If you’re looking for a delicious comfort food dish, look no further. This Roasted Red Pepper Tortellini Alfredo with Sausage is comfort food done right! It’s a thirty minute meal family and friends will love!
Two of my faves…Alfredo sauce and roasted red peppers. So why not combine the two to make an incredibly flavorful sauce, add some tortellini, sweet Italian sausage and fresh basil?
My husband Tom could not get enough of this dish guys. He loaded his plate and even went in for seconds. Perhaps thirds. But who’s counting?
I made it a few weeks back and even shared (to Tom’s dismay) with my older sister Momo and her husband Clark. They totally loved it too!
Why You’ll Love this Recipe
Alfredo sauce is one of the easiest sauces to make. It’s a combination of butter, cream, Parmesan and a bit of salt and pepper. It’s rich and ultra-creamy and makes for such a decadent dish.
It’s an easy sauce to customize too, like adding the roasted red peppers. I’ve also made alfredo sauce and added a bit of homemade pesto when my neighbor Rose’s garden is overflowing with basil.
This comfort food dish is a 30 minute meal everyone loves!
Ingredients You’ll Need
- olive oil
- hot or sweet Italian sausage
- fresh cheese tortellini
- jarred roasted red peppers
- butter
- heavy cream
- garlic
- kosher salt and pepper
- grated Parmesan cheese
- fresh basil leaves
Step-By-Step Instructions
The first step is to cook your Italian sausage in a large deep skillet until it’s nice and browned on the outside and no longer pink on the inside. You’ll remove the sausage with a slotted spoon to a large bowl.
Then you’ll cook your pasta al dente, drain it and add it to the sausage in the bowl.
The second step is to make your roasted red pepper alfredo sauce by first draining the jar of roasted red peppers and then puréeing until smooth. You will heat your heavy cream and butter and then add your puréed roasted red peppers, garlic, salt and pepper and simmer until slightly thickened before removing from the heat and stirring in your grated Parmesan.
The final step is to pour the sauce over the Italian sausage and pasta in your bowl and mix until well combined. The final touch is to add your fresh basil and then it’s time to serve and enjoy.
It’s delicious served with a side salad and a glass of wine!
Only a handful of ingredients and less than 30 minutes and you’ll have a delicious, hearty meal on your table that everyone in the family will love!
Please let me know if you give the recipe a try. And if you have any questions about the recipe, just drop a comment below. Enjoy!
A Few Cook’s Notes for Roasted Red Pepper Tortellini Alfredo with Sausage
I used sweet Italian sausage, but if you like things spicier, use hot Italian sausage instead.
I used cheese tortellini for this recipe, but I have often substituted rigatoni or fettuccine. Really any kind of pasta will do.
More Delicious Italian Recipes to Enjoy

Roasted Red Pepper Tortellini Alfredo with Sausage
Print Recipe Pin RecipeIngredients
- 1 Tbsp. olive oil
- 1 lb. bulk sweet (or hot) Italian sausage
- 1 20-oz. package fresh cheese tortellini
- 1 12-oz. jar roasted red peppers
- 1/2 cup (one stick) butter
- 2 cups heavy cream
- 2 cloves garlic, minced
- 1/2 tsp. kosher salt
- 1/2 tsp. freshly ground black pepper
- 1 1/4 cups grated Parmesan cheese, divided
- 1/4 cup fresh basil leaves, julienned
Instructions
- In a large skillet over medium-high heat, heat olive oil. Add sausage and cook, breaking up with a wooden spoon until no longer pink. Remove with a slotted spoon to a bowl. Set aside.
- Cook pasta al dente according to package directions. Drain and return pasta to pot. Add the sausage.
- Drain the jar of roasted red peppers and add to a food processor. Pulse until the peppers are smooth.
- In a large saucepan, bring the cream and butter to a boil over medium-high heat. Reduce the heat to low, add the roasted red peppers, garlic, salt and pepper and simmer for 3-4 minutes. Remove from the heat and stir in one cup of the Parmesan cheese. Stir until well combined. Pour the sauce over the pasta and sausage in the pot. Add the basil and mix gently until well combined. Serve immediately with remaining Parmesan cheese.
Notes
















I LOVE roasted red peppers and who could resist Alfredo sauce? This sounds so cozy and delicious. Adding it to my must-try list now!
We LOVE it Kelsie!
What a lovely combo! I could dive into that pot, Mary Ann! With a tall glass of vino and big plate of this, I’m set ;) Pinned! Have a great week!
You’d love it Dawn! Hope you have a great week too!
Mary Ann, this pasta dish looks amazzzzzzing!!!! I always prefer sausage to beef in my pasta…especially the Italian hot sausage! So much flavor!! Perfect time for a pantry staple pasta dish!
Thanks so much Haylie. We love it with hot Italian sausage too!
What a delicious looking meal, I’d happily see this placed on the table! I’d eat it in a heartbeat.
It’s sooooo good Matt!
Comfort food – delicious! I love the flavours in this dish, and I know my whole family would enjoy it for dinner. As Dawn said, pour a glass of vino and we are set! :D
Yes! Nothing like some comfort food for stressful times Alex!
We just made something similar with tortellini, Mary Ann!! Everyone loved it, so now I definitely need to try this dish. I’ve got one package of tortellini left in my freezer – it’ll be perfect for this!
Hope y’all enjoy Katherine!
That is a perfect pot of comfort food! Love roasted red pepper sauce and so great with the sausage.
We totally love it Jennifer! Just add a glass or two of wine and you’re good to go!
I could almost cry. Truly. This looks magnificent, Mary Ann! My kind of dish when comfort food is in order!!
This is truly comfort food at it’s finest! I can see why Tom went back for thirds – who could resist!?
Roasted Bell Pepper and Alfredo (!!) no wonder every one loved it mare! What a flavorful dish. I bet the leftovers are even better (If there’s any!).
Tom LOVES this dish Traci!
We’ve made this a few times and it’s DELICIOUS! We only had ground beef one night and it was good! So glad we found this. It’s now going into our weekday rotation recipe book!
So happy you enjoy it! It’s one of my favorites here at the BHK! Happy Holidays!
Sounds great but carb count seems off – is it just for the sauce?
Hi there. Not quite sure what’s going on there with the nutrition calculation plugin. I’ll reach out to the team and see if we can fix that. Thanks for the heads up.
Thank you, Mary Ann – it looks so good!