This creamy chicken sausage pasta brings together the best of Italian flavors with a modern twist. Tender gluten-free fusilli is tossed in a rich, velvety sauce made with cream cheese, sour cream and Parmesan, then studded with crispy chicken sausage and sweet sautéed bell pepper. A squeeze of fresh lemon brightens every bite.
Perfect for a busy weeknight, this dish comes together in under 30 minutes and delivers restaurant-quality taste. The combination of savory sausage, tangy sauce and al dente pasta is sure to become a family favorite.
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Recipe details
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Ingredients
Instructions
- Bring a large pot of salted water to a boil. Wash and dry produce. Halve, core and thinly slice bell pepper into strips. Trim and thinly slice scallions, separating whites from greens. Zest and quarter lemon.
- Heat a drizzle of olive oil in a large pan over medium-high heat. Add bell pepper and scallion whites; cook, stirring, until slightly softened, 3-4 minutes. Season with salt and pepper.
- Add sausage to pan; cook, breaking up meat into pieces, until browned and cooked through, 4-6 minutes. Season with salt and pepper. If you like things spicy, stir in a pinch of chili flakes and cook until fragrant, 15 seconds. TIP: If there’s excess grease in your pan, carefully pour it out.
- Once water is boiling, add fusilli to pot. Cook, stirring occasionally, until al dente, 9-11 minutes. Reserve ½ cup pasta cooking water, then drain.
- Add half the crushed tomatoes (all for 4 servings) to pan with sausage mixture and cook until softened, 1-2 minutes. Reduce heat to medium low. Stir in cream cheese, sour cream, half the Parmesan (save the rest for serving), ¼ cup reserved pasta cooking water and 1 TBSP butter until thoroughly combined. (For 4, use ⅓ cup reserved pasta cooking water and 2 TBSP butter.) Season with salt, pepper and lemon zest to taste. Add drained fusilli and toss to coat. TIP: If needed, stir in more reserved pasta cooking water a splash at a time until pasta is coated in a creamy sauce.
- Divide pasta between bowls. Sprinkle with scallion greens, remaining Parmesan and a pinch of chili flakes if desired. Serve with lemon wedges on the side.
Recipe Tips
For a spicier kick, add extra chili flakes when cooking the sausage.
If the sauce seems too thick, add a splash of reserved pasta water to reach desired consistency.
Use freshly grated Parmesan for the best flavor and melt.
FAQ
Can I use regular pasta instead of gluten-free?
Yes, you can substitute with any pasta you prefer. Adjust cooking time according to package directions.
Can I make this dish dairy-free?
You can try using dairy-free cream cheese, sour cream and Parmesan alternatives, but the texture and flavor may vary.
How do I store leftovers?
Store in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stovetop with a splash of water or milk.




























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