Home » Spicy Sausage in Tomato Basil Cream

Spicy Sausage in Tomato Basil Cream

Spicy Sausage in Tomato Basil Cream has been a house favorite here for many years. Lots of our friends are familiar with it because I’ve served it to dinner guests numerous times. It’s easy to make, it doesn’t take long, and calls for ingredients I nearly always have on hand. Though simple and straightforward, this sauce is a restaurant-quality sauce, and I’ll put it up against anyone’s tomato cream sauce with sausage, anytime, anywhere. I usually serve it over pasta.

Good smoked sausage is important. Here on the Alabama coast, we are inordinately fond of Conecuh sausage, a hickory-smoked pork sausage made a little ways up I-65 in Conecuh County. They’ve been making this sausage up there for ages, and people used to stop and pick some up on the way back from Montgomery and points north. It’s spicy just the way we like it, and our grocery stores carry it now, thank heavens. Make sure to use a good spicy smoked sausage for this recipe, and, yes, a good andouille will certainly work.

Fresh tomatoes aren’t especially good in this dish, nor are sundried tomatoes. Save those for something else where their attributes can shine. Good quality diced tomatoes in a can are perfect here, though.

Pasta matters, too. Ideally, you need a noodle that can grab the sauce a bit, but not absorb the sauce too much. And I don’t personally love this dish with short fat pastas–penne, ziti, rigatoni, rotini, et. al.–but dry linguine, fettuccine, or my new favorite, bucatini, are all excellent choices. The sauce is a little too heavy for something very slender like angel hair or thin spaghetti. (Actually you can use whatever pasta you want, of course. I’m not really the noodle police, after all. It’s entirely possible to ladle Spicy Sausage in Tomato Basil Cream over spaghetti, or rice, or mashed potatoes. Or a baked potato. Even biscuits or toast. But I vote for a slightly toothy, twirlable, pasta.) A simple green salad with vinaigrette, plus some crusty bread to clean up the sauce, round out the meal perfectly.

Spicy Sausage in Tomato Basil Cream

1 T. bacon fat or butter
1 lb. Conecuh or other spicy smoked pork sausage, sliced in ½ inch rounds
4 scallions, sliced, both green and white parts
2 cloves garlic, minced
2 T. flour
1 28-oz. can diced tomatoes, undrained
2 t. dried basil
¼ t. red pepper flakes
1 t. salt
½ t. pepper
½ cup heavy cream
1 lb. long noodles, cooked in salted water according to package directions
Fresh parsley and/or basil for garnish

Melt fat over medium heat, and cook the sausage until browned. Using a slotted spoon, remove the sausage from the pan and set aside. Drain fat if necessary, leaving 2 T. fat in the pan.

Add the scallions and garlic and cook for a minute. Stir in the flour and cook, still stirring, for a couple of minutes more. Add the tomatoes with their juice, the dried basil, pepper flakes, and salt and pepper. Also add the sausage back to the pan. Bring to a simmer, then turn the heat to low and cook for 30 minutes while you boil and drain the noodles.

Stir in the heavy cream, heat through. Taste for seasoning, adjusting if necessary. Serve over hot noodles. Garnish with fresh parsley or basil or both.

Spicy Sausage in Tomato Basil Cream

Ingredients

  • 1 T. bacon fat or butter
  • 1 lb. Conecuh or other spicy smoked pork sausage, sliced in ½ inch rounds
  • 4 scallions, sliced, both green and white parts
  • 2 cloves garlic, minced
  • 2 T. flour
  • 1 28-oz. can diced tomatoes, undrained
  • 2 t. dried basil
  • 1/4 t. red pepper flakes
  • 1 t. salt
  • 1/2 t. pepper
  • 1/2 cup heavy cream
  • 1 lb. long noodles, cooked in salted water according to package directions
  • Fresh parsley and/or basil for garnish

Instructions

  • Melt fat over medium heat, and cook the sausage until browned. Using a slotted spoon, remove the sausage from the pan and set aside. Drain fat if necessary, leaving 2 T. fat in the pan.
  • Add the scallions and garlic and cook for a minute. Stir in the flour and cook, still stirring, for a couple of minutes more. Stir in the tomatoes with their juice, the dried basil, pepper flakes, and salt and pepper. Also add the sausage back to the pan. Bring to a simmer, then turn the heat to low and cook for 30 minutes while you boil and drain the noodles.
  • Stir in the heavy cream, heat through. Taste for seasoning, adjusting if necessary. Serve over hot noodles. Garnish with fresh parsley or basil or both.
Newsletter Signup

Newsletter Signup

Sign up and be the first to receive our new recipes, class information and more! We promise not to share your information.

Instagram

Whatcha cookin' this Friday?

Ritzy Shrimp
Littlecoastalkitchen.com/ritzy-shrimp/
Whatcha cookin' this Friday? Ritzy Shrimp Littlecoastalkitchen.com/ritzy-shrimp/
2 days ago
View on Instagram |
1/9
Boneless Pork Ribs with Cider and Onion Gravy!  Yum!

Littlecoastalkitchen.com/pork-with-cider-gravy/

#porkribs #gravy #yum
Boneless Pork Ribs with Cider and Onion Gravy! Yum! Littlecoastalkitchen.com/pork-with-cider-gravy/ #porkribs #gravy #yum
1 week ago
View on Instagram |
2/9
This Mardi Gras favorite is quick and easy. (In fact, it's quick and easy enough for a last-minute Super Bowl snack.)

Spicy Shrimp Queso
Littlecoastalkitchen.com/spicy-shrimp-queso/

#eatlikeasoutherner #shrimp #cheese #yum
This Mardi Gras favorite is quick and easy. (In fact, it's quick and easy enough for a last-minute Super Bowl snack.) Spicy Shrimp Queso Littlecoastalkitchen.com/spicy-shrimp-queso/ #eatlikeasoutherner #shrimp #cheese #yum
4 weeks ago
View on Instagram |
3/9
Need a new cool weather brunch dish?  Here you go!

Sausage, Cheddar, and Apple Bread Pudding 
Littlecoastalkitchen.com/ sausage-cheddar-and-apple-bread-pudding/

#brunch #yum
Need a new cool weather brunch dish? Here you go! Sausage, Cheddar, and Apple Bread Pudding Littlecoastalkitchen.com/ sausage-cheddar-and-apple-bread-pudding/ #brunch #yum
1 month ago
View on Instagram |
4/9
It's going to be really cold, and I'm actively dreading it.  I think I'll just stay inside and cook.

Amazing Swiss Steak
Littlecoastalkitchen.com/amazing-swiss-steak/

#familyfavorite #southerncooking #comfortfood #stayhome #yum
It's going to be really cold, and I'm actively dreading it. I think I'll just stay inside and cook. Amazing Swiss Steak Littlecoastalkitchen.com/amazing-swiss-steak/ #familyfavorite #southerncooking #comfortfood #stayhome #yum
1 month ago
View on Instagram |
5/9
Are you ready for cozy comfort food?  Me too!

Classic Chicken Pie with its crunchy topping is just the thing!

Littlecoastalkitchen.com/classic-chicken-pie/

#chickendinner, #familyfavorite #southerncooking #comfortfood
#yum
Are you ready for cozy comfort food? Me too! Classic Chicken Pie with its crunchy topping is just the thing! Littlecoastalkitchen.com/classic-chicken-pie/ #chickendinner, #familyfavorite #southerncooking #comfortfood #yum
2 months ago
View on Instagram |
6/9
Okay, so it takes a minute to fry the wontons.  Totally worth it, though!  Crab Rangoon Dip is an easy treat.  Happy New Year!

Littlecoastalkitchen.com/crab-rangoon-dip/
Okay, so it takes a minute to fry the wontons. Totally worth it, though! Crab Rangoon Dip is an easy treat. Happy New Year! Littlecoastalkitchen.com/crab-rangoon-dip/
2 months ago
View on Instagram |
7/9
Breakfast of Champions, Christmas Eve Edition: cheeseball leftovers, crackers, and eggnog coffee. 

Love you all! Merry Christmas 🎄 ❤️!
Breakfast of Champions, Christmas Eve Edition: cheeseball leftovers, crackers, and eggnog coffee. Love you all! Merry Christmas 🎄 ❤️!
2 months ago
View on Instagram |
8/9
Holiday help for everyone! (Especially you  habitually over-extended people.  You are my tribe.)

Littlecoastalkitchen.com/9-must-have-recipes-for-the-holidays/
Holiday help for everyone! (Especially you habitually over-extended people. You are my tribe.) Littlecoastalkitchen.com/9-must-have-recipes-for-the-holidays/
3 months ago
View on Instagram |
9/9

Follow Us

3 Comments

  1. Sabe Fink

    I do something similar for myself but mostly ‘wing it’ on the ingredients and proportions! I plan to follow your directions and elevate it to dinner party level! I love conecuh sausage and am never without several varieties!

    • Malia

      I hope you like it. It really is one of our very favorites! (tho, admittedly, we have a number of those! LOL!)

  2. Willa Lyle

    Looks great! I will try soon.

More recipes in this category

Ritzy Shrimp

Ritzy Shrimp

When I was little my favorite seafood was fried shrimp.  And I liked it fried any which way.  My mom made fried shrimp using a light tempura-style batter from Recipe Jubilee, the Junior League of Mobile cookbook.  Morrison’s flagship cafeteria at Springdale Plaza in...

Boneless Pork Ribs with Cider and Onion Gravy

Boneless Pork Ribs with Cider and Onion Gravy

It happened again.  I went to my neighborhood grocery yesterday for milk, coffee, and anything else we might need for the next three days.  (It’s Coldmageddon 2026 on the Gulf Coast as I write this.)  I had to walk past the meat case on my way to the checkout.  And...

Spicy Shrimp Queso

Spicy Shrimp Queso

Mardi Gras is here!  You know I require lots of delicious Mardi Gras party food to feed all our hungry revelers, and I’m sure you do, too.  And the food must be substantial.  After all, we need something hearty to keep our strength up, and celery sticks are simply not...

Pin It on Pinterest

Share This