What the heck is this?
So you know regular alfredo pasta? That creamy, indulgent, makes-you-want-to-take-a-nap-after-eating-it goodness? Well, this is that pasta’s wild, exciting cousin who went to New Orleans and came back with some serious attitude. We’re talking smoky andouille sausage, a kick of Cajun spice, all swimming in the silkiest, most luxurious homemade alfredo sauce you’ve ever put in your mouth. It’s comfort food that doesn’t mess around — rich enough to satisfy your deepest carb cravings but with enough spice to keep things interesting. My family literally fights over the last bowl of this stuff, and I’ve had to start making double batches just to avoid the dinner table drama.
Why This Will Become Your New Obsession
- Homemade alfredo that’s actually easy (no scary sauce breaking here)
- Smoky sausage adds serious flavor depth
- Perfect balance of creamy and spicy
- One-pot wonder that comes together in 30 minutes
- Fancy enough for date night, comforting enough for Tuesday
- Leftovers reheat like a dream (rare for alfredo!)
- Uses ingredients you can find at any grocery store
The Good Stuff You’ll Need
For the Pasta Foundation:
- 1 lb penne or rigatoni (something that holds sauce well)
- 1 lb andouille or smoked sausage, sliced into rounds
- 2 tbsp olive oil
- 1 large onion, diced
- 1 bell pepper, diced (red or green, your choice)
- 3 cloves garlic, minced
- 2 tbsp Cajun seasoning (divided)
For the Silky Alfredo Magic:
- 4 tbsp butter
- 1 cup heavy cream
- 1 cup freshly grated Parmesan cheese (don’t you dare use the pre-grated stuff)
- 4 oz cream cheese, softened
- 1/2 tsp garlic powder
- 1/4 tsp paprika
- 1/4 tsp cayenne pepper (adjust to taste)
- Salt and white pepper to taste
For the Final Flourish:
- 1/4 cup fresh parsley, chopped
- 2 green onions, sliced
- Extra Parmesan for serving
- Red pepper flakes for the heat seekers

Let’s Make This Magic Happen
Step 1: Get That Pasta Going
Bring a huge pot of salted water to a boil. Cook pasta according to package directions until al dente. Reserve 1 cup of that starchy pasta water before draining — you’ll thank me later.
Step 2: Sausage Time
While pasta cooks, heat olive oil in your largest skillet or Dutch oven over medium-high heat. Add sliced sausage and cook until browned and slightly crispy, about 5-6 minutes. Remove sausage and set aside, but leave those beautiful drippings in the pan.
Step 3: Build That Flavor Base
Add diced onion and bell pepper to the same pan with all those sausage drippings. Cook until softened, about 5-6 minutes. Add garlic and 1 tablespoon of Cajun seasoning, cook for another minute until fragrant.
Step 4: Cream Dream Begins
Lower heat to medium-low and add butter to the pan. Once melted, slowly pour in the heavy cream, whisking constantly. Let it simmer gently for 2-3 minutes until it starts to thicken slightly.
Step 5: Cheese Please
Add the softened cream cheese and whisk until completely smooth. Gradually add the grated Parmesan, whisking constantly until melted and silky. Season with garlic powder, paprika, remaining Cajun seasoning, cayenne, salt, and white pepper.
Step 6: Bring It All Together
Add the cooked pasta and sausage back to the pan. Toss everything together, adding pasta water a little at a time until you get that perfect creamy consistency that coats every piece of pasta without being too thick.
Step 7: Taste and Adjust
This is crucial — taste and adjust your seasoning. More Cajun spice? More salt? A touch more cayenne? Make it yours.
Step 8: The Grand Finale
Remove from heat and stir in fresh parsley and green onions. Serve immediately with extra Parmesan and red pepper flakes on the side.
Pro Tips for Alfredo Perfection
Fresh Parmesan is Key: Pre-grated cheese has anti-caking agents that prevent smooth melting. Grate your own for silky results.
Low and Slow: Keep heat low when making the sauce to prevent breaking or curdling.
Pasta Water Magic: That starchy water helps bind everything together and creates the perfect consistency.
Timing Matters: Alfredo waits for no one. Have everything ready before you start the sauce.
Serving Suggestions
Serve this beauty with a crisp Caesar salad and some garlic bread for soaking up every last drop. A glass of crisp white wine or cold beer pairs perfectly with the richness and spice.
Switch It Up
Protein Swap: Try blackened chicken or shrimp instead of sausage Veggie Boost: Add mushrooms, spinach, or cherry tomatoes Heat Level: Adjust the cayenne and Cajun seasoning to your spice tolerance Lighter Version: Use half-and-half instead of heavy cream (but honestly, live a little) Cheese Blend: Mix in some sharp cheddar or Gruyère for extra depth
Make-Ahead Magic
The sauce can be made ahead and gently reheated with a splash of cream or pasta water. The whole dish keeps in the fridge for 3-4 days, and reheating with a little cream brings it right back to life.
Reheating Like a Pro
Add a splash of cream or milk when reheating to restore that silky texture. Microwave on 50% power, stirring frequently, or reheat gently on the stovetop over low heat.

Questions People Always Ask
Q: My sauce broke! What happened? A: Heat was too high or you added cheese too fast. Next time, keep heat low and add cheese gradually while whisking.
Q: Can I use turkey sausage? A: Absolutely! Just make sure it’s well-seasoned since you’ll lose some of that smoky flavor.
Q: How spicy is this? A: Medium heat — enough to notice but not enough to clear your sinuses. Adjust the cayenne to your preference.
Q: Can I make this dairy-free? A: It’s tricky since alfredo is all about the dairy, but cashew cream and nutritional yeast can work as substitutes.
Q: What if I can’t find andouille? A: Any good smoked sausage works. Kielbasa, chorizo, or even spicy Italian sausage will do the job.
Print
Cajun Smoked Sausage Alfredo Pasta: When Basic Alfredo Gets a Spicy Makeover
- Total Time: 40 minutes
- Yield: 6–8 servings 1x
Description
So you know regular alfredo pasta? That creamy, indulgent, makes-you-want-to-take-a-nap-after-eating-it goodness? Well, this is that pasta’s wild, exciting cousin who went to New Orleans and came back with some serious attitude. We’re talking smoky andouille sausage, a kick of Cajun spice, all swimming in the silkiest, most luxurious homemade alfredo sauce you’ve ever put in your mouth. It’s comfort food that doesn’t mess around — rich enough to satisfy your deepest carb cravings but with enough spice to keep things interesting. My family literally fights over the last bowl of this stuff, and I’ve had to start making double batches just to avoid the dinner table drama.
Ingredients
For the Pasta Foundation:
- 1 lb penne or rigatoni (something that holds sauce well)
- 1 lb andouille or smoked sausage, sliced into rounds
- 2 tbsp olive oil
- 1 large onion, diced
- 1 bell pepper, diced (red or green, your choice)
- 3 cloves garlic, minced
- 2 tbsp Cajun seasoning (divided)
For the Silky Alfredo Magic:
- 4 tbsp butter
- 1 cup heavy cream
- 1 cup freshly grated Parmesan cheese (don’t you dare use the pre-grated stuff)
- 4 oz cream cheese, softened
- 1/2 tsp garlic powder
- 1/4 tsp paprika
- 1/4 tsp cayenne pepper (adjust to taste)
- Salt and white pepper to taste
For the Final Flourish:
- 1/4 cup fresh parsley, chopped
- 2 green onions, sliced
- Extra Parmesan for serving
- Red pepper flakes for the heat seekers
Instructions
Bring a huge pot of salted water to a boil. Cook pasta according to package directions until al dente. Reserve 1 cup of that starchy pasta water before draining — you’ll thank me later.
While pasta cooks, heat olive oil in your largest skillet or Dutch oven over medium-high heat. Add sliced sausage and cook until browned and slightly crispy, about 5-6 minutes. Remove sausage and set aside, but leave those beautiful drippings in the pan.
Add diced onion and bell pepper to the same pan with all those sausage drippings. Cook until softened, about 5-6 minutes. Add garlic and 1 tablespoon of Cajun seasoning, cook for another minute until fragrant.
Lower heat to medium-low and add butter to the pan. Once melted, slowly pour in the heavy cream, whisking constantly. Let it simmer gently for 2-3 minutes until it starts to thicken slightly.
Add the softened cream cheese and whisk until completely smooth. Gradually add the grated Parmesan, whisking constantly until melted and silky. Season with garlic powder, paprika, remaining Cajun seasoning, cayenne, salt, and white pepper.
Add the cooked pasta and sausage back to the pan. Toss everything together, adding pasta water a little at a time until you get that perfect creamy consistency that coats every piece of pasta without being too thick.
This is crucial — taste and adjust your seasoning. More Cajun spice? More salt? A touch more cayenne? Make it yours.
Remove from heat and stir in fresh parsley and green onions. Serve immediately with extra Parmesan and red pepper flakes on the side.
Notes
Fresh Parmesan is Key: Pre-grated cheese has anti-caking agents that prevent smooth melting. Grate your own for silky results.
Low and Slow: Keep heat low when making the sauce to prevent breaking or curdling.
Pasta Water Magic: That starchy water helps bind everything together and creates the perfect consistency.
Timing Matters: Alfredo waits for no one. Have everything ready before you start the sauce.
- Prep Time: 15 minutes
- Cook Time: 25 minutes
Nutrition
- Calories: ~680 kcal
- Fat: ~45g
- Carbohydrates: ~42g
- Protein: ~28g