bow tie pasta recipes, done in 30 minutes. The sauce builds in one skillet while the farfalle boils, so weeknight dinner lands fast, loud and generous.
Room-temperature cream slides into the tomato juices without splitting, and the pinched farfalle centers stay firm enough to grab every glossy, Parmigiano-thickened ribbon of sauce.
Ingredients You'll Need
Farfalle (Bow Tie Pasta): These little pinched bows are the whole reason we're here, honey. Their firm centers and ruffled wings catch crispy sausage bits and pink sauce in every bite. No bow ties? Grab orecchiette or medium shells, which cup the sauce just as greedily.
Kosher Salt: This is your pasta's one chance to get seasoned from the inside out. Coarse kosher flakes dissolve clean and are easy to pinch by feel. Use half as much fine sea salt if that's what's in your cupboard.
Extra-Virgin Olive Oil: A fruity, golden glug gets the skillet going before the sausage renders its own fat. It helps that first sizzle turn into a deep, crackly crust. Avocado oil or plain olive oil works fine in a pinch.
Sweet Italian Sausage: Fennel-flecked pork, squeezed out of its casings, is the heart of this sauce. It browns into crunchy, savory crumbles that perfume everything after it. Swap in mild turkey sausage, or use hot sausage if you like it loud.
Garlic: Four cloves, minced fine as sand, so they melt into the oil fast. That sweet, nutty aroma is what tells my husband dinner's close. Jarred minced garlic will do, but fresh is worth the thirty seconds.
Cherry Tomatoes: Halved little jewels that burst into sweet, tangy juice in the hot pan. They bring brightness that cuts right through the cream and pork. Grape tomatoes are the easiest swap, and they hold their shape a touch better.
Red Pepper Flakes: Just a whisper of warmth here, not a five-alarm fire. The flakes bloom in the sausage fat and wake up every other flavor. A pinch of Calabrian chili paste makes a fruitier, bolder stand-in.
Heavy Cream: This is what turns tomato juice into that blush-pink, spoon-coating sauce. Its high fat keeps it silky when it simmers. Half-and-half works if you keep the heat very gentle and skip the hard boil.
Baby Spinach: Tender leaves that wilt in a minute into bright green ribbons. They add color, a little earthiness and a reason to feel good about seconds. Chopped kale or arugula can fill in, though kale needs an extra minute.
Parmigiano-Reggiano: Nutty, salty and finely grated so it melts straight into the sauce. It thickens everything and gives each bow tie that glossy finish. Grana Padano is the closest cousin, and Pecorino brings a sharper bite.
Black Pepper: Freshly ground for a floral, spicy snap right at the end. It ties the cheese and cream together like a good sweater. Pre-ground pepper works, but use a little less since it tastes duller.
How to Make It (Step by Step)
It's one pot and one skillet: boil the bow ties, build a golden, creamy tomato sauce, then toss everything glossy.
Even if your kitchen's chaos tonight and you've never made a cream sauce, you'll nail this, honey.
- Bring a big pot of water and the kosher salt to a loud, rolling boil until fat bubbles break the whole surface, 8-10 minutes over high heat (212°F / 100°C). It should taste like a pleasant sea breeze.
- Cook the farfalle, stirring now and then, until the pinched centers are just tender but still firm to the bite, 10-12 minutes at a steady boil (212°F / 100°C). Drain and set aside.
- Brown the sausage in the olive oil, breaking it into crumbles with a wooden spoon, until deep golden-brown with crispy edges, 6-8 minutes at medium-high (400°F / 200°C). Don't rush the color. That's flavor.
- Stir the garlic and red pepper flakes into the sausage until fragrant and barely golden, 30-60 seconds at medium (325°F / 165°C). Your kitchen will smell like Sunday.
- Add the halved cherry tomatoes and cook until blistered, juicy and slumping at the edges, 4-5 minutes at medium (350°F / 175°C). Press a few gently to release their juice.
- Pour in the heavy cream and simmer until gently bubbling and slightly thickened into a blush-pink sauce, 2-3 minutes at medium-low (300°F / 150°C). It should coat the spoon.
- Fold in the baby spinach a handful at a time until just wilted and bright green, 1-2 minutes at medium-low (300°F / 150°C). It shrinks fast, so keep it coming.
- Toss in the drained farfalle, Parmigiano-Reggiano and black pepper with tongs until every bow tie is glossy and coated, 1-2 minutes at low (250°F / 120°C). Then grab that first twirl. Somebody's waiting for it.
Leftovers keep three days chilled and reheat velvety with a splash of milk, though the cream won't freeze well. Swap half-and-half for cream, brown the sausage a day ahead, and never boil the sauce hard.
Serving size: 1 portion · Calories: 520 · Total Fat: 18g · Saturated Fat: 8g · Carbs: 63g · Fiber: 3g · Sugar: 4g · Protein: 26g · Sodium: 780mg
Tips and Tricks
- Equipment: Grab a wide 12-inch heavy skillet: A big, heavy pan gives the sausage room to brown instead of steam. It also holds all the farfalle for that final glossy toss.
- Temperature precision: Drop to medium before the garlic: Bring the heat down to about 325°F before the garlic goes in. It turns fragrant and barely golden in 30-60 seconds, never bitter.
- Common mistake: Overcooking the bow ties: Pull the farfalle while the pinched centers are still firm to the bite. Cook them soft and the wings go floppy once they hit the creamy sauce.
- Flavour upgrade: Tear in fresh basil at the end: A small handful of torn basil leaves adds a sweet, peppery perfume. It wakes up that rich blush-pink sauce beautifully.
- Texture tip: Let the sausage sit and sizzle: Break it into crumbles, then leave it alone for a minute between stirs. That's how you get deep golden-brown crumbles with crispy, crackly edges.
Frequently Asked Questions
Can I make this bow tie pasta gluten-free and skip the pork?
Absolutely, honey: use 12 ounces of brown-rice or chickpea farfalle, pulled a minute early, and swap in 1 pound of Italian chicken sausage or 12 ounces of browned cremini mushrooms with ½ teaspoon fennel seed. Check sausage labels, since some fillers hide gluten.
Can I freeze part of this bow tie pasta sauce for a later dinner?
Yes, honey: freeze the sausage, garlic and tomato base before the cream and spinach go in, airtight for up to 3 months, or refrigerate it up to 2 days. Thaw overnight in the fridge, warm in a skillet over medium-low for 5 minutes, then finish with cream, spinach and fresh farfalle.
Why are my bow ties mushy at the edges but hard in the middle?
That pinched knot is double-thick, honey, so taste the center, not the wings, and pull the farfalle at 10 minutes when a pinpoint of white still shows in the knot. Stir often so they don't clump, then let the final toss in the sauce finish them tender.
What to Serve With This
- Lemony Arugula Salad: Peppery greens in a sharp lemon dressing cut right through that velvety blush-pink cream, so every bite tastes fresh again.
- Shaved Fennel and Orange Salad: Crisp, anise-sweet fennel and juicy orange bring a cold, bright crunch against soft, saucy bow ties.
- Charred Broccolini With Lemon: Smoky, slightly bitter edges and a squeeze of lemon balance the sweet, golden sausage beautifully.
- Crusty Ciabatta Slices: That crackly crust and chewy, open crumb are made for mopping up every last glossy streak of sauce.
Creamy Sausage Bow Tie Pasta Recipes With Blistered Tomatoes
Dinner / Italian
- Prep
- 10 min
- Cook
- 20 min
- Total
- 30 min
- Servings
- 4
- Calories
- 520 kcal
Ingredients
- 12 ounces farfalle (bow tie pasta)
- 1 tablespoon kosher salt, for the pasta water
- 2 tablespoons extra-virgin olive oil
- 1 pound sweet Italian sausage, casings removed
- 4 cloves garlic, finely minced
- 1 pint cherry tomatoes, halved
- ½ teaspoon red pepper flakes
- ½ cup heavy cream, at room temperature
- 3 ounces baby spinach, washed and dried
- ¾ cup Parmigiano-Reggiano, finely grated
- ¼ teaspoon black pepper, freshly ground
Instructions
- Bring a big pot of water and the kosher salt to a loud, rolling boil until fat bubbles break the whole surface, 8-10 minutes over high heat (212°F / 100°C). It should taste like a pleasant sea breeze.
- Cook the farfalle, stirring now and then, until the pinched centers are just tender but still firm to the bite, 10-12 minutes at a steady boil (212°F / 100°C). Drain and set aside.
- Brown the sausage in the olive oil, breaking it into crumbles with a wooden spoon, until deep golden-brown with crispy edges, 6-8 minutes at medium-high (400°F / 200°C). Don't rush the color. That's flavor.
- Stir the garlic and red pepper flakes into the sausage until fragrant and barely golden, 30-60 seconds at medium (325°F / 165°C). Your kitchen will smell like Sunday.
- Add the halved cherry tomatoes and cook until blistered, juicy and slumping at the edges, 4-5 minutes at medium (350°F / 175°C). Press a few gently to release their juice.
- Pour in the heavy cream and simmer until gently bubbling and slightly thickened into a blush-pink sauce, 2-3 minutes at medium-low (300°F / 150°C). It should coat the spoon.
- Fold in the baby spinach a handful at a time until just wilted and bright green, 1-2 minutes at medium-low (300°F / 150°C). It shrinks fast, so keep it coming.
- Toss in the drained farfalle, Parmigiano-Reggiano and black pepper with tongs until every bow tie is glossy and coated, 1-2 minutes at low (250°F / 120°C). Then grab that first twirl. Somebody's waiting for it.
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About the author

Rosa Caruso
Rosa has fed this Brooklyn kitchen for forty years, through two funerals, three weddings and one flood. Her husband still sits at the counter every night waiting for the first twirl off the tongs, and she still loves him for it. She cooks pasta the way she loves: loudly, generously and without apology.