Introduction
Craving a rich, comforting pasta dish that’s perfect for a cozy family dinner or a romantic Valentine’s Day meal? Slow Cooker Creamy Tuscan Sausage Pasta is your answer! Adapted from the original stovetop recipe, this slow cooker version features ground Italian sausage, garlic, sun-dried tomatoes, and baby spinach in a luscious cream sauce infused with chicken broth, Italian seasoning, red pepper flakes, and Parmesan cheese, all tossed with penne pasta and garnished with fresh basil. The slow cooker melds the flavors into a creamy, savory masterpiece with minimal effort, making it ideal for busy weeknights or special occasions. Ready to create this indulgent dish? Let’s get cooking!
Overview
Slow Cooker Creamy Tuscan Sausage Pasta is a hearty, Italian-inspired main dish combining ground Italian sausage with a creamy sauce made from heavy cream, chicken broth, sun-dried tomatoes, garlic, Parmesan, and spinach, served over al dente penne pasta. The slow cooker ensures a rich, well-blended sauce and tender ingredients, perfect for family dinners, potlucks, or meal prep with a Tuscan flair.
- Time Requirement: 20 minutes prep, 3–4 hours on low or 1.5–2 hours on high, plus 15 minutes for pasta and finishing.
- Difficulty Level: Easy! Requires minimal prep, with the slow cooker handling most of the cooking.
- Why It’s Special: This recipe is budget-friendly, crowd-pleasing, and delivers restaurant-quality Tuscan flavors. The slow cooker simplifies the process, creating a creamy, cohesive sauce without constant stirring. It’s perfect for cozy dinners, gatherings, or a romantic Valentine’s Day meal with a rich, creamy twist.
Whether you’re feeding a family or craving Italian comfort food, this Slow Cooker Creamy Tuscan Sausage Pasta is sure to impress. Let’s dive in!
Essential Ingredients
The magic of Slow Cooker Creamy Tuscan Sausage Pasta lies in its high-quality, flavorful ingredients. Each one adds richness, savoriness, or freshness to create a harmonious dish. Here’s what you’ll need:
- Penne Pasta (1 lb, ~4 cups dry):
- Why it’s important: Provides a hearty, sauce-catching base for the dish.
- Substitutions: Rigatoni, fusilli, or gluten-free pasta.
- Olive Oil (2 tbsp):
- Why it’s important: Used to brown the sausage and enhance flavor.
- Substitutions: Avocado oil, vegetable oil, or butter.
- Italian Sausage, Ground (1 lb):
- Why it’s important: Adds savory, spicy depth to the dish.
- Substitutions: Ground turkey, chicken sausage, or plant-based sausage for vegetarian.
- Garlic (4 cloves, minced, ~4 tsp):
- Why it’s important: Infuses the sauce with aromatic, savory flavor.
- Substitutions: 1 tsp garlic powder or 2 tsp garlic paste.
- Sun-Dried Tomatoes (½ cup, chopped):
- Why it’s important: Brings tangy, concentrated tomato flavor.
- Substitutions: Roasted red peppers, fresh cherry tomatoes, or 2 tbsp tomato paste.
- Chicken Broth (1 cup):
- Why it’s important: Forms the savory base of the sauce.
- Substitutions: Vegetable broth, beef broth, or water with a bouillon cube.
- Italian Seasoning (1 tsp):
- Why it’s important: Adds classic Italian herb flavor with oregano, basil, and thyme.
- Substitutions: ½ tsp dried oregano + ½ tsp dried basil or fresh herbs (1 tbsp mixed).
- Red Pepper Flakes (½ tsp):
- Why it’s important: Provides a subtle, spicy kick.
- Substitutions: Cayenne (use less), hot sauce, or omit for milder flavor.
- Heavy Cream (2 cups):
- Why it’s important: Creates a rich, creamy sauce.
- Substitutions: Half-and-half (thinner sauce), coconut cream for dairy-free, or cashew cream.
- Freshly Grated Parmesan Cheese (1 cup):
- Why it’s important: Adds nutty, savory richness to the sauce.
- Substitutions: Pecorino Romano, Asiago, or nutritional yeast for vegan.
- Baby Spinach (2 cups, ~2 oz):
- Why it’s important: Adds fresh, vibrant color and nutrition.
- Substitutions: Kale, arugula, or Swiss chard.
- Salt (to taste, about ½ tsp):
- Why it’s important: Enhances the flavors of the sauce and pasta.
- Substitutions: Sea salt or kosher salt.
- Black Pepper (to taste, about ¼ tsp):
- Why it’s important: Adds mild heat and depth.
- Substitutions: White pepper or a pinch of cayenne.
- Fresh Basil Leaves (¼ cup, torn, for garnish):
- Why it’s important: Adds a fresh, aromatic finish.
- Substitutions: Parsley, oregano, or omit.
Additional for Slow Cooker:
- Olive Oil or Cooking Spray (1 tbsp):
- Why it’s important: Prevents sticking in the slow cooker.
- Substitutions: Vegetable oil or avocado oil.
Tip: Use freshly grated Parmesan for a smooth melt, and chop sun-dried tomatoes finely for even distribution. Choose mild or spicy Italian sausage based on your preference.

Step-by-Step Instructions
Making Slow Cooker Creamy Tuscan Sausage Pasta is simple, with the slow cooker ensuring a rich, creamy sauce. Follow these steps for a delicious result.
Step 1: Brown the Sausage
- In a large skillet over medium-high heat, heat 2 tbsp olive oil. Add 1 lb ground Italian sausage and cook, breaking it up with a wooden spoon, for 5–7 minutes until browned and cooked through.
- Drain excess fat if desired, and transfer the sausage to the slow cooker.
- Tip: Brown the sausage in small batches to ensure even cooking, and leave some fat for flavor if not too greasy.
Step 2: Assemble in the Slow Cooker
- Lightly grease the slow cooker insert with 1 tbsp olive oil or cooking spray to prevent sticking.
- Add the browned sausage, 4 minced garlic cloves, ½ cup chopped sun-dried tomatoes, 1 cup chicken broth, 1 tsp Italian seasoning, ½ tsp red pepper flakes, and 2 cups heavy cream to the slow cooker. Stir to combine.
- Tip: If using oil-packed sun-dried tomatoes, drain excess oil to avoid an overly greasy sauce, and stir well to distribute seasonings.
Step 3: Slow Cook
- Cover and cook on low for 3–4 hours or high for 1.5–2 hours, until the sauce is hot and the flavors are melded.
- Stir in 1 cup freshly grated Parmesan cheese and 2 cups baby spinach during the last 10 minutes of cooking, stirring until the cheese melts and the spinach wilts. Season with ½ tsp salt and ¼ tsp black pepper to taste.
- Tip: Stir halfway through cooking to ensure even blending, and add a splash of broth if the sauce thickens too much.
Step 4: Cook the Pasta
- About 15 minutes before the slow cooker is done, bring a large pot of salted water to a boil. Add 1 lb penne pasta and cook until al dente according to package instructions (typically 8–10 minutes).
- Reserve 1 cup pasta water, then drain the pasta and set aside.
- Tip: Rinse pasta briefly with cold water to stop cooking, but don’t over-rinse to retain some starch for sauce adhesion.
Step 5: Combine and Finish
- Add the cooked penne to the slow cooker, tossing gently to coat in the creamy sauce. If the sauce is too thick, add reserved pasta water 1 tbsp at a time until the desired consistency is reached.
- Taste and adjust seasoning with additional salt, pepper, or red pepper flakes if needed.
- Tip: Toss gently to avoid breaking the pasta, and ensure the sauce coats evenly for maximum flavor.
Step 6: Serve
- Serve the pasta hot, spooned into bowls or plates, ensuring each portion has plenty of sauce, sausage, and spinach.
- Garnish with ¼ cup torn fresh basil leaves and extra Parmesan cheese for a vibrant finish.
- Pair with garlic bread, a Caesar salad, or roasted vegetables for a complete meal.
- Tip: Serve family-style in a large dish for gatherings, or portion into heart-shaped bowls for a romantic Valentine’s Day touch.

Assembly
Assembling Slow Cooker Creamy Tuscan Sausage Pasta is all about creating a rich, comforting plate. Here’s how to bring it together:
- Serve the Pasta: Spoon the creamy pasta into bowls or plates, ensuring a generous amount of sausage and sauce.
- Add Garnish: Sprinkle with torn fresh basil and extra Parmesan for color and flavor.
- Presentation Tips:
- Use wide, shallow bowls to showcase the creamy sauce and vibrant spinach.
- Serve in a large casserole dish for a rustic, family-style presentation, or portion neatly for a polished look.
- Pair with crusty bread, a green salad, or roasted zucchini for a complete meal, perfect for Valentine’s Day.
Tip: For a romantic touch, garnish with a heart-shaped basil leaf or serve with a side of heart-shaped garlic bread for Valentine’s Day.
Storage and Make-Ahead Tips
Keep your Slow Cooker Creamy Tuscan Sausage Pasta fresh and ready to enjoy with these tips:
- Storing Leftovers:
- Store cooled pasta and sauce in an airtight container in the fridge for up to 3–4 days.
- Reheating: Reheat in a skillet over low heat with a splash of cream or broth to restore creaminess, or in the microwave (1–2 minutes, stirring halfway). Add extra Parmesan before serving.
- Make-Ahead Tips:
- Sauce: Prepare the sausage and cream sauce mixture a day ahead, refrigerate, and reheat in the slow cooker on low for 1–2 hours before adding pasta.
- Pasta: Cook pasta up to 1 day ahead, toss with a little olive oil, and refrigerate. Reheat by tossing in the hot sauce.
- Full Dish: Assemble the dish (without garnishes) a day ahead, refrigerate, and reheat in the slow cooker on low for 1–2 hours, adding basil at the end.
- Freezing: Freeze the cooked sausage and sauce mixture (without pasta) in a freezer-safe container for up to 2 months. Thaw in the fridge overnight, reheat, and toss with freshly cooked pasta. Avoid freezing cooked pasta, as it may become mushy.
Tip: Use leftovers in stuffed peppers, as a casserole base, or over toasted bread for a creamy open-faced sandwich.
Recipe Variations
Slow Cooker Creamy Tuscan Sausage Pasta is versatile and easy to customize. Try these creative twists:
- Spicy Kick: Increase red pepper flakes to 1 tsp or add a diced jalapeño for extra heat.
- Veggie Boost: Add 1 cup sliced mushrooms or zucchini with the sun-dried tomatoes for added nutrition.
- Cheese Swap: Replace Parmesan with Asiago or Pecorino Romano for a different cheesy profile.
- Vegetarian Version: Swap sausage for plant-based sausage or lentils, using vegetable broth, and cook for 2–3 hours on low.
- Lighter Version: Use half-and-half or milk instead of heavy cream, and reduce Parmesan to ½ cup for a lighter sauce.
Tip: Keep the creamy sauce and sun-dried tomatoes for the Tuscan vibe, but adjust proteins or veggies to suit your taste.
Conclusion
You’re now ready to make Slow Cooker Creamy Tuscan Sausage Pasta—a dish that’s as rich as it is delicious! With its savory sausage, creamy Parmesan sauce, vibrant spinach, and fresh basil garnish, this recipe brings Tuscan-inspired comfort to your table with minimal effort. It’s perfect for Valentine’s Day dinners, family meals, or meal prep with an Italian twist. Customize with spices, veggies, or proteins to make it your own, and enjoy the process as much as the meal. Grab your slow cooker, whip up this indulgent masterpiece, and savor every creamy, cheesy bite. Happy cooking!
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Creamy Tuscan Sausage Pasta
Description
Ingredients
- Penne Pasta (1 lb, ~4 cups dry):
- Why it’s important: Provides a hearty, sauce-catching base for the dish.
- Substitutions: Rigatoni, fusilli, or gluten-free pasta.
- Olive Oil (2 tbsp):
- Why it’s important: Used to brown the sausage and enhance flavor.
- Substitutions: Avocado oil, vegetable oil, or butter.
- Italian Sausage, Ground (1 lb):
- Why it’s important: Adds savory, spicy depth to the dish.
- Substitutions: Ground turkey, chicken sausage, or plant-based sausage for vegetarian.
- Garlic (4 cloves, minced, ~4 tsp):
- Why it’s important: Infuses the sauce with aromatic, savory flavor.
- Substitutions: 1 tsp garlic powder or 2 tsp garlic paste.
- Sun-Dried Tomatoes (½ cup, chopped):
- Why it’s important: Brings tangy, concentrated tomato flavor.
- Substitutions: Roasted red peppers, fresh cherry tomatoes, or 2 tbsp tomato paste.
- Chicken Broth (1 cup):
- Why it’s important: Forms the savory base of the sauce.
- Substitutions: Vegetable broth, beef broth, or water with a bouillon cube.
- Italian Seasoning (1 tsp):
- Why it’s important: Adds classic Italian herb flavor with oregano, basil, and thyme.
- Substitutions: ½ tsp dried oregano + ½ tsp dried basil or fresh herbs (1 tbsp mixed).
- Red Pepper Flakes (½ tsp):
- Why it’s important: Provides a subtle, spicy kick.
- Substitutions: Cayenne (use less), hot sauce, or omit for milder flavor.
- Heavy Cream (2 cups):
- Why it’s important: Creates a rich, creamy sauce.
- Substitutions: Half-and-half (thinner sauce), coconut cream for dairy-free, or cashew cream.
- Freshly Grated Parmesan Cheese (1 cup):
- Why it’s important: Adds nutty, savory richness to the sauce.
- Substitutions: Pecorino Romano, Asiago, or nutritional yeast for vegan.
- Baby Spinach (2 cups, ~2 oz):
- Why it’s important: Adds fresh, vibrant color and nutrition.
- Substitutions: Kale, arugula, or Swiss chard.
- Salt (to taste, about ½ tsp):
- Why it’s important: Enhances the flavors of the sauce and pasta.
- Substitutions: Sea salt or kosher salt.
- Black Pepper (to taste, about ¼ tsp):
- Why it’s important: Adds mild heat and depth.
- Substitutions: White pepper or a pinch of cayenne.
- Fresh Basil Leaves (¼ cup, torn, for garnish):
- Why it’s important: Adds a fresh, aromatic finish.
- Substitutions: Parsley, oregano, or omit.
Additional for Slow Cooker:
- Olive Oil or Cooking Spray (1 tbsp):
- Why it’s important: Prevents sticking in the slow cooker.
- Substitutions: Vegetable oil or avocado oil.
Tip: Use freshly grated Parmesan for a smooth melt, and chop sun-dried tomatoes finely for even distribution. Choose mild or spicy Italian sausage based on your preference.
Instructions
Step 1: Brown the Sausage
- In a large skillet over medium-high heat, heat 2 tbsp olive oil. Add 1 lb ground Italian sausage and cook, breaking it up with a wooden spoon, for 5–7 minutes until browned and cooked through.
- Drain excess fat if desired, and transfer the sausage to the slow cooker.
- Tip: Brown the sausage in small batches to ensure even cooking, and leave some fat for flavor if not too greasy.
Step 2: Assemble in the Slow Cooker
- Lightly grease the slow cooker insert with 1 tbsp olive oil or cooking spray to prevent sticking.
- Add the browned sausage, 4 minced garlic cloves, ½ cup chopped sun-dried tomatoes, 1 cup chicken broth, 1 tsp Italian seasoning, ½ tsp red pepper flakes, and 2 cups heavy cream to the slow cooker. Stir to combine.
- Tip: If using oil-packed sun-dried tomatoes, drain excess oil to avoid an overly greasy sauce, and stir well to distribute seasonings.
Step 3: Slow Cook
- Cover and cook on low for 3–4 hours or high for 1.5–2 hours, until the sauce is hot and the flavors are melded.
- Stir in 1 cup freshly grated Parmesan cheese and 2 cups baby spinach during the last 10 minutes of cooking, stirring until the cheese melts and the spinach wilts. Season with ½ tsp salt and ¼ tsp black pepper to taste.
- Tip: Stir halfway through cooking to ensure even blending, and add a splash of broth if the sauce thickens too much.
Step 4: Cook the Pasta
- About 15 minutes before the slow cooker is done, bring a large pot of salted water to a boil. Add 1 lb penne pasta and cook until al dente according to package instructions (typically 8–10 minutes).
- Reserve 1 cup pasta water, then drain the pasta and set aside.
- Tip: Rinse pasta briefly with cold water to stop cooking, but don’t over-rinse to retain some starch for sauce adhesion.
Step 5: Combine and Finish
- Add the cooked penne to the slow cooker, tossing gently to coat in the creamy sauce. If the sauce is too thick, add reserved pasta water 1 tbsp at a time until the desired consistency is reached.
- Taste and adjust seasoning with additional salt, pepper, or red pepper flakes if needed.
- Tip: Toss gently to avoid breaking the pasta, and ensure the sauce coats evenly for maximum flavor.
Step 6: Serve
- Serve the pasta hot, spooned into bowls or plates, ensuring each portion has plenty of sauce, sausage, and spinach.
- Garnish with ¼ cup torn fresh basil leaves and extra Parmesan cheese for a vibrant finish.
- Pair with garlic bread, a Caesar salad, or roasted vegetables for a complete meal.
- Tip: Serve family-style in a large dish for gatherings, or portion into heart-shaped bowls for a romantic Valentine’s Day touch.
FAQs
Q: Can I use a different pasta shape?
A: Yes! Rigatoni, fusilli, or farfalle work well; ensure it’s a sturdy shape to hold the creamy sauce.
Q: Is this recipe healthy?
A: It’s protein-rich but high in fat due to cream and Parmesan. Use half-and-half, less cheese, or add more veggies for a lighter option.
Q: Can I make this in an Instant Pot?
A: The slow cooker is better for a creamy sauce, but use the “Slow Cooker” function with the same times. Pressure cooking may curdle the cream.
Q: Why is my sauce too thick?
A: Overcooking or insufficient liquid can thicken the sauce. Add reserved pasta water or broth to thin it out before serving.
Q: Can I make this vegetarian or vegan?
A: Yes! Swap sausage for plant-based sausage or mushrooms, use vegetable broth, vegan cream, and nutritional yeast. Cook for 2–3 hours on low.
Q: What sides go well with this dish?
A: Pair with garlic bread, a Caprese salad, or roasted asparagus. A glass of white wine or sparkling water with lemon complements the rich flavors, perfect for a Valentine’s Day meal!