
This sausage and sweet pepper pasta combines mouthwatering Italian sausage with slowly cooked bell peppers, making a filling family meal that's ready in only 35 minutes. The peppers cook down to a sweet, jam-like texture while the sausage gives it a rich, meaty kick—it's no wonder my family asks for this dish at least twice every month.
I whipped up this pasta for the first time during a hectic week when I wanted something quick but filling. The way those peppers turn so sweet with a splash of balsamic vinegar turned a basic pasta into something special. Now my husband actually suggests it whenever we're having friends over for dinner.
What You'll Need
- Italian sausage: Forms the tasty foundation and can be hot or mild based on what you like
- Bell peppers: They're what makes this dish shine—go for red or yellow ones since they're naturally sweeter and caramelize wonderfully
- Tomato paste: Gives deep flavor that helps make the sauce smooth without needing any cream
- Balsamic vinegar: Adds a bit of tang and richness that works against the sweetness from the peppers
- Brown sugar: Lets the peppers caramelize better and get that jam-like feel
- Short cut pasta: Think rigatoni or penne that will grab all that yummy sauce in their grooves and holes
How To Make It
- Brown the Sausage:
- Warm up a big skillet over medium high heat with no oil since the sausage makes its own fat. Break the meat into tiny bits as it cooks and don't stir too much at first so it gets nice and brown. After it's cooked through in about 5 to 7 minutes put in the spoonful of tomato paste and keep stirring for around 90 seconds until it gets a bit darker and smells amazing. This really brings out the rich flavor that makes your sauce taste so good.
- Soften the Peppers and Onions:
- In that same pan with all the tasty sausage bits drip in some olive oil then add your sliced onions and peppers. Don't rush this part—good caramelization needs at least 15 minutes. Stir now and then but not all the time so the natural sugars can develop as the peppers get super soft. When they look shiny and have shrunk down quite a bit add the rest of your tomato paste garlic brown sugar oregano and balsamic vinegar. You'll end up with an amazingly fragrant sweet-savory jam-like mixture.
- Boil the Pasta:
- While those peppers are cooking fill a pot with water and bring it to a hard boil. Add enough salt so it tastes like the ocean about a tablespoon and cook your pasta for one minute less than what the box says. We're doing this on purpose since the pasta will finish cooking in the sauce. Save half a cup of that starchy cooking water before you drain it helps make your sauce extra smooth.
- Mix Everything Together:
- Put your sausage back in with those caramelized peppers then dump in your drained pasta. Pour about a quarter cup of the saved pasta water and keep stirring over medium heat. You'll see the sauce change becoming shiny and wrapping around each bit of pasta. Add more pasta water a little at a time if needed until everything looks perfectly smooth. The starch in that water helps mix the sausage fat with the liquid making a restaurant-quality sauce that sticks to every bite.

Great To Know
That balsamic vinegar is really the hidden hero in this recipe. I found out how important it was when I made the dish without it once and something just wasn't right. That single teaspoon completely changes the whole flavor, cutting through the sausage's richness and pulling all the ingredients together. Even my daughter who usually picks out every pepper from her food actually asks for this dish specifically.
Prep Ahead
This dish actually gets tastier after sitting awhile, so it's great for planning ahead. You can make the sausage and pepper mix up to three days early and keep it in the fridge in a sealed container. When you're ready to eat, just cook some fresh pasta and mix it with the warmed-up sauce, adding a bit of pasta water to freshen it up. The flavors will have mixed together beautifully during their time in the fridge.
Simple Swaps
Don't worry if you're missing some ingredients—you can still enjoy this tasty meal. Ground turkey or chicken works instead of Italian sausage—just add an extra teaspoon of Italian seasoning and some crushed fennel seeds to get that sausage taste. For a meat-free version, try plant-based sausage or chopped portobello mushrooms which feel just as meaty when cooked. Green bell peppers can work too, though they aren't as sweet as the red and yellow ones.
What To Serve With It
This filling pasta is great by itself, but a few easy sides can make it even better. A fresh green salad with lemon juice and olive oil gives a nice crisp contrast to the rich pasta. Some toasted garlic bread is perfect for soaking up any extra sauce. If you're hosting an Italian-style dinner party, start with a simple antipasto plate and finish with store-bought gelato topped with a drizzle of good balsamic vinegar.
Cooking Tricks

Common Recipe Questions
- → Which pasta shapes go well with this?
Chunky pasta types such as rigatoni, penne, or fusilli catch the yummy sauce better than others.
- → Can I make this without meat?
Sure thing, just swap in some veggie sausage or sliced mushrooms instead of regular sausage.
- → How do I make it hotter?
Go for hot Italian sausage or toss in some red pepper flakes to give it extra heat.
- → What works instead of balsamic?
Try a bit of red wine vinegar or a squeeze of fresh lemon juice if you don't have balsamic around.
- → What if my peppers start getting too dry?
Just add a little water or some of the pasta cooking water if you notice the peppers drying out while cooking them.