Garlic Sausage Alfredo
Last updated on October 14th, 2025
Alfredo is my ultimate guilty pleasure! Everyone knows that feeling, when you’ve just eaten a bunch of rich, yummy food and you want to beeline to your sweatpants drawer. This garlic sausage alfredo is a bit healthier than the classic alfredo, but it still tastes amazing! And it’s ready in about 30 minutes!
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What ingredients do I need to make this?
Smoked Beef Sausage
Fettuccine
Parmesan
Garlic
Cream Cheese
Parsley
Butter
Salt
Black Pepper
How do I make it?
Cook pasta to package instructions, reserving some pasta water. Drain and set aside until ready to use. In a large, deep skillet, melt butter on medium heat. Add sausage to pan and cook until browned nicely. I like to use a tong for this, flipping each one after about 2 minutes – to brown them all on both sides. Add garlic to pan and cook for one minute, until fragrant. Now add half and half, turn heat to medium-low, and bring sauce to a simmer. Next add the cream cheese, and mix it all together well, until melted. Stir in salt, pepper, 1 tbs parsley, and parmesan. Mix well until melted completely, cook for about 4 minutes.
Fold in cooked pasta, remove from heat. The pasta will thicken as it stands for a minute or two. If you want to thin out the cream sauce, slowly add in your reserved pasta water to get to your desired consistency. I like my alfredo really thick, so I just added a splash!
Serve Garlic Sausage Alfredo hot with remaining parsley and additional parmesan as a garnish. You can also serve with a breadstick, side salad, whatever you like! Enjoy!
Side ideas for this dish:
Tips:
- It’s important to grate your own cheese otherwise the sauce could end up grainy! There’s an ingredient in pre-grated and pre-shredded cheese that stops it from sticking together. As a result, it doesn’t allow it to melt properly
- When reheating this alfredo, just add a splash of milk to help cream it back up!
- Customize this any way you want! Add some mushroom, onions, shrimp – whatever you like!
Garlic Sausage Alfredo
Equipment
Ingredients
- 12 oz smoked beef sausage sliced into rounds
- 8 oz fettuccine cooked to package instructions – reserving 1 cup of pasta water
- 3 garlic cloves minced
- ½ cup fresh Parmesan grated
- 4 oz cream cheese room temperature, cut into cubes
- 2 tbsp butter
- 2 tbsp fresh parsley divided
- 1 tsp salt
- ¼ tsp black pepper
Instructions
- Cook pasta to package instructions, reserving one cup of pasta water. Drain and set aside until ready to use.
- In a large, deep skillet, melt butter on medium heat. Add sausage to pan and cook until browned nicely. I like to use a tong for this, flipping each one after about 2 minutes – to brown them all on both sides.
- Add garlic to pan and cook for one minute, until fragrant. Now add half and half, turn heat to medium-low, and bring sauce to a simmer. Next add cream cheese, and mix it all together well, allowing it to melt.
- Stir in salt, pepper, 1 tbs parsley, and parmesan. Mix well until completely melted, cook for about 4 minutes.
- Fold in cooked pasta and remove from heat. The pasta will thicken as it stands for a minute or two. If you want to thin out the cream sauce, slowly add in your reserved pasta water to get to your desired consistency. I like my alfredo really thick, so I just added a splash!
- Serve Garlic Sausage Alfredo hot with remaining parsley and additional parmesan as a garnish. You can also serve with a breadstick, side salad, whatever you like!
Nutrition
Please be aware that nutritional values are approximate and intended as a helpful guide
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Thank you for sharing this easy-to-follow recipe. My husband loves alfredo sauce, and the addition of the smoked sausage was the perfect pairing. I will be adding this recipe to my monthly menu for sure.
Awh, yay! I’m so happy you liked it!