
This shrimp and sausage pasta blends smoky sausage and tender shrimp into a creamy restaurant style tomato sauce with subtle Cajun warmth. Each noodle gets coated in that rich velvety blend thanks to either coconut or whole milk married with quality crushed tomatoes. The recipe is about big flavor and weeknight practicality relying on flexible ingredients that come together fast and always impress at the table.
I first made this during a chaotic back to school week. Everyone was tired but somehow the creamy rich sauce made us hit pause and gather together. When even the picky eaters cleaned their plates I knew it was a new family favorite.
Ingredients
- Butter: supplies richness and helps both the shrimp and sausage brown for better flavor
- Olive oil: go for extra virgin which stands up to the heat and brings boldness to the pan
- Shrimp: buy medium to large and make sure they are peeled and deveined for easy cooking and clean taste
- Smoked sausage: choose Andouille for spiciness Kielbasa for traditional smoke or try chicken sausage for a lighter spin
- Pasta: look for sturdy shapes such as penne or rigatoni which hold sauce and meat well
- Coconut milk or whole milk: coconut milk gives subtle sweetness dairy milk brings classic creaminess both work well
- Old Bay seasoning: the signature Cajun touch brings warmth and balanced spice fresh is best for aroma
- Canned crushed tomatoes: pick a brand with no added sugar for a naturally bright and tangy base
- Garlic: fresh and firm cloves add depth avoid any that have sprouted for clean flavor in the sauce
- Parmesan: freshly grated is key for melt and that salty nutty finish that makes the dish complete
Step by Step Instructions
- Sauté the Aromatics and Build the Sauce:
- Start by smashing your peeled garlic cloves with the flat of your knife. Place them in a saucepan with the crushed tomatoes your milk or coconut milk and two teaspoons of Old Bay. Heat until it just begins to bubble then drop to a gentle simmer. Stir and cook for five minutes until the garlic is soft and the flavors have melded.
- Blend the Sauce:
- Pour everything into a blender or use an immersion blender in the pot. Blend until absolutely smooth and creamy. There should be no tomato chunks or bits of garlic. This step gives the sauce its silky restaurant texture.
- Boil the Pasta:
- Fill a big pot with water and salt it until it tastes mildly briny. Boil your pasta until just al dente using the timing on the package. Drain well but save about half a cup of pasta water to adjust the sauce later if needed.
- Sauté the Shrimp:
- In your largest skillet melt the butter and olive oil over medium high until the butter smells nutty. Add the shrimp in a single layer and season right away with the remaining Old Bay. Cook two to three minutes per side until bright pink and not translucent. Remove to a clean plate and keep the pan to use for the sausage.
- Brown the Sausage:
- Add your sliced smoked sausage straight into the same hot skillet. Let each piece sear for several minutes on each side without moving them too much. Once golden and caramelized remove the sausage and again save all those flavorful crusty bits.
- Bring Everything Together:
- Return your cooked shrimp and the drained pasta to the pan with the sausage. Pour in half of the smooth tomato sauce and toss with tongs. Add more sauce as needed so everything is glossy and coated but not watery.
- Finish the Dish:
- While the pasta is still steaming sprinkle generously with grated Parmesan and give a gentle toss. Serve right away either straight from the pan for family style or in individual bowls for a touch of elegance.

Old Bay brings the precise balance of warmth barely spicy and deeply aromatic. My favorite version happened at a big summer reunion when a cousin who feared any spiciness asked for a third helping. The sauce smoothed everything out and she now asks for it at every family gathering.
Storage Tips
Store in an airtight container for up to three days in the fridge and you may find you like the leftovers even more than the first serving. When reheating gently splash in water or milk to revive the creamy sauce. For long term storage freeze the sauce separately and cook a fresh batch of pasta each time for best texture.
Ingredient Substitutions
Out of coconut milk Use milk or half and half for extra creaminess. Try turkey or plant based sausage if you want a lighter or vegetarian dish. Penne and rotini are great but do not hesitate to reach for linguine or bow ties as all pair beautifully with the sauce.
Serving Suggestions
I serve this steaming with plenty of garlic bread to soak up extra sauce and a citrusy green salad for crunch and brightness. Finish every bowl with a squeeze of fresh lemon and let everyone add red pepper flakes or more Parm on top if they wish.

Cultural and Historical Context
This dish channels Gulf Coast kitchens where sausage and shrimp are paired often in bold Cajun recipes. The creamy tomato twist comes from Italian American pasta traditions which take basic pantry staples and elevate them with inventive sauce techniques. It tastes both comforting and exciting on the same fork.
Frequently Asked Questions About the Recipe
- → What type of sausage works best?
Smoked Andouille and Kielbasa provide a bold, smoky flavor, while chicken sausage offers a lighter taste without sacrificing richness.
- → Can I use coconut milk instead of dairy?
Yes, coconut milk lends a subtle sweetness and creaminess to the sauce, while whole milk or half-and-half create a more traditional richness.
- → How spicy is this pasta?
The main spice comes from Old Bay seasoning and the chosen sausage. Adjust the seasoning or select milder sausage options for less heat.
- → Which pasta shapes are best for this dish?
Sturdy pastas like penne, rigatoni, or fettuccine work well, as they hold the creamy sauce and bits of sausage and shrimp effectively.
- → Can this dish be prepared ahead of time?
Yes, the sauce and cooked proteins can be made in advance. Cook fresh pasta just before serving and toss everything together to finish.
- → How should leftovers be stored and reheated?
Store in an airtight container in the refrigerator for up to three days. When reheating, add a splash of milk or water to loosen the sauce and maintain creaminess.