A great recipe for the various turkey sausages I've been collecting in my freezer (amazing what you find hiding in the recesses when you do a major freezer cleanout....).

I agree - whipping/heavy cream makes the world go 'round :)

This looks and sounds delicious. And what doesn't go well with four bottles of wine. :)

Hehe, Can I be one of the 4 hungry people? But I am on a diet...:(
Soon I will try to make this wonderfull recipe :)
Kisses from Portugal

Ooh! I make this recipe too. It is so good, even if it is insanely rich and a kosher nightmare. Yummers.

Sausage!
Cream!
Pasta!
Parmesan!
Someone restrain me!

Pasta, wine and friends? One of the best combos OUT there. Looks yummy!

Oh my word, Elise...I can hardly wait to get to my house and see if I have fettuccini or if I need to go to the store to get some.

*drools*

You are awesome.

Wow! This looks amazing, Elise. I love hearty pasta dishes, especially those with sausaes.

Yum - this looks delicious! It makes me want to run out to store right now and get the ingredients to have this for dinner tonight. Thanks for sharing!

Yay! I have all the ingredients on hand.
PS I love your blog!

Hi Elise, I make something very similar to this recipe but with 2 8oz. cans of tomato sauce with Italian seasonings and lots of sauteed mushrooms! Yum!

I am going to try this recipe this weekend! This sounds so good. I may have to leave off the spicy sausage, but I am not much into spicy meals.

Would you simply replace the spicy sausage with 1/2lb of regular or sweet sausage to make this not so spicy? Or does the sausage add that much spice to the meal?

Looks wonderful! Brings back memories!

I don't blame your father. :) That looks so good, a person would walk to the grocery store to get the ingredients.

I made this dish for my boyfriend, who is somewhat weary of any dish that is too heavy. He loved this dish! So did I for that matter. I was told from my roommate, who had the leftovers, that the dish looked and tasted like something that she gets from the Italian restaurant she works in. I'll be making this again for sure!

My Husband loved this! He had the leftovers for lunch the following day and he hates leftovers. Excellent!

As the lucky beneficiary of this sausage-cream gravitational force, I can vouch for its goodness (and for its affinity with full-bodied red wine, several glasses of which do tend to make me talk more than usual about stone fruit). I'll look forward to a pluot tart recipe this summer.

Delectable dish! I used a pound of ground sweet Italian sausage for a milder flavor, and it was superb. Grilled asparagus and White Merlot rounded out the goodness. Great site!

This is one of my "signature" dishes and everyone who has tried it, LOVES IT!!! I got it from allrecipes.com a few years ago. I sometimes add "italian" seasoning to the mix and it comes out great! Another WINNER Elise! Keep them coming!!!

p.s. Love you, your family and your site! :-)

While the French make food beautiful through complexity, the Italians make it more beautiful through simplicity. Tonight on BBC's Masterchef programme the likely winner Hannah, who had cooked over-elaborate dished in previous rounds, was sent to an Italian restaurant to learn how to cook a great dish with only four ingredients. Truly inspirational!

I'd be worried about the garlic burning. Wouldn't you cook the sausage first, moving it the edge of the pan and then adding first the shallots, and then the garlic? Just quibbles, tho, this looks like a great recipe; I bought the ingredients yesterday.

I made this recipe Saturday afternoon and it is wonderful! I did make it without the garlic, as my boyfriend is a garlic-hater. It is absolutely, without a doubt, the easiest and most flavorful dish I have made in a very long time. From this moment forward, this fettuccine will be one of my signature dishes. Thank you, thank you, thank you!!!

I am not a huge fan of fetuccine, so I substituted penne and it was divine. Your recipes are always so easy and so good!

I made this dish for my fiance, who is the world's pickiest eater. He took one bite, looked at me and said, "I knew I was marrying you for a reason!" It is absolutely delicious, and makes great leftovers. Thank you, thank you, thank you!

This is so easy and sinfully delicious. My daugher-in-law made it for dinner and everyone asked for the recipe. It's a keeper!! Even the little ones gobbled it up.

Your website has become my cooking bible. I just recently moved in with my significant other and have had to do a crash course approach to cooking dinner. thank you for this recipe - it was delicious! the only thing was that there was a little water-y; if I had added the pasta water, this would've been too water-y. Any ideas why it came out so water-y?

Thank you!

This was wonderful. I did not have cream on hand but I did have sour cream, so I used that with a dab of milk and.....oh yeah, this was great. My ten year old son is somewhat picky and he proudly announced this as a keeper. Thanks.

This turned out great! I use your site all the time for new ideas. Thanks so much and please keep it up!

I just made this and it was great!
It's such an elegant flavour without hours of work. I went with the sweet sausage mostly, but now I wish I had put more spicy sausage in.

I was looking for a belated mother's day meal... I just found it! Thanks! now what for desert? :)

Oh-my-god! This was so good, I almost cried! I used one can of Mexican style tomatoes and 1 can of Italian style tomatoes, 3 cloves of garlic. The sage, the sage, the sage...

Love this recipe. Have made it twice to rave reviews...my boyfriend can't get enough of this! The first time I had no shallots so I used onion instead. The second time I did have shallots so I used those and also added mushrooms and a bit of wine. Wow! Thanks again, Elise for ANOTHER great recipe. You make me look good :)!

I absolutely love this recipe! I have made it about 6 times and each time I add my own little flavor.

One tip that I will say about this recipe is DO NOT FORGET THE SAGE! You will notice that it is missing and it adds that little extra "zing".

I always double up on this recipe as well since there is never any left. When I double up, I have some leftovers for lunch the next day (yummy).

I tend to leave out the shallots as they are pretty potent and cannot chop them up. I end up crying for 3 hours, lol!

Another thing I like to do is get the "flavored" diced tomatoes. The Italian is superb with this dish and really brings out the flavor. And I only use the spicy sausage.

For some extra flavor, try adding spices to your noodles while they boil! I like sea salt with garlic.

How wonderful. I'm going to make this right away. I must be like your dad -- the mention of sausage, and cream, and pasta really sends me into orbit!

I saw this recipe too and ran out to buy the ingredients. It was absolutely DELICIOUS!! I added a cup of spinach for some extra colour and umph!! Kids loved it! Just used mild tho!

Yum. Can't wait to eat this again for lunch tomorrow.

Just cooked it again this weekend, loved it. Better this time around as it simmered for a longer time, reducing the sauce does make a difference. Having leftovers tomorrow for lunch :)

I loved this recipe so much that I made it twice in one weekend. The only change was that I used only sweet sausage and light cream. Yum!

This sounds just like a dish I make but for a bit of that extra something I add a few Tbsp. of unflavored vodka! It really makes the flavors pop!
Thanks for the recipes, your site is yummy!

Anything with Italian sausage (hot or sweet) and heavy cream and pasta is a must try. I've made a similar recipe and have added grilled eggplant as a side dish (which ended up being mixed in with the sauce from the pasta/sausage/heavy cream recipe).. Add a bit of hot pepper flakes for a real "bite"

Wow!! Yummy Yummy in my tummy!!!! A+

I made this tonight with your bruschetta and it was YUM-MY! Even my mother who hates sausage really liked it. I substituted the shallots for a large sweet onion and I used all sweet sausage instead of 1/2 sweet and 1/2 spicy. This one's definitely a keeper! Thanks a bunch!

INCREDIBLE!! I use fresh sage (even the Utah winters cannot seem to completely kill off my sage). It takes the recipe one step further, if possible! I have just recently started to follow this site and I LOVE it! Thanks!

I have this sauce simmering on the stove right now. I used Hunt's Tomato Sauce with 4 cheeses and also added some red wine. It smells awesome. I am letting it simmer for a while before I add the whipping cream because I was afraid it might curdle.

Many thanks for a great recipe.

I made this the other night, it was delicious but I had to do the shallots/garlic twice because they burned the first time. Any tips on avoiding this? Start out on a lower heat perhaps? And what kind of pan is best? I think my pot might've been a part of the problem. It was amazing though and so easy! Thanks!

I burn garlic all the time. I think the best thing to do is to pay attention while cooking and not look away. You can also lower the heat. ~Elise

This looks wonderful - will be buying the ingredients tonight on my way home from work! Has anyone tried a baked version of this (maybe a different shaped pasta, and some kind of cheesy topping)?

Wow! My family loved it. A bottle of wine, Kalamata bread & tomatoes & mozzarella salad goes beautifully with this dish!

This looks fantastic! I have a question though, since I'm not familiar with sausages, but is it possible to make it with only sweet sausages? I have some people who can't eat spicy and I'm not sure if they'd be able to take spicy sausages :)

Sure, if you don't like spicy sausage, use sweet. ~Elise