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4.8 from 5 votes

Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage

This is the perfect winter pasta recipe to take you through those cold weather months. Grab a big bowl and curl up in front of the fireplace or TV to enjoy this winter pasta with sausage.
Prep Time20 mins
Cook Time25 mins
Total Time45 mins
Course: Noodles and Pasta
Cuisine: American
Keyword: winter pasta
Servings: 4 servings
Calories: 673kcal
Author: Sarah


  • 8 oz. sweet Italian sausage (225g)
  • extra virgin olive oil
  • 8 oz. dried short cut pasta (225g, such as farfalle or rigatoni)
  • 1/4 cup fresh sage leaves
  • 2 tablespoons butter
  • 1 lb mushrooms (450g, such as cremini, shiitake, oyster, or chanterelles)
  • 1/2 teaspoon fresh thyme leaves
  • 3 cloves garlic (chopped)
  • salt and pepper
  • 1/2 cup half and half or heavy cream (120 ml)
  • ½ cup toasted walnuts
  • 2 tablespoons fresh parsley (chopped)
  • shaved parmesan or romano cheese


  • Remove the sausage from the casings, and form into small meatballs. In a skillet, add a tablespoon of olive oil and fry the meatballs until browned, crisp, and cooked through. Remove the meatballs with a slotted spoon and set aside on a plate.
  • Bring a pot of salted water to a boil for the pasta and cook according to package instructions, undercooking the pasta by 1-2 minutes. Drain, reserving about a cup of the cooking liquid.
  • Meanwhile, add another tablespoon olive oil to the skillet and add the sage. Once the sage is crisp, remove from the pan and set aside on a plate. Add 2 tablespoons butter to the skillet and cook the mushrooms until caramelized, along with the fresh thyme. Add the garlic and salt and pepper to taste. Cook for 3 minutes.
  • Add the half and half, along with the pasta, meatballs, and parsley. If the sauce needs to be loosened up a bit, add a bit of the reserved pasta water until you reach the desired consistency. Transfer to a serving bowl and top with the crispy sage, walnuts, and cheese. Serve!


Calories: 673kcal | Carbohydrates: 51g | Protein: 24g | Fat: 43g | Saturated Fat: 15g | Cholesterol: 73mg | Sodium: 568mg | Potassium: 754mg | Fiber: 4g | Sugar: 4g | Vitamin A: 490IU | Vitamin C: 7.6mg | Calcium: 143mg | Iron: 2.6mg