Need a creamy pasta dinner with sausage, tomatoes, and greens all in one cozy skillet? Creamy Tomato Spinach Pasta brings that rich tomato cream sauce feeling without making dinner complicated.
This pasta is made with browned ground sausage, Mezzi Rigatoni, diced tomatoes, baby spinach, Parmesan, and a smooth cream sauce with garlic, broth, wine, and herbs.
It takes 45 mins and serves 6, so it fits nicely into a weeknight dinner plan when you want something hearty but still fresh. If you like tomato cream pasta with a brighter basil finish, Creamy Tomato Basil Pasta is another easy one to save.
The sausage gives the sauce a savory base before the wine reduces and picks up all those browned bits from the pan. It has the same filling pasta comfort as Creamy Sausage Rigatoni, but the diced tomatoes and spinach keep it from feeling too heavy.
I let the wine simmer until it is reduced by about half before adding the garlic, because rushing that part leaves the sauce sharper than it should be.
Serve it with bread, salad, or roasted vegetables, and it works for family dinner, casual company, or leftovers that still taste creamy the next day.
Why You’ll Love This Creamy Tomato Spinach Pasta:
- Creamy sauce: Heavy cream, broth, cream cheese, and Parmesan make the tomato sauce smooth and rich.
- Savory sausage: Ground sausage adds deep flavor fast, so the sauce tastes like it simmered longer.
- Fresh spinach: Baby spinach wilts right into the skillet and adds color without extra prep.
- Easy timing: The sauce simmers while the pasta boils, so the steps move together.
- Hearty portions: Mezzi Rigatoni catches the sauce and makes each bowl feel filling.
Ingredients You’ll Need:
These ingredients build a creamy tomato pasta with browned sausage, tender rigatoni, and spinach folded in at the end.
Sauce
- Heavy cream: 1 cup makes the sauce rich and silky.
- Chicken broth: 1 cup loosens the cream and adds savory depth.
- Worcestershire sauce: 1 teaspoon brings a deeper, meatier flavor to the sauce.
- Honey: 1 teaspoon balances the acidity from the tomatoes.
- Onion powder, mustard powder, basil, oregano, and parsley: ½ teaspoon each seasons the sauce evenly.
Pasta, etc.
- Olive oil: 2 teaspoons help brown the sausage without sticking.
- Ground sausage: ½ lb adds savory flavor, and hot, sweet, or mild all work.
- Dry white wine: ½ cup deglazes the skillet and builds flavor in the sauce.
- Butter: 3 tablespoons creates the base for the roux.
- Garlic: 3 cloves minced garlic give the sauce a warm savory start.
- Flour: 2 tablespoons thickens the sauce so it coats the pasta.
- Tomato paste: 2 tablespoons deepens the tomato flavor.
- Diced tomatoes: 1 14.5 oz can, drained, adds juicy tomato pieces without watering down the sauce.
- Cream cheese: 3 tablespoons softened cream cheese melts in smoothly and makes the sauce extra creamy.
- Parmesan cheese: ¾ cup grated cheese adds salty richness.
- Mezzi Rigatoni: ½ pound gives the sauce plenty of ridges to cling to.
- Baby spinach: 3 cups packed spinach, or up to 4 oz, wilts into the hot sauce.
Step by Step Instructions:
- Mix the sauce: Stir the heavy cream, chicken broth, Worcestershire sauce, honey, onion powder, mustard powder, basil, oregano, and parsley together in a large measuring cup. Measure the remaining ingredients before you start cooking so the sauce comes together smoothly.
- Brown the sausage: Heat the olive oil in a large skillet over medium high heat. Add the sausage and cook for about 7 mins, breaking it into crumbles, until fully cooked, then transfer it to a plate.
- Reduce the wine: Start a pot of salted water for the pasta while you keep working on the sauce. Add the wine to the sausage skillet, lower the heat to medium, scrape up the browned bits, and simmer for about 4 mins until reduced by half.
- Build the roux: Add the garlic and cook for 1 minute. Melt in the butter, sprinkle in the flour, stir in the tomato paste, and cook for 1 to 2 mins until the raw flour smell is gone.
- Simmer the sauce: Pour in the sauce mixture a little at a time while stirring so the sauce stays thick and smooth. Add the drained tomatoes, bring to a boil, reduce to a simmer, stir in the cream cheese, and let it bubble gently while the pasta cooks to al dente.
- Finish the pasta: Lower the heat and gradually stir in the Parmesan until melted. Add the spinach and let it wilt for 2 to 3 mins, stir in the cooked sausage, then add the drained pasta and toss until everything is coated and glossy.

Recipe Tips:
- Reduce the wine: Let the wine cook down by half so the sauce tastes rounded instead of sharp.
- Add liquid slowly: Pour the cream mixture into the roux in small splashes while stirring to keep the sauce smooth.
- Drain tomatoes well: Extra tomato liquid can thin the sauce and make it harder to cling to the pasta.
- Use block Parmesan: Freshly grated Parmesan melts better and helps prevent a grainy sauce.
Variations and Customization Ideas:
- Protein swap: Use turkey sausage or chicken sausage if you want a lighter version.
- Spice boost: Choose hot sausage or add crushed red pepper flakes with the garlic.
- Dietary tweak: Use gluten free pasta and a gluten free flour blend if needed.
- Budget move: Replace the white wine with chicken broth when you want to keep the pantry list simple.
- Greens change: Swap spinach with baby kale, but give it a few extra minutes to soften.
Serving Suggestions:
- Garlic bread: Serve warm bread on the side for scooping up the tomato cream sauce.
- Simple salad: A crisp green salad with lemony dressing balances the richness.
- Roasted vegetables: Broccoli, zucchini, or asparagus make the plate feel complete.
- Pasta spread: Pair smaller bowls with Creamy Tuscan Chicken Pasta for a creamy pasta night with two options.
- Finishing touch: Add extra Parmesan and black pepper right before serving.
How to Store and Reheat:
Store cooled leftovers in an airtight container in the refrigerator for up to 3 days. Refrigerate the pasta within 2 hours of cooking.
This pasta can be frozen for up to 2 months, but the cream sauce may separate slightly and the spinach will soften after thawing. For best texture, thaw overnight in the refrigerator before reheating.
Reheat gently in a skillet over medium low heat with a splash of broth, cream, or milk. Stir often until steaming hot and creamy again.
For the best quality, warm only what you plan to eat. Avoid boiling the sauce hard, since gentle heat keeps it smoother.
Recipe FAQ’s:
Can I make tomato spinach pasta without wine?
Yes, you can use chicken broth instead of dry white wine. The sauce will still be savory, though wine adds a little brightness and helps lift the browned bits from the skillet.
What sausage is best for tomato spinach pasta?
Mild, sweet, or hot ground sausage all work. Use mild for a family friendly version, sweet for a softer flavor, or hot if you want more heat in the sauce.
How do I keep creamy tomato pasta sauce from getting grainy?
Keep the heat low when adding Parmesan and stir it in gradually. Freshly grated Parmesan melts more smoothly than pre grated cheese.
Creamy Tomato Spinach Pasta works because the sausage browns first, the wine reduces in the same skillet, and the creamy tomato sauce gets finished with spinach, Parmesan, and tender pasta. It is hearty, saucy, and practical enough for a regular Dinner.
Keep it mild, make it spicy, use a different short pasta, or add extra greens. This is the kind of skillet pasta that leaves room for small tweaks while still coming out creamy and comforting.
Print
Creamy Tomato Spinach Pasta
- Total Time: 45 mins
- Yield: 6 servings
Description
Creamy Tomato Spinach Pasta is a cozy sausage pasta with tender Mezzi Rigatoni, diced tomatoes, baby spinach, Parmesan, and a rich tomato cream sauce. It comes together in 45 mins and makes a hearty dinner that still feels fresh thanks to the spinach and tomatoes.
Ingredients
Sauce
- 1 cup heavy cream
- 1 cup chicken broth
- 1 teaspoon Worcestershire sauce
- 1 teaspoon honey
- ½ teaspoon onion powder
- ½ teaspoon mustard powder
- ½ teaspoon dried basil
- ½ teaspoon dried oregano
- ½ teaspoon dried parsley
Pasta, etc.
- 2 teaspoons olive oil
- ½ lb ground sausage, hot, sweet, or mild
- ½ cup dry white wine
- 3 tablespoons butter
- 3 cloves garlic, minced
- 2 tablespoons flour
- 2 tablespoons tomato paste
- 1 14.5 oz can diced tomatoes, drained
- 3 tablespoons softened cream cheese
- ¾ cup grated Parmesan cheese
- ½ lb Mezzi Rigatoni
- 3 cups packed baby spinach, or up to 4 oz
Instructions
- Mix the sauce: Stir the heavy cream, chicken broth, Worcestershire sauce, honey, onion powder, mustard powder, basil, oregano, and parsley together in a measuring cup and set aside.
- Brown the sausage: Heat the olive oil in a large skillet over medium high heat. Add the sausage and cook for about 7 mins, crumbling it as it cooks, then transfer it to a plate.
- Reduce the wine: Bring a pot of salted water to a boil for the pasta. Add the wine to the sausage skillet, reduce the heat to medium, scrape up the browned bits, and simmer for about 4 mins until reduced by half.
- Build the base: Add the garlic and cook for 1 minute. Melt in the butter, sprinkle in the flour, stir in the tomato paste, and cook for 1 to 2 mins until the mixture deepens slightly and smells savory.
- Simmer the sauce: Add the sauce mixture in small splashes while stirring constantly. Stir in the drained diced tomatoes, bring to a boil, reduce to a gentle simmer, then mix in the softened cream cheese until smooth.
- Finish the pasta: Cook the Mezzi Rigatoni until al dente, then drain. Lower the sauce heat, gradually stir in the Parmesan, add the spinach and let it wilt for 2 to 3 mins, then return the sausage and toss in the pasta until coated.
Notes
- Use chicken broth instead of white wine if preferred.
- Freshly grated Parmesan melts more smoothly than pre grated cheese.
- Drain the tomatoes well so the sauce stays thick and creamy.
- Store leftovers in an airtight container in the fridge for up to 3 days.
- Reheat gently with a splash of broth, cream, or milk to loosen the sauce.
- Prep Time: 15 mins
- Cook Time: 30 mins
- Cuisine: American
Nutrition
- Serving Size: 6
- Calories: 535 kcal
Keywords: tomato spinach pasta