Creamy Chilli Tomato Pasta with Sausage
If you need a quick, flavour-packed weeknight dinner this spicy creamy chilli tomato sausage pasta is it. Best with Wild Venison or Wild Pork Sausage (Wild Game Option).

It’s rich, slightly spicy, cheesy, and comes together in under 30 minutes. The sausage adds depth and seasoning, the chilli brings heat, and the cream balances everything into a silky, comforting sauce.
Perfect for feeding a crowd or as meal prep.
Why You’ll Love This Creamy Chilli Tomato Sausage Pasta
- Quick and easy: One pan, one pot and dinner on the table in around 30 minutes. No complicated ingredients or unnecessary fuss.
- Packed with flavour: The sausages do most of the heavy lifting, while the tomato paste, smoked paprika and cream create a rich, slightly smoky sauce.
- Adjustable spice: I’m not huge on burning spice, so you can easily dial the chilli up or down depending on who you’re feeding.
- Perfect for using wild game: Venison or wild pork sausages work beautifully in this recipe, especially if you’ve got a freezer full of them!
- That creamy sauce: The cream balances the acidity of the tomatoes, while a splash of pasta water helps everything cling to the pasta.
- Leftovers are elite: It’s just as delicious the next day, making it great for meal prep or work lunches.
It’s simple ingredients done properly, which is always better than overcomplicating dinner!
What Sausages Should I Use?
Honestly? Use good ones. The sausage is doing most of the flavour work in this chilli tomato sausage pasta recipe.
Best Options
• Venison Sausages
My personal favourite if you’ve got them. They add a slightly gamey, richer flavour and keep the dish a bit leaner. Perfect if you’re trying to use up your wild game sausages taking over the freezer!
• Pork Sausages
Classic, juicy, and full of flavour. Italian-style or herbed pork sausages work beautifully here. Even Wild Pork ones would be pretty tasty!
• Beef Sausages
A bit richer and heartier. Great if you want a deeper, more savoury flavour.
Tips for the Best Creamy Chilli Tomato Sausage Pasta
Don’t overcook the pasta. Cook it until just al dente, as it’ll continue to soften slightly when you toss it through the hot sauce. Nobody wants mushy pasta!
Brown your sausages properly. Give them a chance to develop a nice golden colour before adding the tomatoes. Those browned bits in the pan add heaps of flavour to the sauce.
Save some pasta water. Before draining your pasta, scoop out a little of that starchy cooking water. Adding a splash to the sauce helps loosen it up and gives everything that lovely silky finish.
Keep the heat low when adding cream. Once the tomato sauce has simmered, turn the heat down before stirring in the cream and cheese. This helps keep the sauce smooth rather than splitting.
Taste before serving. Depending on which sausages you use, you might need a little extra salt, chilli or cheese to get the flavour just right.

Adjust the Heat
This chilli tomato sausage pasta has a noticeable but manageable kick.
To tone it down:
- Reduce chilli flakes
- Skip extra black pepper
To turn it up:
- Add more chilli flakes
- Add a pinch of cayenne
- Finish with chilli oil
Easy Variations and Add-Ins
One of the best things about this creamy chilli tomato sausage pasta is how easy it is to change depending on what’s in the fridge.
- Add spinach: Stir through a handful of baby spinach just before serving and let it wilt into the sauce.
- Throw in some mushrooms: Slice them up and cook them with the onion for a little extra flavour.
- Make it extra cheesy: Add a sprinkle of parmesan or mozzarella on top before serving.
- Swap the pasta shape: Penne, spirals, rigatoni or spaghetti all work. I personally like pasta shapes that catch plenty of sauce.
- Use sausage meat instead: Remove the casings and crumble the sausage meat into the pan for a more even distribution throughout the pasta.
It’s a pretty forgiving recipe, so don’t be afraid to use what you’ve already got!
What to Serve With Creamy Chilli Tomato Sausage Pasta
Honestly, this pasta is a pretty decent meal on its own, especially when you’re after something quick and filling.
But if you’re feeding a few extra people or want to make a proper dinner out of it, you can’t go wrong with some warm garlic bread. It’s perfect for mopping up all that creamy tomato sauce!
A simple green salad with a light dressing also works nicely if you want something fresh alongside the rich pasta.
And obviously, an extra sprinkle of grated cheese on top never goes astray.
Storage of Chilli Tomato Sausage Pasta
Store leftovers in an airtight container in the fridge for up to 3 days. Reheat gently with a splash of water or cream to loosen the sauce. This is one of those recipes that goes into the weekly rotation without even trying. It feels comforting but still has personality. It’s not boring, it’s not bland, it’s not “kid food”.
Share Your Chilli Tomato Sausage Pasta!
Made this chilli tomato sausage pasta recipe? I’d love to hear about it! Share your creation and tag @Sara_elcock on Instagram or Tiktok. #OldMateEats

Creamy Chilli Tomato Pasta with Sausage
Ingredients
- 400 grams dried pasta (any is fine – penne, spaghetti, spirals, etc.)
- 400 grams sausages
- 1 tbsp olive oil
- 1 small onion finely diced
- 3 cloves garlic minced (or 2 tsp from jar)
- 1 tsp chilli flakes (adjust to heat preference)
- 400 grams canned chopped tomatoes
- 2 tbsp tomato paste
- ½ tsp smoked paprika
- ½ tsp dried oregano
- 100 ml cream
- 50 grams grated cheese (plus extra for serving)
- Salt & Pepper (to taste)
Instructions
- Bring a large pot of salted water to the boil and cook pasta until al dente. Before draining, reserve about ½ cup of pasta water this is liquid gold for sauces.
- Heat olive oil in a large pan over medium heat. Add onion, garlic, and chilli flakes. Cook for 3-4 minutes until softened and smelling unreal.
- Add sausages to the pan and brown them on the outside. Once golden, remove them, slice into rings, and return to the pan. Cook until fully done. (Pro tip: You can also remove the sausage meat from the casing and cook it crumbled straight in the pan if you want it more evenly distributed through the sauce.)
- Stir in tomato paste, smoked paprika, and oregano.Let it cook for 1-2 minutes, this deepens the flavour. Add chopped tomatoes. Season with salt and pepper. Simmer for about 10 minutes until the sauce thickens and looks glossy.
- Lower the heat and stir in the cream and grated cheese. If it feels too thick, add a splash of reserved pasta water until silky.
- Add drained pasta to the pan and toss until everything is coated. Finish with fresh herbs and more cheese (obviously). Serve immediately while everyone pretends they weren’t already picking at it.
Notes
Use good-quality sausages they bring most of the flavour to this dish. Venison is what I used…Pork, beef, or even spicy Italian-style sausages work best. If you like more sauce coverage, remove the meat from the casing and cook it crumbled instead of slicing. • Pasta water is your best friend
Reserved pasta water helps loosen the sauce and makes it silky so it clings properly to the pasta. Add a splash at a time until it’s glossy. • Adjust the heat to your crowd
1 tsp chilli flakes gives a gentle kick. Add more if you like it spicy, or reduce if cooking for kids. • Cream goes in last
Lower the heat before adding cream to prevent splitting and keep the sauce smooth. • If it tastes flat…
Add a pinch of salt, a squeeze of lemon, or a tiny bit more cheese. Pasta usually just needs a little balancing. • Leftovers thicken
The sauce will thicken in the fridge. Reheat gently with a splash of water or cream to bring it back to life.
Love this easy weeknight dinner? Share your creation on Instagram, or TikTok and tag me so I can see your delicious results! #OldMateEats
Looking for another easy dinner idea? Check out my Smoky BBQ Pulled Venison recipe! It’s packed with flavour and another great way to use up some of that wild game in the freezer.
