Pillowy gnocchi coated in a luscious, creamy tomato sauce with crumbled Italian sausage and a touch of garlic—this Creamy Sausage Gnocchi is comfort food at its finest. Every bite melts in your mouth with rich, savory flavor balanced by the slight tang of tomato and a hint of heat from red pepper flakes. Whether you’re cooking for date night or just need a cozy one-pan meal, this dish delivers big on taste with minimal effort.

What makes it even more irresistible? It comes together in under 30 minutes using just one skillet. The gnocchi cooks right in the sauce, absorbing all that creamy, spiced flavor. Add a handful of chopped basil and a generous dusting of parmesan on top, and you’ve got a restaurant-worthy dinner straight from your kitchen.
What Kind of Gnocchi Should I Use?
Shelf-stable potato gnocchi is perfect for this recipe because it cooks quickly and holds its shape well. You can find it in the pasta aisle of most grocery stores. If you have homemade gnocchi or prefer the refrigerated kind, those work too—just be gentle during cooking, as they tend to be softer.
Ingredients for the Creamy Sausage Gnocchi
Italian Sausage: Mild or spicy, this is the backbone of flavor. It adds depth and richness.
Potato Gnocchi: These tender dumplings soak up the sauce beautifully and add that signature pillowy bite.
Heavy Cream: Brings a silky, indulgent texture to the sauce.
Tomato Paste: Intensifies the savory, tangy element of the cream sauce.
Garlic: A must-have aromatic that lifts the whole dish.
Parmesan Cheese: Adds umami and melts perfectly into the creamy sauce.
Fresh Basil: Offers a fresh, herby contrast to the richness.
Red Pepper Flakes: Optional but recommended for a touch of heat.
Salt and Black Pepper: Essential to season the sauce just right.

How To Make the Creamy Sausage Gnocchi
Step 1: Brown the Sausage
Heat a large skillet over medium heat. Add the Italian sausage and cook until browned and fully cooked, breaking it apart with a spoon as it cooks.
Step 2: Add Aromatics
Stir in the minced garlic and cook for about 30 seconds until fragrant.
Step 3: Create the Sauce Base
Add the tomato paste and red pepper flakes to the skillet. Stir well to coat the sausage.
Step 4: Pour in the Cream
Slowly add the heavy cream, stirring to blend it into the sausage mixture. Let it simmer gently for 2–3 minutes.
Step 5: Cook the Gnocchi in Sauce
Add the uncooked gnocchi directly to the skillet. Stir to combine, cover, and let simmer for 5–6 minutes, or until gnocchi are tender and cooked through.
Step 6: Finish with Cheese and Herbs
Remove from heat and stir in freshly grated parmesan. Top with chopped fresh basil before serving.
How to Serve and Store Creamy Sausage Gnocchi
Serve this dish piping hot straight from the skillet, topped with extra parmesan and a sprinkle of cracked black pepper. It pairs wonderfully with crusty garlic bread or a crisp green salad.
To store leftovers, transfer the gnocchi into an airtight container and refrigerate for up to 3 days. Reheat gently on the stove with a splash of cream or milk to loosen the sauce. Freezing is not recommended, as the cream can separate.
Frequently Asked Questions
Can I make this ahead of time?
Yes, but it’s best enjoyed fresh. If making ahead, prepare the sauce and cook the gnocchi separately, combining them just before serving.
Can I use chicken or turkey sausage?
Absolutely! Chicken or turkey sausage work great and lighten up the dish a bit.
Is there a dairy-free version?
You can substitute coconut cream or a plant-based cream alternative, though the flavor and texture will differ slightly.
Can I add vegetables?
Definitely. Spinach, mushrooms, or chopped sun-dried tomatoes make great additions.
How spicy is this recipe?
With mild sausage and just a pinch of red pepper flakes, it has a mild kick. Use spicy sausage for more heat.
Want More Dinner Ideas?
If this creamy gnocchi hit the spot, try these other satisfying dinner favorites:
- Cheesy Spinach Stuffed Shells for a veggie-packed twist.
- Million Dollar Ravioli Casserole for cheesy pasta comfort.
- Sweet Garlic Chicken in the Crockpot for effortless slow-cooked flavor.
- Sticky Honey Garlic Steak and Rotini when you want bold and saucy.
- One Skillet Spicy Honey BBQ Sausage Pasta if you’re craving smoky heat.
Save This Pin + Share Your Results
📌 Save this recipe to your Pinterest dinner board so you can come back to it any time.
And let me know in the comments how yours turned out. Did you stick with sausage or swap it out? Add a veggie twist?
I love hearing how others make these recipes their own. Questions are welcome too—let’s help each other cook smarter.


Creamy Sausage Gnocchi
- Total Time: 25 minutes
- Yield: Serves 4
Description
A cozy and creamy one-pan dinner made with soft potato gnocchi, flavorful Italian sausage, garlic, tomato paste, and rich cream. Topped with parmesan and fresh basil, it’s a quick yet indulgent comfort meal.
Ingredients
1 lb Italian sausage (mild or spicy)
1 package (16 oz) potato gnocchi
1 cup heavy cream
2 tablespoons tomato paste
2 cloves garlic, minced
½ cup grated parmesan cheese
¼ cup fresh basil, chopped
¼ teaspoon red pepper flakes (optional)
Salt and black pepper to taste
Instructions
- In a large skillet over medium heat, brown the sausage until fully cooked.
- Add minced garlic and cook for 30 seconds until fragrant.
- Stir in tomato paste and red pepper flakes.
- Pour in the heavy cream and simmer for 2–3 minutes.
- Add uncooked gnocchi to the skillet, stir to combine, cover and cook for 5–6 minutes.
- Remove from heat, stir in parmesan cheese, and top with fresh basil.
- Prep Time: 5 minutes
- Cook Time: 20 minutes
- Category: Dinner
