Italian Sausage Pasta served in two bowls - one with zucchini noodles, one with fusilli
5 from 1 vote

Italian Sausage Pasta (with Fusilli or Zucchini Noodles)

This Italian Sausage Pasta recipe comes in two versions: One classic Italian version with fusilli pasta, one low carb alternative using zucchini noodles (zoodles) as a healthy low-calorie alternative! 

Course Main Course
Cuisine Italian
Keyword healthy pasta dishes, Italian recipes, Italian sausage recipes, Italian Sausage Sauce, pasta recipes, weeknight dinner, zoodles recipes, zucchini noodles
Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Servings 4
Calories 499 kcal


  • 4 mild Italian sausages casing removed, broken in bite-size pieces (about 400 g - 14oz)
  • 1 onion chopped
  • 3 garlic cloves
  • 200 g mushrooms 7 oz, sliced
  • 3 tbsp balsamic vinegar
  • 1 cup crushed tomatoes
  • 1/2 tsp dried oregano
  • 1 pinch hot pepper flakes
  • sea salt optional - to taste
  • 4 tbsp freshly grated parmesan optional - leave out to keep dairy free, paleo & Whole30
  • 3/4 cups unpacked fresh basil leaves

Pasta (choose one of the two)

  • 4 medium zucchini peeled or not, to taste
  • 14 oz fusilli pasta 400 g, or farfalle, penne or rigatoni


  1. Heat a large skillet over medium heat. Add sausage, onion, and garlic. Cook for about 5 minutes, until onion starts to soften. 

  2. Add mushrooms and cook for 2 minutes. Add balsamic vinegar, crushed tomatoes, oregano, and hot pepper flakes. Reduce to low heat, cover and simmer for 20 minutes, stirring from time to time. Season with salt to taste.

  3. Meanwhile, prepare pasta. If you're making regular pasta, boil a big pot of water and cook pasta according to package instructions until al dente; drain. If you're making zucchini pasta, use your spiralizer (I use this one) to form zoodles and set aside.
  4. Spoon sauce over pasta or zucchini noodles; sprinkle with parmesan if using and basil; serve immediately.

Recipe Notes

Nutritional facts using pasta: 
Cal: 787.5 - Protein: 30.6g - Fat: 33g - Carbs: 90.3g - Fiber: 5.6g - Sugar: 12.2g 

Inspired from Canadian Living magazine "Easy Does It'



Nutrition Facts
Italian Sausage Pasta (with Fusilli or Zucchini Noodles)
Amount Per Serving (1 zucchini noodles + 1/4th sauce)
Calories 499 Calories from Fat 333
% Daily Value*
Total Fat 37g 57%
Saturated Fat 13g 65%
Cholesterol 89mg 30%
Sodium 997mg 42%
Potassium 1211mg 35%
Total Carbohydrates 18g 6%
Dietary Fiber 4g 16%
Sugars 11g
Protein 23g 46%
Vitamin A 17.6%
Vitamin C 57.9%
Calcium 15.2%
Iron 19.2%
* Percent Daily Values are based on a 2000 calorie diet.