Creamy Italian Sausage Cajun Chicken

Section: Satisfying Main Dishes for Every Occasion

Enjoy comforting Italian-style pasta featuring juicy sausage and Cajun-seasoned chicken, all brought together with a rich and velvety cream sauce. The addition of pepperoncini and its tangy juice balances the decadence with a subtle zip, while plenty of freshly grated Parmesan enhances the flavors. Penne or fusili soak up every drop, making each forkful savory and satisfying. Everything comes together in under 30 minutes, with seared chicken, browned sausage, and a sauce that clings beautifully to pasta. Enjoy leftovers just as much as the first serving—this hearty dish is sure to please.

A woman wearing a chef's hat and apron.
Published By Maria
Updated as of Sun, 14 Sep 2025 17:42:32 GMT
A dish of Cajun chicken and pasta. Bookmark
A dish of Cajun chicken and pasta. | foodbymary.com

Creamy Italian Sausage Pasta with Cajun Chicken is your ticket to an effortless dinner packed with flavor and comfort. Between the zesty Cajun spice, tangy pepperoncini, and velvety cream sauce, this pasta always turns my family into excited dinnertime chatterboxes. If you are seeking a fast meal that does not skimp on that restaurant-quality vibe, you will love this creamy medley.

My teenagers ask for this any time they get to pick dinner and none of us ever get tired of the pepperoncini surprise in every bite.

Ingredients

  • Short pasta such as penne or fusilli: gives body and holds all that creamy sauce. Look for bronze-cut pasta for extra texture
  • Chicken breast sliced thinly or pounded thin: cooks quickly and stays juicy. Choose organic if possible for best flavor
  • Cajun seasoning: infuses spice and warmth. I make my own with smoked paprika and garlic powder but any good brand works
  • Fresh garlic: brings aromatic depth. Bite into sweetness by mincing just before cooking
  • Pepperoncini or banana peppers: add a gentle kick and tang. Grab a jar with clear brine and vibrant color for maximum freshness
  • Pepperoncini juice: balances the richness of cream. The juice from your jar is perfect
  • Heavy cream: turns the sauce extra silky. Opt for full-fat for the creamiest finish or use half and half if you want it lighter
  • Butter: layers in velvety flavor and helps sauté aromatics. Reach for a high-quality unsalted one
  • Parmesan cheese freshly grated: melts into the sauce and adds salty nuttiness. Use a wedge instead of pre-shredded for best results
  • Olive oil: boosts browning and adds fruity notes. Choose extra virgin oil if possible
  • Chicken stock: creates steam for juicy chicken and boosts savory taste. Good low-sodium storebought brands work

Step-by-Step Instructions

Prep the Chicken:
Pat chicken breasts dry then rub all over with olive oil and a generous coating of Cajun seasoning. The oil helps the spice stick and creates that signature blackened crust
Sear the Chicken:
Heat olive oil in a skillet over medium-high until shimmering. Add chicken and leave undisturbed for about three minutes to form a golden sear. Flip once and pour in chicken stock. Cover and simmer for six minutes or until the chicken reaches 165 degrees Fahrenheit. Remove cooked chicken and tent with foil to rest
Brown the Sausage:
Pour off excess liquid then place Italian sausage in the same pan. Cook and crumble until fully browned which draws flavor from the fond left behind. Drain and reserve one tablespoon of sausage drippings in the pan for the sauce
Build the Sauce Base:
Melt butter over medium-low heat in the same skillet. Add freshly minced garlic and diced pepperoncini peppers. Sauté until the garlic softens and smells sweetly fragrant about one minute. This is where the flavor foundation comes together
Make it Creamy:
Whisk heavy cream gently into the aromatics letting it simmer while stirring in Cajun seasoning and pepperoncini juice. Once the cream gently bubbles, toss in cooked pasta, browned sausage, and a scoop of freshly grated Parmesan cheese. Toss to coat every piece in creamy goodness. If the sauce is too thick add a little reserved pasta water until perfectly silky
Finish and Serve:
Slice the rested chicken and fan it on top of the pasta. Sprinkle extra Parmesan and a few more rings of pepperoncini if you want more punch. Serve right away while everything is steamy and the sauce is extra creamy
A dish of creamy Italian sausage pasta with Cajun chicken. Bookmark
A dish of creamy Italian sausage pasta with Cajun chicken. | foodbymary.com

The Parmesan is honestly my favorite part because it brings everything together and gives that Italian comfort feel in every bite. I remember my daughter licking the spoon just for the last bits of sauce the first time I made this at home

Storage Tips

Transfer extra pasta to an airtight container as soon as it cools to room temperature. Refrigerate for up to three days. When reheating add a splash of milk or water to loosen the sauce. You can also freeze portions for up to a month but be sure to thaw in the fridge before reheating slowly on the stove

Ingredient Substitutions

If you are out of heavy cream try half and half or even evaporated milk for a lighter take. Swap the sausage for turkey or vegetarian sausage if you prefer. Do you only have long pasta in the pantry Use spaghetti or linguine the creamy sauce works just as well

A dish of pasta with chicken and sausage. Bookmark
A dish of pasta with chicken and sausage. | foodbymary.com

Serving Suggestions

Pile bowls high and top with extra black pepper or red pepper flakes for more kick. Pair with a crisp green salad and garlic bread or opt for a side of roasted vegetables if you want to keep dinner on the lighter side

Cultural Context

This dish brings Italian and Southern American flavors together showcasing the boldness of Cajun seasoning alongside the comfort of a classic Italian cream sauce. Pepperoncini peppers are a nod to the Italian tradition of pairing tangy pickled veggies with rich creamy main courses

Common Recipe Questions

→ What type of pasta works best with this dish?

Short pasta like penne or fusili is ideal, as it holds the creamy sauce and mixes well with the hearty sausage and chicken.

→ Can I substitute the heavy cream?

Yes, you can use half and half or evaporated milk for a lighter touch, though the sauce will be slightly less rich.

→ How spicy does the Cajun seasoning make the chicken?

The Cajun seasoning adds a mild to moderate kick. Adjust the quantity or choose a mild blend if you prefer less heat.

→ What can I use instead of pepperoncini?

Banana peppers work well as a substitute, or omit entirely for less tang, though the flavor balance may change slightly.

→ How should leftovers be stored and reheated?

Store in an airtight container in the fridge for up to 3 days. Reheat gently with a splash of cream or pasta water if needed.

Creamy Italian Sausage Cajun Chicken

Rich pasta with Italian sausage, Cajun-spiced chicken, and a creamy, tangy sauce. Quick, satisfying, and flavorful.

Prep Time
10 minutes
Cooking Time
18 minutes
Complete Time
28 minutes
Published By: Maria

Recipe Category: Main Dishes

Skill Level: Moderately Challenging

Cuisine Type: Italian-American

Total Portions: 4 Serves How Many (Serves 4)

Dietary Preferences: ~

Required Ingredients

→ Meat and Poultry

01 2 chicken breasts, thinly sliced or pounded
02 250 g Italian sausage, casing removed

→ Pasta

03 350 g short pasta (such as penne or fusilli)

→ Dairy

04 200 ml heavy cream
05 30 g unsalted butter
06 60 g parmesan cheese, freshly grated

→ Vegetables and Aromatics

07 3 cloves garlic, minced
08 4 pepperoncini peppers, diced

→ Seasonings and Oils

09 3 tablespoons cajun seasoning
10 2 tablespoons olive oil
11 60 ml pepperoncini juice (from jar)
12 120 ml chicken stock
13 Salt, to taste
14 Black pepper, to taste

Step-by-Step Instructions

Step 01

Rub chicken breasts with olive oil and season generously on both sides with 2 tablespoons of cajun seasoning.

Step 02

Heat 1 tablespoon olive oil in a large skillet over medium-high heat. Sear chicken for approximately 3 minutes without moving, then flip, reduce heat to low, and add chicken stock. Cover and gently simmer for 6 minutes or until internal temperature reaches 74°C. Remove chicken and tent with foil.

Step 03

Drain excess liquid from the pan. Add Italian sausage, breaking it apart, and cook over medium heat until fully cooked. Transfer sausage to a plate, reserving 1 tablespoon of oil in the pan.

Step 04

Over medium-low heat, melt butter in the reserved oil. Add minced garlic and diced pepperoncini; sauté until fragrant, about 1 minute.

Step 05

Whisk in heavy cream, 1 tablespoon cajun seasoning, and pepperoncini juice. Simmer gently while separately boiling pasta according to package instructions until al dente.

Step 06

Add grated parmesan, cooked pasta, and sausage into the cream sauce. Toss to coat, adding reserved pasta water to loosen if needed. Slice chicken, arrange on top, and serve immediately.

Handy Cooking Tips

  1. Reserve some pasta cooking water to adjust sauce consistency as needed.
  2. For extra flavor, freshly shred parmesan cheese instead of using pre-grated.

Necessary Kitchen Tools

  • Large skillet
  • Large pot
  • Chef’s knife
  • Colander
  • Cutting board
  • Measuring cups and spoons

Allergy Details

Always check ingredient packaging for potential allergens and consult a healthcare professional when in doubt.
  • Contains dairy (cream, butter, parmesan)
  • Contains gluten (pasta)

Nutritional Information (Per Serving)

These nutrition details are for guidance and don’t replace professional advice.
  • Calories: 780
  • Fat: 42 grams
  • Carbohydrates: 63 grams
  • Proteins: 36 grams