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    Paccheri Pasta with Sausage

    By Julia | Updated: Mar 13, 2019 | Published: Mar 13, 2019 | 33 Comments

    9.6K shares
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    This post may contain affiliate links. For more information, please see our affiliate policy.

    Paccheri with Sausage in creamy tomato sauce is an easy yet elegant Italian pasta dish to make at home!  This short tubular pasta is smothered in a tomato cream sauce with bell peppers, garlic, and sausage.  Paccheri has its origins in Campania, Italy, and is traditionally used in Neapolitan cuisine.

    Paccheri Pasta with Sausage and Tomato Cream Sauce

     

    Pasta and sausage make one of my favorite combinations.   Just take a look at the sausage tortellini recipe and smoked sausage pasta.

    This time I decided to use short, tube-shaped pasta I've seen recently at the store.  Paccheri pasta got my attention because of its size - it's about 1 inch in diameter.  I knew it would go well with a tomato-based meat sauce and would look great on a plate!

    Paccheri pasta has an amazing texture and flavor when combined with Italian sausage, bell peppers, garlic, and tomato cream sauce.   It's one of those recipes that a whole family will appreciate.  This short tubular pasta with ridges looks impressive on a plate!

    Tomato cream sauce is made using basic ingredients, such as store-bought tomato sauce, heavy cream, garlic, and basil.

    Paccheri Pasta with Sausage and Tomato Cream Sauce

    What is paccheri?

    • Paccheri is a large, short, tubular shaped pasta. Paccheri has its origins in Campania, a region in Southern Italy, and is often used in Neapolitan cuisine.
    • It is usually topped with sauce, such as ragu (meat-based sauce).  Paccheri is also often stuffed with various ingredients, such as ricotta or burrata cheese.
    • Paccheri pasta usually has a smooth surface.  Some types of paccheri have ridges down their length.

    Paccheri vs rigatoni

    • Paccheri is much larger and wider compared to rigatoni, although both types of pasta look very similar in shape.
    • Both rigatoni and paccheri are often served with sauces.

    paccheri pasta

    Paccheri Pasta with Sausage and Tomato Cream Sauce

    What to serve with Paccheri pasta

    • Bread.  Serve baguette, garlic bread, olive bread or sourdough bread with your pasta.   For a crunchy crust, reheat the bread briefly in the preheated oven.
    • Salad.  Throw some greens together with olive oil or balsamic vinegar based salad dressing.   Top with toasted nuts and Parmesan cheese. Simple spinach salad is a great choice!

    Paccheri Pasta with Sausage and Tomato Cream Sauce

    Substitutions

    • What can you use instead of paccheri?  You can use other short, tube-shaped pasta.  Rigatoni is the best choice.  You can also use penne or ziti.
    • What kind of sausage to use with pasta?  Use Italian ground pork sausage without casings.  It's best to use spicy sausage.
    • What is a good substitute for canned tomato sauce? You can use canned diced tomatoes or canned crushed tomatoes instead of tomato sauce.

    How to make paccheri pasta

    1) In a large skillet, cook Italian sausage on medium heat, until the meat is cooked through. Drain off fat.
    cooked Italian sausage in a skillet

    2) Next, add tomato sauce.

    tomato sauce and cooked Italian sausage in a skillet

    3) Add diced bell peppers, minced garlic, and basil, bring to boil.
    tomato sauce and sausage in a skillet
    4) Immediately reduce to simmer and add heavy cream.
    heavy cream with tomato sauce and sausage in a skillet
    5) Stir the sauce to combine.
    tomato cream sauce in a skillet
    6) Cook paccheri pasta al dente. Drain. Add cooked paccheri to the skillet with the sauce. Increase the heat, until the sauce simmers.
    paccheri pasta with tomato sauce in a skillet
    7) Season with salt and pepper.
    paccheri pasta with tomato cream sauce on a plate

    Other pasta sauces to make with paccheri

    • Linguine with Sun-Dried Tomato Cream Sauce
    • Creamy Farfalle Pasta with Spinach, Mushrooms, and Caramelized Onions
    • Sun-Dried Tomato Mushroom Pasta
    paccheri pasta with sausage and tomato cream sauce
    4.95 from 59 votes

    Paccheri Pasta with Sausage

    Paccheri with Sausage in creamy tomato sauce is an easy yet elegant Italian pasta dish to make at home!  Ready in 30 minutes. Great recipe to make for a family night. Large tubular pasta is smothered in a tomato cream sauce with bell peppers, garlic, and sausage.  Paccheri has its origins in Campania, Italy, and is traditionally used in Neapolitan cuisine. 
    Print Recipe Pin Recipe Save RecipeSaved!
    Prep Time 10 minutes mins
    Cook Time 20 minutes mins
    Total Time 30 minutes mins
    Course Main Course
    Cuisine Italian
    Servings 4 people
    Calories per serving 743 kcal
    Author: Julia

    Ingredients

    • 1 lb Italian sausage spicy
    • 15 oz tomato sauce canned
    • 1 bell pepper diced
    • 3 cloves garlic , minced
    • ½ teaspoon basil dried
    • ½ cup heavy cream
    • 8 oz paccheri pasta
    • salt and pepper

    Instructions 

    • In a large skillet, cook sausage on medium heat, until the meat is cooked through. Drain off fat.
    • Add tomato sauce, diced bell peppers, minced garlic, and basil, bring to a brief boil. Reduce to simmer and add heavy cream.
    • Cook paccheri pasta al dente. Drain.
    • Add cooked paccheri to the skillet with the sausage and tomato cream sauce. Increase the heat, until the sauce simmers. Season with salt and pepper.

    Nutrition

    Nutrition Information
    Paccheri Pasta with Sausage
    Amount per Serving
    Calories
    743
    % Daily Value*
    Fat
     
    47
    g
    72
    %
    Saturated Fat
     
    19
    g
    119
    %
    Cholesterol
     
    126
    mg
    42
    %
    Sodium
     
    1402
    mg
    61
    %
    Potassium
     
    859
    mg
    25
    %
    Carbohydrates
     
    52
    g
    17
    %
    Fiber
     
    4
    g
    17
    %
    Sugar
     
    7
    g
    8
    %
    Protein
     
    26
    g
    52
    %
    Vitamin A
     
    1830
    IU
    37
    %
    Vitamin C
     
    48.4
    mg
    59
    %
    Calcium
     
    70
    mg
    7
    %
    Iron
     
    3.3
    mg
    18
    %
    * Percent Daily Values are based on a 2000 calorie diet.

    Nutrition Disclaimer:

    The nutritional information on this website is only an estimate and is provided for convenience and as a courtesy only. The accuracy of the nutritional information for any recipe on this site is not guaranteed. It should not be used as a substitute for a professional nutritionist’s advice.

    Keyword paccheri, paccheri pasta
    Tried this recipe?Be sure to leave a comment and provide a Star Rating below - I love your feedback and try to respond to every comment!
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      Recipe Rating




    1. Clifford Vaught

      May 01, 2025 at 6:59 pm

      So ready and so full of flavor! I love it!

      Reply
      • Julia

        May 08, 2025 at 4:29 pm

        I am glad you enjoyed it, and thank you for your review, Clifford! 🙂

        Reply
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    Julia is the author of JuliasAlbum.com (a food blog focused on easy dinner recipes, pasta dishes, salads made with seasonal ingredients). In this photo, Julia is pictured wearing a yellow sweater against an Autumn background.

    Hi, I'm Julia!

    I am a full-time food blogger living in beautiful Colorado. I focus primarily on savory recipes (protein-based & fiber-rich main dishes, pasta, salads) using fresh & seasonal ingredients. A food blogger since 2012, I help home cooks create well-balanced and visually appealing dinners (many of which are 30-minute ONE-PAN meals). Find out more about me and my cooking philosophy. 

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