This Creamy Sausage Goulash combines savory Italian sausage, tender elbow macaroni, and a rich, creamy sauce that will have everyone coming back for seconds.
Whether you’re cooking for your family or hosting friends, this dish is sure to impress.
Table of Contents

What is Creamy Sausage Goulash?
Creamy Sausage Goulash is a delightful twist on the traditional goulash. Originating from Central Europe, goulash is typically a stew of meat and vegetables seasoned with paprika.
Our version adds a creamy touch and uses Italian sausage for a burst of flavor.
This dish is not only delicious but also easy to make, making it a perfect addition to your recipe repertoire.
Why You’ll Love this Recipe
This recipe holds a special place in my heart because it brings together the warmth of home-cooked meals with the ease of quick preparation.
The combination of creamy sauce, savory sausage, and fresh vegetables creates a symphony of flavors that’s both comforting and satisfying. Plus, it’s a one-pan dish, which means less cleanup!
Other Sausage Recipes
Ingredients
- Elbow Macaroni: The perfect pasta choice for this dish, providing a tender and chewy texture that holds up well in the creamy sauce.
- Ground Italian Sausage: Adds a savory and slightly spicy flavor, making the dish hearty and flavorful.
- Olive Oil: Used for sautéing, it adds a subtle richness and helps to cook the vegetables evenly.
- Yellow Onion: Finely diced to blend seamlessly into the sauce, it adds a mild sweetness and depth of flavor.
- Yellow Bell Pepper: Adds a pop of color and a sweet, mild flavor that complements the sausage.
- Red Bell Pepper: Provides a vibrant color and a slightly sweeter taste than the yellow bell pepper.
- Unsalted Butter: Melts into the vegetables, adding a rich, creamy texture to the dish.
- Garlic: Minced and sautéed to release its aromatic and flavorful essence, enhancing the overall taste.
- Diced Tomatoes: Adds a tangy and slightly acidic note, balancing the richness of the cream and sausage.
- Heavy Cream: Creates a luxurious, creamy sauce that coats the pasta and sausage perfectly.
- Baby Spinach: Packed with nutrients, it adds a fresh, slightly earthy flavor and a vibrant green color to the dish.
Substitutions & Additions
- Pasta: You can substitute elbow macaroni with any short pasta like penne or rotini.
- Sausage: For a different flavor profile, try using spicy Italian sausage or even ground turkey.
- Vegetables: Feel free to add other vegetables like zucchini or mushrooms to enhance the dish.
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How to Make this Recipe
Cook the Pasta: Bring a large pot of water to boil over high heat. Cook pasta according to the manufacturer’s instructions until just over al dente. Drain and set aside.
Brown the Sausage: Meanwhile, brown the sausage in a skillet, breaking apart while cooking, until cooked through; about 8-10 minutes. Remove to a paper towel-lined plate, leaving meat juices in the pan.
Cook the Vegetables: Using the same skillet, reduce heat to medium and add the oil to the pan. Add onion and bell peppers. Stir to combine, season with salt and pepper. Cook, stirring occasionally, until onion is beginning to turn translucent and peppers are softening; about 7-8 minutes.
Add Butter and Garlic: Add butter to the pan, stir, and let melt into the peppers and onions. Once the butter is melted, add garlic and cook for about 1 minute. Stir in the diced tomatoes.
Make the Cream Sauce: Pour in the heavy cream, stir together, and bring to simmer. Let simmer for about 5 minutes to reduce the mixture and heat all the ingredients through.
Combine Everything: Stir in the cooked sausage and add the spinach to the pan. Stir everything to combine and let cook just until spinach is wilted. Add the pasta to the pan, folding into the sausage mixture. Remove from heat and allow to cool for 5 minutes before serving.
Cooking Tips & Tricks
Perfect Pasta: Make sure to cook the pasta just over al dente as it will continue to cook slightly when mixed with the hot sauce.
Fresh Ingredients: Use fresh garlic and baby spinach for the best flavor.
Simmering: Allow the sauce to simmer to thicken and develop a richer taste.

Serving Suggestions
Serve this Creamy Sausage Goulash with a side of garlic bread and a fresh green salad for a complete meal.
Garnish with freshly grated Parmesan cheese and a sprinkle of chopped parsley for an extra touch of flavor.
Storage Suggestions
Store any leftovers in an airtight container in the refrigerator for up to 3 days.
Reheat gently on the stovetop or in the microwave, adding a splash of cream or milk if the sauce has thickened too much.

Recipe FAQ
Can I make this dish ahead of time? Yes, you can prepare the goulash ahead of time and reheat it before serving. Just make sure to store it properly.
Can I freeze this goulash? While you can freeze it, the cream sauce may separate upon thawing. It’s best enjoyed fresh or refrigerated.
What can I use instead of heavy cream? You can substitute heavy cream with half-and-half or a mixture of milk and a bit of flour to thicken the sauce.
More Pasta Recipes
This Creamy Sausage Goulash is a must-try for anyone who loves a hearty, flavorful meal.

Creamy Sausage Goulash
Ingredients
- 12 oz uncooked elbow macaroni
- 1 lb ground italian sausage
- 1 Tbsp olive oil
- 1 small yellow onion finely diced
- 1 medium yellow bell pepper finely diced
- 1 medium red bell pepper finely diced
- 1 Tbsp unsalted butter
- 2 cloves garlic minced
- 1 (15oz) can diced tomatoes
- 1 cup heavy cream
- 1 cup baby spinach packed
Instructions
- Bring a large pot of water to boil, over high heat. Cook pasta according to the manufacturers instructions until just over al dente. Drain and set aside.12 oz uncooked elbow macaroni
- Meanwhile, brown the sausage in a skillet, breaking apart while cooking, until cooked through; about 8-10 minutes. Remove to paper towel lined plate, leaving meat juices in the pan.1 lb ground italian sausage
- Using the same skillet, reduce heat to medium and add the oil to the pan. Add onion and bell peppers. Stir to combine, season with salt and pepper. Cook, stirring occasionally, until onion is beginning to turn translucent and peppers are softening; about 7-8 minutes.1 Tbsp olive oil, 1 small yellow onion, 1 medium yellow bell pepper, 1 medium red bell pepper
- Add butter to the pan, stir, and let melt into the peppers and onions. Once the butter is melted, add garlic and cook for about 1 minute. Stir in the diced tomatoes.1 Tbsp unsalted butter, 2 cloves garlic, 1 (15oz) can diced tomatoes
- Pour in the heavy cream, stir together, and bring to simmer. Let simmer for about 5 minutes to reduce the mixture and heat all the ingredients through.1 cup heavy cream
- Stir in the cooked sausage and add the spinach to the pan. Stir everything to combine and let cook just until spinach is wilted.1 cup baby spinach
- Add the pasta to the pan, folding into the sausage mixture. Remove from heat and allow to cool for 5 minutes before serving.













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