Instant Pot Creamy Tomato and Sausage Pasta
If you’re looking for a comforting, rich, and satisfying dinner that comes together fast, this Instant Pot creamy tomato and sausage pasta is about to become your new go-to. It’s packed with flavor, uses basic ingredients you can find at most grocery stores, and is perfect for busy weeknights when you need a delicious dinner idea without the hassle.
This creamy pasta dish combines savory italian sausage, a rich tomato cream sauce, and tender pasta cooked to al dente perfection—all in one pot. If you love easy recipes that feed the entire family, you’re in the right place.
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Why You’ll Love This Creamy Tomato and Sausage Pasta
This is one of those easy instant pot recipes you’ll keep coming back to.
- Made with simple pantry staples
- One-pot meal with minimal cleanup
- Perfect for busy weeknights
- Rich and creamy sauces without extra work
- A family favorite that even picky eaters love
Whether it’s your first time using a pressure cooker or you’re already a pro with instant pot pasta recipes, this one is simple and reliable.

Ingredients You’ll Need for Creamy Tomato and Sausage Pasta
Here’s what you’ll need to make this creamy sausage pasta:
- 1 pound italian sausage (or pork sausage or ground sausage)
- 2 cups chicken broth (you can make this in your instant pot too)
- 12 ounces of pasta (penne pasta works great, but you can use different pasta shapes)
- 1 cup heavy cream
- 1 teaspoon garlic powder
- 1 teaspoon oregano or italian seasoning
- Pepper to taste
- 1 (8 ounce) block cream cheese, sliced
- 1 can fire roasted tomatoes
- 5 ounces baby spinach
- Parmesan cheese for topping
Optional additions:
- Red pepper flakes for heat
- Red bell pepper or bell peppers for extra flavor
- A drizzle of olive oil for richness
How to Make Instant Pot Creamy Tomato and Sausage Pasta
Step 1: Brown the Sausage
Set instant pot to the sauté feature. Add the italian sausage and cook until browned. Break it up with a wooden spoon as it cooks. Once done, remove and set aside.

Step 2: Deglaze the Pot
Add 1–2 tablespoons of chicken broth to the bottom of the pot. Use your wooden spoon to scrape up any browned bits. This helps prevent the burn notice.
Step 3: Add the Pasta
Add the uncooked pasta and spread it evenly across the bottom of the pot.
Step 4: Add Liquids
Pour in the remaining chicken broth and heavy cream. Do not stir. Press the pasta down gently until it’s mostly submerged.

Step 5: Season and Layer
Sprinkle garlic powder, oregano, and pepper evenly over the top of the pasta.
Layer the cream cheese slices on top of the pasta. Then pour the fire roasted tomatoes over the top of pasta—again, do not stir.

Step 6: Pressure Cook
Place the lid on and set instant pot to high pressure (manual mode) for a cook time of 4 minutes.
Step 7: Quick Release
Once the cooking time is up, carefully turn the pressure valve to release the pressure using a quick release.
Step 8: Finish the Dish
Remove the lid and give everything a good stir. Add the cooked sausage and baby spinach. Stir until the spinach wilts and everything is creamy.

Tips for the Best Creamy Tomato and Sausage Pasta
- Follow the general rule of thumb: don’t stir before pressure cooking to avoid uneven cooking
- Make sure pasta is fully under liquid for proper pressure cooking
- Use penne pasta or another sturdy type of pasta so it holds up well
- Add extra chicken broth next time if you like a thinner sauce
Variations and Substitutions
- Swap hot italian sausage for chicken sausage
- Add cloves garlic instead of garlic powder for a stronger flavor
- Stir in a jar of marinara sauce for a deeper red sauce base
- Add red pepper flakes for spice
- Mix in bell peppers for extra texture
Storage and Reheating
Store leftovers in an airtight container in the fridge for up to 3 days.
To reheat, add a splash of chicken broth or heavy cream to loosen the sauce before warming.
Helpful Notes for Beginners
If this is your first time using a pressure cooker, don’t worry—this recipe is very forgiving.
- Always check your pressure settings before starting
- Make sure the pressure valve is sealed before cooking
- Use quick release carefully to avoid steam burns
- Stir well after cooking to combine the creamy tomato sauce
Frequently Asked Questions
Can I use a different type of pasta?
Yes! Different pasta shapes work well, but keep cooking time similar. Just aim for al dente texture.
Can I make this in slow cookers instead?
This recipe is designed for pressure cooking, but you could adapt it for slow cookers with adjusted liquid and cook time.
Can I use other appliances like air fryers or toaster ovens?
Not for this recipe. It’s best made in a pressure cooker like the Instant Pot.
Why This Recipe Works
This delicious instant pot pasta recipe works because everything cooks together at the same time. The starch from the pasta helps thicken the creamy tomato sauce, while the cream cheese and heavy cream create that rich, comforting texture.
It’s one of those easy recipes that feels fancy but takes very little effort—perfect for a quick and easy weeknight dinner.
Final Thoughts
This Instant Pot creamy tomato and sausage pasta is one of those easy recipes that checks all the boxes. It’s quick, filling, and packed with flavor. With simple, basic ingredients like chicken broth, heavy cream, cream cheese, and italian sausage, you can create a creamy pasta dish that tastes like it took way more effort than it actually did.
It’s perfect for busy weeknights when you need a reliable meal the entire family will enjoy. The combination of a rich tomato cream sauce, tender pasta cooked to al dente, and a hearty sausage mixture makes this a true family favorite you’ll want to keep in your regular rotation.
If this is your first time trying instant pot pasta recipes, this is a great place to start. Once you get comfortable with pressure cooking and quick release, you’ll find yourself coming back to recipes like this again and again.
Next time, feel free to switch up the type of pasta, try chicken sausage instead of pork sausage, or add extras like red bell pepper or red pepper flakes for a little kick. However you make it, this is a delicious dinner idea that’s sure to become one of your go-to easy instant pot recipes.

Instant Pot Creamy Tomato and Sausage Pasta
Equipment
- Instant Pot (or pressure cooker)
- wooden spoon
- Measuring cups and spoons
- Knife and cutting board
- Ingredients
Ingredients
- 1 pound italian sausage or pork sausage or ground sausage
- 2 cups chicken broth
- 12 ounces pasta penne pasta or your favorite type of pasta
- 1 cup heavy cream
- 1 teaspoon garlic powder
- 1 teaspoon oregano or italian seasoning
- Pepper to taste
- 8 oz cream cheese, sliced
- 14 0z fire roasted tomatoes
- 5 ounces baby spinach
- Parmesan cheese for topping
- Optional: red pepper flakes, olive oil, red bell pepper or other bell peppers
Instructions
- Set instant pot to sauté feature and brown the italian sausage, breaking it apart with a wooden spoon. Remove and set aside.
- Add 1–2 tablespoons of chicken broth to deglaze the pot, scraping the bottom.
- Add pasta and spread evenly across the bottom of the pot.
- Pour in remaining chicken broth and heavy cream without stirring. Press pasta down gently until submerged.
- Sprinkle garlic powder, oregano, and pepper over the top of pasta.
- Layer cream cheese slices on top, then pour fire roasted tomatoes over the top without stirring.
- Place lid on, set instant pot to high pressure, and cook for 4 minutes.
- Carefully perform a quick release using the pressure valve.
- Remove lid and stir well to create a creamy tomato sauce.
- Add cooked sausage and baby spinach, stir until spinach wilts.
- Serve topped with parmesan cheese.
