Rustic Italian Sausage and Cabbage Pasta

When the weather starts to cool down, I find myself craving dishes that feel substantial without requiring hours at the stove. This recipe was born out of a half-head of green cabbage sitting in my crisper drawer and a pack of mild Italian sausage I needed to use before the weekend. It is one of those meals that seems far too simple to taste as good as it does, but there is magic in the way cabbage breaks down until it becomes silky and slightly sweet.
I prefer using orecchiette for this because the little ear-shaped pasta cups hold onto the bits of browned sausage and the wilted cabbage leaves perfectly. If you can only find rigatoni or fusilli, those will work just fine. Don't rush the caramelization of the cabbage. It needs to get golden brown in the sausage fat to develop that deep, savory base that ties everything together. A generous dusting of sharp Pecorino Romano at the end provides the salty finish that cuts through the richness of the meat.
Frequently asked questions
+ − Can I use turkey sausage instead?
Yes, turkey sausage works well, but because it has less fat than pork sausage, you may need to add an extra tablespoon of olive oil to the pan when sautéing the cabbage.
+ − How long will leftovers keep?
You can store leftovers in an airtight container in the refrigerator for up to three days. Reheat gently in a pan with a tiny splash of water to keep the pasta from drying out.
Rustic Italian Sausage and Cabbage Pasta
Nutrition shown per serving · updates with portion size
Ingredients
Instructions
- 1
Bring a large pot of salted water to a boil and cook the pasta according to package directions until al dente.

- 2
Reserve a half cup of the pasta cooking water before draining.

- 3
Heat the olive oil in a large skillet over medium-high heat.

- 4
Add the sausage and cook, breaking it into small crumbles, until browned and cooked through.

- 5
Remove the sausage with a slotted spoon and set aside, leaving the rendered fat in the pan.

- 6
Add the sliced cabbage to the skillet and sauté for 8-10 minutes until softened and beginning to brown.

- 7
Stir in the garlic and red pepper flakes, cooking for one minute until fragrant.

- 8
Return the sausage to the pan and add the cooked pasta.

- 9
Pour in a splash of the reserved pasta water and toss everything together over low heat.

- 10
Remove from heat, stir in the Pecorino Romano, and season with salt and pepper to taste.

Italian & Mediterranean
Luca RomanoTrained in Bologna, Luca focuses on simple Italian cooking with a handful of great ingredients — pasta, risotto, and bright Mediterranean plates.
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