If you are craving a comforting, flavorful, and colorful meal, then this Pasta with Sausage, Peppers, and Onions Recipe is sure to become your new favorite go-to dish. It combines juicy Italian sausage, tender sautéed peppers and onions, and a tomato-rich sauce that hugs every strand of fresh fettuccine pasta. The harmonious blend of savory, slightly spicy, and aromatic ingredients creates a dish that is both satisfying and simple enough to whip up on any weeknight or to impress guests with minimal fuss. Trust me, once you try this recipe, you’ll wonder how you ever lived without it in your culinary rotation!

Ingredients You’ll Need
Getting the ingredients right is the secret to nailing this Pasta with Sausage, Peppers, and Onions Recipe. Each element brings its own special contribution—from the rich olive oil that starts the flavor build, to the fresh vegetables and hearty sausage that create texture, depth, and color in the dish.
- 2 tablespoons olive oil: The perfect base to sauté your veggies, adding richness without overpowering.
- 1 medium onion, sliced: Provides sweetness and a wonderful aromatic foundation.
- 1 medium bell pepper, sliced: Offers a pop of color and subtle crunch for balance.
- 8 ounces mushrooms, sliced: Adds earthiness and meaty texture to round out the dish.
- 3-4 cloves garlic, minced: Infuses the sauce with a warm, fragrant punch that elevates every bite.
- 1 pound Italian sausage links, sliced or crumbled: Brings savory, juicy protein with herbs and spices native to Italian cooking.
- 1/2 cup white wine (or chicken broth): Deglazes the pan while adding subtle acidity and depth.
- 1 (28-ounce) can diced tomatoes: Creates a vibrant, luscious sauce that ties everything together beautifully.
- 1 teaspoon kosher salt, plus extra for seasoning: Essential for enhancing all the natural flavors.
- 1/4 teaspoon ground black pepper, plus extra for seasoning: Adds gentle heat and complexity.
- 9 ounces fresh fettuccine pasta: Delightfully tender strands that soak up the sauce perfectly.
- Grated Romano cheese, for serving: Adds a salty, tangy finish that’s simply irresistible.
- Crushed red pepper flakes, for serving: Optional but highly recommended for an added kick.
How to Make Pasta with Sausage, Peppers, and Onions Recipe
Step 1: Sauté the Vegetables
Start by heating olive oil in a large skillet over medium-high heat. Toss in the sliced onion, bell pepper, mushrooms, and minced garlic. Season with salt and pepper to bring out their flavors as they cook. Sauté for about 7 minutes or until the vegetables soften and release their fragrant aromas. Once ready, remove them from the skillet and set aside to keep their lovely textures intact for later.
Step 2: Brown the Sausage
Next, add your sliced or crumbled Italian sausage straight to the same skillet. Cooking in the flavorful oil left behind by the veggies ensures that every bit of browning adds depth to the dish. Stir frequently, breaking up any larger pieces if using crumbled sausage, until the meat is beautifully browned and cooked through. This step locks in those juicy, spicy flavors.
Step 3: Deglaze with Wine or Broth
Pour in the white wine or chicken broth to deglaze the pan. Use your spoon or spatula to scrape up all those flavorful browned bits stuck to the skillet. Let this simmer for 1 to 2 minutes — this adds a subtle tanginess and helps build a richer sauce base that complements the sausage perfectly.
Step 4: Build the Sauce
Return the sautéed vegetables to the skillet, then add the diced tomatoes along with salt and pepper for seasoning. Turn the heat up to bring the sauce to a gentle boil, then lower it to a simmer. Let everything cook together for 15 to 20 minutes. This time allows the flavors to meld beautifully, thickening the sauce while keeping it fresh and vibrant.
Step 5: Cook the Pasta
While your sauce is simmering, boil a large pot of salted water and cook the fresh fettuccine pasta according to package instructions until just al dente. This tender pasta will soak up the sauce without getting mushy. Once cooked, drain the pasta thoroughly to keep it from watering down your sauce later.
Step 6: Combine and Serve
Finally, toss the cooked pasta directly into the skillet with your luscious sausage, peppers, and onions sauce. Mix until every strand of fettuccine is coated in that flavorful sauce. Serve immediately, garnished with plenty of grated Romano cheese and a sprinkle of crushed red pepper flakes for those who crave a little heat. This step is where the magic happens and your Pasta with Sausage, Peppers, and Onions Recipe truly shines.
How to Serve Pasta with Sausage, Peppers, and Onions Recipe

Garnishes
To elevate this dish even more, sprinkle freshly grated Romano cheese on top to add a sharp, salty punch that melts into the warm pasta. For those who love spice, crushed red pepper flakes bring a lively heat, balancing the dish’s richness beautifully. A sprinkle of fresh basil or parsley can also add a burst of color and freshness.
Side Dishes
This recipe pairs wonderfully with a simple green salad dressed in a light vinaigrette to cut through the hearty sauce. Garlic bread or crusty Italian bread is another fantastic choice to scoop up any leftover sauce, making sure nothing is wasted. Roasted or steamed vegetables, like broccoli or asparagus, offer great texture contrasts.
Creative Ways to Present
For a family-style meal, present the sauce in a large serving bowl alongside a platter of pasta so everyone can customize their plates. Or for a party, consider plating individual servings with a drizzle of extra virgin olive oil and a sprinkle of fresh herbs for an upscale touch. You might even top the pasta with a fried sage leaf or some toasted pine nuts for added crunch and flavor.
Make Ahead and Storage
Storing Leftovers
Leftovers of this Pasta with Sausage, Peppers, and Onions Recipe store beautifully in an airtight container in the refrigerator for up to 3 days. Make sure the sauce is fully cooled before sealing to preserve freshness and prevent condensation inside the container.
Freezing
If you want to save it for longer, this dish freezes well. Portion it into freezer-safe containers, leaving a little space at the top, and freeze for up to 2 months. When freezing pasta dishes with sauce, slightly undercook the pasta initially so it doesn’t become mushy after reheating.
Reheating
To reheat, thaw overnight in the refrigerator if frozen. Warm gently on the stovetop over low heat, stirring occasionally, and add a splash of water or broth if the sauce has thickened too much. You can also microwave leftovers in short bursts, stirring between heating to ensure even warming without drying out the pasta.
FAQs
Can I use ground sausage instead of links?
Absolutely! Using ground Italian sausage works just as well; it will cook faster and blend seamlessly into the sauce, giving you the same rich flavor and hearty texture.
What type of peppers work best in this recipe?
Medium bell peppers are ideal for their sweetness and crunch. You can mix colors—red, yellow, or orange—for added visual appeal, or use green peppers if you prefer a slightly more bitter bite.
Is fresh pasta necessary?
Fresh fettuccine adds a wonderful tender texture and absorbs the sauce beautifully, but dried pasta will work fine too—just adjust cooking times as per package directions.
Can this recipe be made vegetarian?
Yes, simply omit the sausage and add more mushrooms or a plant-based meat substitute. You can also add other vegetables like zucchini or eggplant for bulk and flavor.
What wine pairs well with this dish?
A crisp white wine such as Pinot Grigio or Sauvignon Blanc complements the tomato sauce and sausage flavors perfectly, while a light red like Chianti works if you prefer red wine.
Final Thoughts
This Pasta with Sausage, Peppers, and Onions Recipe is a shining example of delicious simplicity. It’s hearty enough to satisfy any appetite, yet balanced enough to be served any night of the week. Whether you’re cooking for your family or entertaining friends, this dish guarantees a burst of comforting, colorful flavors that everyone will love. I hope you give it a try soon and make it a beloved staple in your kitchen!
