If you have been searching for a delicious, comforting, and easy-to-make meal that packs incredible flavors, this Italian Sausage Orzo Recipe is your new best friend. Creamy, savory, and bursting with Italian-inspired aromas, this dish combines tender orzo pasta with perfectly cooked Italian sausage, rich Parmesan, and a touch of fresh greens, making it a one-pan wonder that’s perfect for weeknight dinners or casual gatherings. Ready in just about 30 minutes, it delivers restaurant-quality taste with simple ingredients and straightforward steps, guaranteed to make your taste buds dance.

Ingredients You’ll Need
The magic of this Italian Sausage Orzo Recipe lies in the simplicity and quality of its ingredients. Each item plays a vital role in building layers of flavor, from the spicy or mild sausage that brings heartiness, to the Parmesan that adds savory depth, and the chicken broth that ensures perfect creaminess and texture.
- 1 lb Italian sausage (mild or spicy, casings removed): Choose high-quality sausage for the best flavor punch; it’s the main protein and flavor base.
- 1 small onion, finely chopped: Adds subtle sweetness and aroma that balances the sausage.
- 3 cloves garlic, minced: Delivers that irresistible pungent kick that complements every bite.
- 1 cup orzo pasta: Tiny, rice-shaped pasta that cooks quickly and absorbs all the delicious sauce.
- 2 cups chicken broth: Essential for cooking the orzo and enriching the dish with savory depth.
- 1 cup heavy cream: Creates the creamy texture that makes this dish feel indulgent and comforting.
- ½ cup grated Parmesan cheese: Adds a cheesy, nutty sharpness that elevates the whole dish.
- 1 teaspoon Italian seasoning: A fragrant blend of herbs that tie all the flavors together perfectly.
- ½ teaspoon red pepper flakes (optional): For those who love a gentle heat to wake up their palate.
- 1 cup baby spinach (optional): Sneaks in some vibrant greens for color and nutrition without overpowering.
- Salt and black pepper, to taste: Simple seasonings that enhance and balance all the flavors.
- 1 tablespoon olive oil: For sautéing the sausage and onion, adding richness and a beautiful finish.
How to Make Italian Sausage Orzo Recipe
Step 1: Prepare the Sausage and Aromatics
Begin by heating the olive oil in a large skillet over medium heat. Once shimmering, add the Italian sausage, breaking it up with a spoon as it cooks. Let it brown fully, which should take about 5 to 7 minutes – this step builds the deep, savory foundation for the whole dish. Remove any excess grease if needed before moving forward, so the dish stays balanced and not too oily.
Step 2: Sauté Onion and Garlic
Next, toss in the finely chopped onion to the skillet and sauté for about 2 minutes until it softens and becomes translucent. Then stir in the minced garlic, cooking it just until fragrant, around 30 seconds. These aromatics add a lovely sweetness and depth that lift the savory sausage beautifully.
Step 3: Toast and Cook the Orzo
Stir the orzo pasta directly into the skillet, coating each tiny grain with the flavorful sausage mixture. Pour in the chicken broth, making sure the orzo is fully submerged. Bring everything to a simmer, then reduce the heat and cook uncovered for about 10 minutes. Be sure to stir occasionally so the orzo cooks evenly and absorbs that delicious broth, turning tender and plump.
Step 4: Add Cream and Cheese
Turn the heat down to medium-low, then pour in the heavy cream and stir well to combine. Sprinkle in the grated Parmesan cheese along with the Italian seasoning and optional red pepper flakes. Continue cooking and stirring for another 2 minutes until the sauce thickens and becomes luxuriously creamy.
Step 5: Finish with Greens and Seasonings
Lastly, stir in the baby spinach if you’re using it, allowing it to wilt just until it softens, usually about 1 minute. Give the dish a taste and adjust with salt and black pepper as needed to perfectly suit your palate. Once done, remove from heat, and get ready to enjoy!
How to Serve Italian Sausage Orzo Recipe

Garnishes
Adding a few simple garnishes takes this dish from delicious to unforgettable. Sprinkle chopped fresh parsley on top for a burst of color and freshness that brightens every bite. Don’t shy away from adding extra grated Parmesan for an indulgent, melty finish. A little cracked black pepper on the surface adds a final layer of texture and piquancy.
Side Dishes
This Italian Sausage Orzo Recipe pairs wonderfully with crisp side salads or roasted vegetables. A simple arugula salad dressed with lemon juice and olive oil complements the creamy pasta nicely. Roasted asparagus or garlic green beans can also bring a joyful crunch and additional nutrients to the table.
Creative Ways to Present
For a charming presentation, scoop the orzo mixture into shallow bowls or cute ramekins, then garnish with parsley and cheese right before serving. You can also serve it family-style in the skillet for a cozy, rustic vibe. If you’re entertaining guests, a sprinkle of toasted pine nuts or chili oil drizzle can add flair and subtle sophistication.
Make Ahead and Storage
Storing Leftovers
You can store leftover Italian Sausage Orzo in an airtight container in the refrigerator for up to 3 days. The flavors meld beautifully overnight, making it even tastier the next day. Reheat gently to maintain the creamy texture without drying out.
Freezing
This dish freezes well, making it ideal for meal prep. Cool completely, then transfer to freezer-safe containers or bags. Freeze for up to 2 months. When ready to eat, thaw overnight in the fridge before reheating.
Reheating
To reheat, warm the orzo gently in a skillet over low to medium heat, adding a splash of chicken broth or cream to loosen the sauce if necessary. Stir frequently until heated through to keep the cream sauce silky and smooth.
FAQs
Can I use other types of sausage for this recipe?
Absolutely! While Italian sausage is classic here, you can swap in chorizo, bratwurst, or even turkey sausage depending on your preference. Just adjust seasoning accordingly since different sausages may vary in flavor and spice level.
Is orzo gluten-free?
Traditional orzo is made from wheat and contains gluten. However, you can find gluten-free orzo substitutes made from rice or corn at specialty stores, allowing you to enjoy this recipe even if you have dietary restrictions.
Can I make this recipe vegetarian?
Yes! Substitute the Italian sausage with plant-based sausage or simply omit it and add extra vegetables like mushrooms, zucchini, or roasted red peppers. Use vegetable broth instead of chicken broth to keep it fully vegetarian.
How spicy is this dish with red pepper flakes?
The red pepper flakes add a gentle heat that complements but does not overpower the dish. You can easily adjust the amount or skip them altogether if you prefer a milder flavor.
Is it possible to prepare this dish ahead of time?
You can prepare the sausage and orzo separately ahead and combine them just before serving. The sauce is best added fresh, but the components come together quickly making it a convenient option for busy days.
Final Thoughts
This Italian Sausage Orzo Recipe is truly a delightful meal that brings warmth and comfort into any kitchen with minimal fuss. Whether it’s for a busy weeknight or a laid-back weekend dinner, it’s sure to become a staple you’ll reach for time and again. Give it a try—you might just find your new favorite pasta dish!
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Italian Sausage Orzo Recipe
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Total Time: 30 minutes
- Yield: 4 servings
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
Description
This Italian Sausage Orzo recipe is a creamy, comforting one-pan meal featuring tender orzo pasta simmered with savory Italian sausage, aromatic garlic, and onion. Enriched with heavy cream and Parmesan cheese, it’s flavored with Italian seasoning and a touch of red pepper flakes for optional heat. Baby spinach adds a fresh green touch, making this dish perfect for a quick, hearty dinner.
Ingredients
Italian Sausage Orzo
- 1 lb Italian sausage (mild or spicy, casings removed)
- 1 small onion, finely chopped
- 3 cloves garlic, minced
- 1 cup orzo pasta
- 2 cups chicken broth
- 1 cup heavy cream
- ½ cup grated Parmesan cheese
- 1 teaspoon Italian seasoning
- ½ teaspoon red pepper flakes (optional, for heat)
- 1 cup baby spinach (optional, for extra greens)
- Salt and black pepper, to taste
- 1 tablespoon olive oil
Optional Garnishes
- Fresh parsley, chopped
- Extra Parmesan cheese
- Cracked black pepper
Instructions
- Heat the skillet: Heat a large skillet over medium heat and add the olive oil to prepare for cooking the sausage and aromatics.
- Cook the sausage: Add the Italian sausage to the skillet and break it apart with a spoon for even cooking.
- Brown the sausage: Cook the sausage for 5–7 minutes until browned and fully cooked. Drain excess grease if necessary to keep the dish from being too oily.
- Sauté the onion: Add the finely chopped onion and cook for about 2 minutes until softened and translucent.
- Add garlic: Stir in minced garlic and cook for another 30 seconds until fragrant to release its aroma.
- Coat the orzo: Add the orzo pasta to the skillet, stirring to coat it in the sausage mixture and aromatics.
- Add chicken broth: Pour in the chicken broth, ensuring the orzo is fully submerged for even cooking.
- Simmer the orzo: Bring the mixture to a simmer, then reduce heat and cook for 10 minutes, stirring occasionally until the orzo is tender and most liquid is absorbed.
- Add cream: Lower the heat to medium-low and pour in the heavy cream, stirring well to combine.
- Season and thicken sauce: Stir in Parmesan cheese, Italian seasoning, and red pepper flakes if using. Cook for 2 more minutes until the sauce thickens slightly.
- Wilt spinach: Stir in baby spinach and cook for 1 minute until it wilts, adding a fresh green element.
- Adjust seasoning: Taste the dish and add salt and black pepper as needed for flavor balance.
- Garnish and serve: Remove from heat and garnish with fresh parsley, extra Parmesan cheese, and cracked black pepper. Serve warm for a delicious creamy orzo meal.
Notes
- Use mild or spicy Italian sausage depending on your heat preference.
- Removing excess grease after browning the sausage prevents the dish from becoming too oily.
- Baby spinach is optional but adds nice color and nutrients.
- You can substitute chicken broth with vegetable broth for a lighter flavor.
- If you prefer a thicker sauce, cook a minute longer after adding cream and cheese.
- Leftovers can be stored in the refrigerator for up to 3 days and reheated gently on the stovetop.
