There’s just something amazing about a pasta dish that basically cooks itself, and this Crockpot Creamy Sausage and Spinach Pasta is exactly that kind of meal. It’s rich, cozy, and full of flavor, but still incredibly simple to throw together on a busy day. I love how the creamy sauce slowly comes together in the slow cooker while the sausage infuses everything with that delicious, savory taste. The spinach adds a nice pop of color and freshness, making the whole dish feel a little more balanced and wholesome.
What makes this recipe even better is how family-friendly it is. Kids love the creamy pasta, adults love the hearty sausage, and I love that I don’t have to stand over the stove to make it happen. With minimal prep and maximum comfort, this dish is perfect for weeknights, potlucks, or anytime you want a warm, satisfying dinner without the hassle.
Crockpot Creamy Sausage and Spinach Pasta Recipe
Classic Creamy Sausage and Spinach Pasta
A comforting, rich pasta dish with tender sausage and silky spinach.
Ingredients:
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Italian sausage
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Spinach
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Pasta
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Cream
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Garlic
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Broth
Steps to Make (Classic Creamy Sausage and Spinach Pasta)
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Add sausage, garlic, broth, and seasonings to crockpot.
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Cook 3–4 hours on low.
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Add pasta, cream, and spinach in last 30 minutes.
Nutritional Information (Per Serving): 520 calories
Creamy Sausage and Spinach Pasta with Mushrooms
Earthy mushrooms add richness and depth to this creamy pasta.
Ingredients:
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Sausage
-
Spinach
-
Mushrooms
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Pasta
-
Cream
-
Broth
Steps to Make (Creamy Sausage and Spinach Pasta with Mushrooms)
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Add sausage, mushrooms, broth, and cream to crockpot.
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Cook 4–5 hours on low.
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Stir in pasta and spinach near the end.
Nutritional Information (Per Serving): 525 calories
Tomato Cream Sausage and Spinach Pasta
A smooth tomato-cream sauce brings cozy, comforting flavor.
Ingredients:
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Sausage
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Spinach
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Pasta
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Tomato sauce
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Cream
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Garlic
Steps to Make (Tomato Cream Sausage and Spinach Pasta)
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Add sausage, tomato sauce, garlic, and cream.
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Cook 4–6 hours.
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Stir in pasta and spinach at the end.
Nutritional Information (Per Serving): 490 calories
Sausage, Spinach, and Sun-Dried Tomato Pasta
Bright and rich with tangy sun-dried tomatoes.
Ingredients:
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Sausage
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Spinach
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Sun-dried tomatoes
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Pasta
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Cream
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Broth
Steps to Make (Sausage, Spinach, and Sun-Dried Tomato Pasta)
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Add sausage, tomatoes, cream, and broth.
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Cook 4–5 hours.
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Add pasta and spinach before serving.
Nutritional Information (Per Serving): 515 calories
Sausage and Spinach Alfredo Pasta
Source: Pinterest
Creamy Alfredo adds indulgent flavor to this slow-cooked pasta.
Ingredients:
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Sausage
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Spinach
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Alfredo sauce
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Pasta
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Broth
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Garlic
Steps to Make (Sausage and Spinach Alfredo Pasta)
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Add sausage, Alfredo sauce, broth, and garlic.
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Cook 4–6 hours.
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Stir in pasta and spinach last.
Nutritional Information (Per Serving): 560 calories
Cajun Creamy Sausage and Spinach Past
Source: Pinterest
Spicy Cajun seasoning brings bold flavor to this creamy dish.
Ingredients:
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Sausage
-
Spinach
-
Pasta
-
Cream
-
Cajun seasoning
-
Broth
Steps to Make (Cajun Creamy Sausage and Spinach Pasta)
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Add sausage, broth, Cajun seasoning, and cream.
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Cook 4–5 hours.
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Add pasta and spinach at the end.
Nutritional Information (Per Serving): 535 calories
Creamy Sausage and Spinach Pasta with Zucchini
A veggie-rich pasta with tender zucchini.
Ingredients:
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Sausage
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Zucchini
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Spinach
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Pasta
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Cream
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Onion
Steps to Make (Creamy Sausage and Spinach Pasta with Zucchini)
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Add sausage, zucchini, onion, cream, and broth.
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Cook 4–6 hours.
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Add pasta and spinach last.
Nutritional Information (Per Serving): 480 calories
Lemon Garlic Sausage and Spinach Pasta
View this post on Instagram
Bright lemon and garlic add refreshing flavor to this creamy pasta.
Ingredients:
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Sausage
-
Spinach
-
Lemon zest
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Pasta
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Cream
-
Garlic
Steps to Make (Lemon Garlic Sausage and Spinach Pasta)
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Add sausage, lemon zest, garlic, and cream.
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Cook 4–5 hours.
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Stir in pasta and spinach before serving.
Nutritional Information (Per Serving): 460 calories
Creamy Sausage and Spinach Pasta with Bell Peppers
Colorful peppers add sweetness and balance to the rich sauce.
Ingredients:
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Sausage
-
Bell peppers
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Spinach
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Pasta
-
Cream
-
Broth
Steps to Make (Creamy Sausage and Spinach Pasta with Bell Peppers)
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Add sausage, peppers, broth, and cream.
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Cook 4–6 hours on low.
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Add pasta and spinach near the end.
Nutritional Information (Per Serving): 495 calories
Pesto Sausage and Spinach Pasta
View this post on Instagram
Savory pesto blends perfectly with creamy sausage and tender pasta.
Ingredients:
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Sausage
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Spinach
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Pesto
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Pasta
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Cream
-
Broth
Steps to Make (Pesto Sausage and Spinach Pasta)
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Add sausage, pesto, broth, and cream.
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Cook 4–5 hours.
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Stir in pasta and spinach before serving.
Nutritional Information (Per Serving): 540 calories
Sausage, Spinach, and White Bean Creamy Pasta
Creamy, hearty, and full of protein-rich white beans.
Ingredients:
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Sausage
-
Spinach
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White beans
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Pasta
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Cream
-
Broth
Steps to Make (Sausage, Spinach, and White Bean Creamy Pasta)
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Add sausage, beans, broth, and cream.
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Cook 4–6 hours.
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Add pasta and spinach at the end.
Nutritional Information (Per Serving): 510 calories
Creamy Sausage and Spinach Pasta with Peas
Sweet peas add brightness and extra texture.
Ingredients:
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Sausage
-
Spinach
-
Peas
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Pasta
-
Cream
-
Onion
Steps to Make (Creamy Sausage and Spinach Pasta with Peas)
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Add sausage, peas, onion, cream, and broth.
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Cook 4–6 hours.
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Stir in pasta and spinach near the end.
Nutritional Information (Per Serving): 470 calories
Sausage, Spinach, and Roasted Garlic Pasta
Rich roasted garlic brings deep, cozy flavors to this creamy pasta.
Ingredients:
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Sausage
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Spinach
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Roasted garlic
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Pasta
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Cream
-
Broth
Steps to Make (Sausage, Spinach, and Roasted Garlic Pasta)
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Add sausage, roasted garlic, cream, and broth.
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Cook 4–5 hours.
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Add pasta and spinach before serving.
Nutritional Information (Per Serving): 520 calories
Sausage and Spinach Alfredo Pasta
Alfredo sauce brings extra creaminess and bold flavor.
Ingredients:
-
Sausage
-
Spinach
-
Alfredo sauce
-
Pasta
-
Broth
Steps to Make (Sausage and Spinach Alfredo Pasta)
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Add sausage, broth, and Alfredo sauce.
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Cook 4 hours on low.
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Add pasta and spinach near the end.
Nutritional Information (Per Serving): 565 calories
Creamy Tomato Sausage and Spinach Pasta
A cozy mix of creamy tomato sauce and savory sausage.
Ingredients:
-
Sausage
-
Spinach
-
Tomato sauce
-
Pasta
-
Cream
Steps to Make (Creamy Tomato Sausage and Spinach Pasta)
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Add sausage, tomato sauce, and broth.
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Cook 4 hours.
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Stir in cream, pasta, and spinach at the end.
Nutritional Information (Per Serving): 540 calories
Sausage Spinach Pasta with Mushrooms
Earthy mushrooms add depth and richness to every bite.
Ingredients:
-
Sausage
-
Mushrooms
-
Spinach
-
Pasta
-
Cream
Steps to Make (Sausage Spinach Pasta with Mushrooms)
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Add sausage, mushrooms, broth, and garlic.
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Cook 4 hours on low.
-
Add spinach, pasta, and cream near the end.
Nutritional Information (Per Serving): 510 calories
Cajun Creamy Sausage and Spinach Pasta
A spicy, bold twist full of smoky Cajun flavor.
Ingredients:
-
Sausage
-
Spinach
-
Cajun seasoning
-
Pasta
-
Cream
Steps to Make (Cajun Creamy Sausage and Spinach Pasta)
-
Add sausage, broth, Cajun seasoning, and garlic.
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Cook 3–4 hours.
-
Add cream, pasta, and spinach last.
Nutritional Information (Per Serving): 530 calories
Cream Cheese Sausage and Spinach Pasta
Extra creamy with a tangy, rich cream cheese base.
Ingredients:
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Sausage
-
Spinach
-
Cream cheese
-
Pasta
-
Broth
Steps to Make (Cream Cheese Sausage and Spinach Pasta)
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Add sausage, broth, garlic, and cream cheese.
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Cook 4 hours.
-
Stir in pasta and spinach.
Nutritional Information (Per Serving): 575 calories
Sausage, Spinach & Sun-Dried Tomato Pasta
A flavorful Mediterranean-inspired creamy pasta.
Ingredients:
-
Sausage
-
Spinach
-
Sun-dried tomatoes
-
Pasta
-
Cream
Steps to Make (Sausage, Spinach & Sun-Dried Tomato Pasta)
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Add sausage, tomatoes, broth, and garlic.
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Cook 4 hours.
-
Add pasta, cream, and spinach at the end.
Nutritional Information (Per Serving): 550 calories
Creamy Sausage and Spinach Tortellini
Cheese-filled tortellini makes this extra comforting.
Ingredients:
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Sausage
-
Spinach
-
Tortellini
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Cream
-
Broth
Steps to Make (Creamy Sausage and Spinach Tortellini)
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Add sausage, broth, and garlic.
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Cook 4 hours on low.
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Add tortellini, cream, and spinach in last 20–30 minutes.
Nutritional Information (Per Serving): 590 calories
Sausage, Spinach & Bell Pepper Pasta
Colorful peppers add sweetness and bright flavor.
Ingredients:
-
Sausage
-
Spinach
-
Bell peppers
-
Pasta
-
Cream
Steps to Make (Sausage, Spinach & Bell Pepper Pasta)
-
Add sausage, peppers, broth, and garlic.
-
Cook 4 hours.
-
Add pasta, spinach, and cream at the end.
Nutritional Information (Per Serving): 500 calories
Lemon Cream Sausage and Spinach Pasta
Zesty lemon adds a fresh, bright finish to the creamy sauce.
Ingredients:
-
Sausage
-
Spinach
-
Lemon zest
-
Cream
-
Pasta
Steps to Make (Lemon Cream Sausage and Spinach Pasta)
-
Add sausage, broth, garlic, and lemon zest.
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Cook 3–4 hours on low.
-
Add pasta, cream, and spinach to finish.
Nutritional Information (Per Serving): 495 calories
FAQ
Can I use any type of sausage for this recipe?
Yes! Italian sausage, chicken sausage, turkey sausage, or smoked sausage all work well. Use your favorite flavor profile.
Do I need to cook the sausage before putting it in the crockpot?
If using raw sausage, it’s best to brown it first for better flavor and texture. Fully cooked sausage can go in directly.
When should I add the pasta?
Always add pasta in the last 20–30 minutes so it cooks perfectly without turning mushy.
Can I use frozen spinach?
Definitely! Add frozen spinach straight in—no thawing needed. It blends smoothly into the creamy sauce.
Can I use a different pasta shape?
Yes! Penne, rotini, shells, bowtie, or rigatoni all work great. Just monitor for doneness at the end.
How can I make it extra creamy?
Stir in cream cheese, heavy cream, Parmesan, or mozzarella at the end to boost creaminess.
Can I make this recipe lighter?
Absolutely. Use half-and-half, low-fat cream cheese, turkey sausage, or whole wheat pasta for a lighter version.
Will dairy curdle in the crockpot?
To avoid curdling, add dairy ingredients (cream, milk, cheese) near the end on LOW and stir gently.
Can I add more vegetables?
Yes! Mushrooms, tomatoes, zucchini, bell peppers, peas, or onions make great additions.
Can I use gluten-free pasta?
Yes, but add it only in the last 15–20 minutes because gluten-free pasta cooks faster and softens easily.
How do I prevent the pasta from getting mushy?
Add pasta late, stir gently, and avoid cooking on HIGH once pasta is added.
Can I prep this ahead of time?
Yes—prep everything except pasta and dairy. Add those fresh when you’re ready to cook.
How long does this recipe take in the crockpot?
Usually 4–6 hours on LOW or 2–3 hours on HIGH before adding pasta.
Can I freeze leftovers?
Cream-based pasta isn’t ideal for freezing, as pasta may soften. Freeze only the sausage + sauce and add fresh pasta when reheating.

I’m Priscilla Swahn, a registered dietitian with a master’s degree in nutritional sciences. With over a decade of experience in holistic nutrition, I specialize in creating delicious keto recipes to help you enjoy a healthy lifestyle. On iKetoMom, you’ll find a variety of recipes for every meal—hearty breakfasts, satisfying lunches, mouthwatering dinners, indulgent desserts, and refreshing drinks. My recipes make keto living easy and enjoyable for the whole family. Featured in EatingWell and MindBodyGreen, I also collaborate with health centers and corporate companies to share my expertise. Join me and discover the joy of keto cooking!




