June 25, 2026 · 35 min

Sausage and Roasted Red Pepper Gemelli Pasta with Creamy Parmesan Sauce

Dinner35 min852 cal / serving

This pasta dish takes the classic flavors of a sausage and pepper hoagie and transforms them into a comforting, elegant weeknight dinner. Twisty gemelli pasta is the perfect vehicle for a silky roasted garlic tomato sauce studded with crispy bits of Italian sausage. Sweet bell peppers are roasted until charred, then thinly sliced and swirled into the sauce, adding depth and sweetness.

A touch of sour cream and plenty of Parmesan cheese create a creamy, tangy finish that coats every nook of the pasta. It’s a hearty, satisfying meal that comes together in about 35 minutes-perfect for busy evenings when you crave something delicious and homemade.


Recipe details

Dinner35 min852 cal / serving2 servings

Nutrition per serving

Calories852 kcalProtein26.3 gFat65.5 gCarbs39.1 gSugar6.1 gFiber2.8 gSodium1463 mg

Dietary labels

Gluten-free: noLactose-free: noDairy-free: no

Allergen check

Gluten / wheat: containsMilk / dairy: containsEgg: not detectedFish: not detectedShellfish: not detectedPeanut: not detectedTree nuts: not detectedSoy: not detectedSesame: not detectedMustard: not detectedCelery: not detectedSulphites: not detectedLupin: not detectedMolluscs: not detected

Values are calculated per serving from ingredient amounts and the ingredient nutrition reference per 100g. Allergen and diet labels use available ingredient metadata and name matching; always check product labels for strict diets or allergies. Some ingredient amounts or nutrition values were incomplete, so this is marked as a partial estimate.


Ingredients

Bell Pepper1 unit Bell PepperView ingredient guide
Chili Pepper1 teaspoon Chili PepperView ingredient guide
Italian Pork Sausage9 ounce Italian Pork SausageView ingredient guide
Garlic2 clove GarlicView ingredient guide
Gemelli Pasta6 ounce Gemelli PastaView ingredient guide
Tomato Paste3 tablespoon Tomato PasteView ingredient guide
Sour Cream2 tablespoon Sour CreamView ingredient guide
Parmesan Cheese0.25 cup Parmesan CheeseView ingredient guide
Vegetable Oil4 teaspoon Vegetable OilView ingredient guide
Olive Oil1 teaspoon Olive OilView ingredient guide
Butter2 tablespoon ButterView ingredient guide
SaltSaltView ingredient guide
PepperPepperView ingredient guide

Instructions

  1. Adjust rack to middle position and preheat oven to 400°F. Bring a large pot of salted water to a boil. Wash and dry all produce. Halve bell pepper, then remove and discard core and stem. Thinly slice chili, removing ribs and seeds for less heat. Remove sausage from casings; discard casings.
  2. Drizzle bell pepper halves with oil, salt and pepper; place cut sides down on a lightly oiled baking sheet. Place garlic cloves on a small piece of foil and drizzle with oil, salt and pepper; cinch into a packet and place on baking sheet. Roast until bell pepper begins to char and garlic softens, 20-25 minutes.
  3. Once water is boiling, add gemelli to pot. Cook until al dente, 9-11 minutes. Reserve ¾ cup pasta cooking water (1½ cups for 4 servings), then drain.
  4. Heat a drizzle of olive oil in a large pan over medium-high heat. Add sausage and cook, breaking up meat into pieces, until browned and cooked through, 6-8 minutes. Pour out and discard any excess fat from pan. If desired, stir in a pinch of chili; cook 15 seconds. Add tomato paste and ½ cup reserved pasta cooking water (¾ cup for 4 servings). Simmer until thickened, about 2 minutes. Turn off heat.
  5. Transfer roasted bell pepper halves to a cutting board; thinly slice. Remove roasted garlic cloves from foil; transfer to cutting board and gently mash with a fork. Return pan with sauce to low heat. Add mashed garlic and stir to combine. Stir in sliced bell pepper, gemelli, sour cream, 2 TBSP butter (4 TBSP for 4 servings) and half the Parmesan. (TIP: If sauce seems dry, stir in a splash of remaining reserved cooking water.) Season with salt and pepper.
  6. Divide pasta between bowls. Sprinkle with remaining Parmesan and, if desired, a pinch of remaining chili.

Recipe Tips

If the sauce seems dry after adding the pasta, stir in a splash of the reserved pasta cooking water to loosen it up.

For a milder dish, remove all seeds and ribs from the chili pepper. For extra heat, add more chili to taste.

Roasting the garlic in foil concentrates its sweetness and makes it easy to mash into the sauce.

FAQ

Can I use a different type of pasta?

Yes, you can substitute gemelli with any short pasta like penne, fusilli or rotini. Just cook according to package directions until al dente.

Can I make this dish vegetarian?

Absolutely. Replace the Italian sausage with plant-based sausage or omit it and add extra roasted vegetables like zucchini or mushrooms.

How do I store leftovers?

Store leftovers in an airtight container in the refrigerator for up to 3 days. Reheat gently in a skillet with a splash of water or broth to revive the sauce.

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