Fettuccine with red sauce, cream cheese, spinach and sausage made in your Instant Pot. Everyone will want to stick around for this meal!

Don’t Leave Me Dinner
I’m having a lot of nervousness and sadness about the fact that my first born is going off to college in just a few short weeks. I’ll be the only girl left in the house and that makes me want to yell to her, “don’t leave me!” She is the biggest fan of pasta and all things carbs. I made this for her to convince her to stay–lol! I don’t think it worked but she may just be coming home more often on weekends for good suppers like this one.
You’ll love the way the sausage flavors up this meal and the creaminess that the cream cheese adds to the pasta. This makes good leftovers too! We all loved this dish. Plus Skyler’s friend was here too and said it was bussin.
Ingredients/Substitution Ideas
- Ground sausage–I used Jimmy Dean brand. You can also use Italian sausage.
- Dried minced onion
- Italian seasoning
- Garlic powder
- Cayenne pepper
- Chicken broth
- Fettuccine–or linguine, spaghetti, or rigatoni
- Spaghetti sauce
- Spinach–fresh or frozen
- Pizza blend shredded cheese–or mozzarella
- Cream cheese–or cottage cheese or ricotta
Steps
Turn Instant Pot to saute setting. When display says HOT add in the sausage and break it up. Add in the onion, Italian seasoning, garlic powder and cayenne. Brown sausage for about 5 minutes.

Pour in the broth and scrape bottom of pot so that nothing is sticking. Turn off Instant Pot.
Break the fettuccine in half and lay it into the pot in a criss cross pattern.

Dump the spaghetti sauce on top.

Cover Instant Pot and secure the lid. Make sure valve is set to sealing. Set the manual/pressure cook button to 5 minutes. When time is up let pot sit for 10 minutes and then move valve to venting. Remove the lid.

Stir in the spinach, cheese and cream cheese until cream cheese melts and is incorporated.

Serve and enjoy!

Notes/Tips
- Serve with a green salad and vinaigrette dressing. A side of garlic bread goes nicely with this too.
- I used my 6 quart Instant Pot*. You can also make this in an 8 quart pot.
- Store leftovers in an airtight container* in the refrigerator for up to 5 days or in the freezer for up to 3 months.
- Other recipes you can make with fettuccine are creamy shrimp fettuccine and bacon chicken fettuccine.

More Instant Pot Pasta Dishes…
At the Lake Casserole
A creamy chicken, orzo and broccoli one pot dish. An easy dump-and-go recipe with a 1 minute pressure cook time.
“Don’t Touch!” Casserole
Seasoned ground beef, cabbage and egg noodle casserole with melty cheese on top.
Cheeseburger in Paradise
Instant Pot cheeseburger pasta with big mac sauce, cheese, tomatoes and, of course, diced dill pickles! Warning: this stuff is addicting!
Did you know you can filter the recipes on my website to search by meat type, IP or Crockpot, low carb, gluten free, etc.? Use the filter to find exactly what you are looking for.


Don’t Leave Me Dinner
- Prep Time: 20 minutes
- Cook Time: 5 minutes (plus 10 minute NPR)
- Total Time: 25 minutes
- Yield: 6 servings 1x
Description
Fettuccine with red sauce, cream cheese, spinach and sausage. Everyone will want to stick around for this meal!
Ingredients
- 1 pound ground sausage (I used Jimmy Dean brand)
- 1 Tbsp dried minced onion
- 1 1/2 tsp Italian seasoning
- 1 tsp garlic powder
- Pinch of cayenne pepper
- 2 cups chicken broth
- 8 ounces fettuccine
- 1 (24 oz) jar of spaghetti sauce
- 2 cups spinach
- 1 cup pizza blend shredded cheese
- 2 ounces cream cheese
Instructions
- Turn Instant Pot to saute setting. When display says HOT add in the sausage and break it up. Add in the onion, Italian seasoning, garlic powder and cayenne. Brown sausage for about 5 minutes.
- Pour in the broth and scrape bottom of pot so that nothing is sticking. Turn off Instant Pot.
- Break the fettuccine in half and lay it into the pot in a criss cross pattern.
- Dump the spaghetti sauce on top.
- Cover Instant Pot and secure the lid. Make sure valve is set to sealing. Set the manual/pressure cook button to 5 minutes. When time is up let pot sit for 10 minutes and then move valve to venting. Remove the lid.
- Stir in the spinach, cheese and cream cheese until cream cheese melts and is incorporated.
- Serve and enjoy!
- Category: Pasta
- Method: Instant Pot
*Karen Petersen is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to amazon.com.




We loved it. I just sprinkled the cheese on top for easier clean up. Next time will put the cream cheese on top of the sauce and then pressure cook.
Thanks for the 5 stars!
I used jimmy dean Italian sausage and whole wheat spaghetti. This turned out so good! I did 6 mins just for the noodles to cook. I added cottage cheese which didn’t do much lol, only because my cream cheese was frozen.
Regardless, it’s so good!!! I’m going to be making it again.
Thanks Brittany! So glad to hear you enjoyed it 🙂
I made this recipe with hot italian sausage, exactly as recipe stated. It was SO EASY to put together, and tasted delicious! It is a keeper for me, thank you !
Thanks for the 5 stars Audrey!
this recipe is absolutely delicious as is! I had to throw some Italian spices together since I couldn’t find Italian Seasoning, but my husband raved about this one. I’ll definitely be making it again!
NICE!!
Made this tonight for dinner per your instructions, except used angel hair since that’s what i had. Flavors blended together great, and I’m on my way back to the kitchen for seconds.
NICE! Thanks Nick for the review!
The heat must be making everyone cranky!
This recipe arrived just in time. Made it tonite. Delish! 😋. Thank you, Karen. Another winner!
Thanks for the 5 stars Kathleen!
I made this, and it was delicious as-is, regardless of the endless mansplaining and “here are my instructions on how to improve it since I don’t have my own website” comments. I love your slow-cooker and Instant Pot recipes. They’re a constant go-to. Thank you for the effort you put into everything!
So glad you enjoyed it! Thanks Michelle!
I don’t have an instant pot.. how can I make this on the stove?
Is the one and a half Italian seasoning teaspoons or tablespoons?
oops sorry about that. It is supposed to be 1 ½ teaspoons
Hi! The recipe sounds tasty and easy! I did want to say, however, that sausage is ground by its nature.. “ground sausage” therefore is redundant..
Actually, even if ground by nature, sausage links and patties exist and therefore differentiating which type of sausage to use doesn’t seem redundant. Some people genuinely would be out there using sliced links and then saying stuff like, they “didn’t like the sliced links so would probably use ground next time”. So by you coming here to say it’s redundant is well, extra and unnecessary. This recipe does seem easy and tasty, I’m super glad the author made it clear for everyone which ingredients to use. I certainly came here before making this recipe unnecessarily comment on your unnecessary comment. Bon appetite!
Links, patties, or bulk, if it’s not ground, its not sausage.
You have an extra extra day too, dear..
I made this the other day, not bad, not great I think moving forward I would switch Jimmy deans for sweet Italian sausage. Then remove sausage from instant pot to drain, next saute onions to deglaze the bottom. Then add sauce, broth and seasonings swapping cayenne for red pepper flakes. Press pasta in to sauce mixture making sure to cover. Roasted yellow squash seems like a good addon to sneek in some extra nutrition for the kids or omitting spinach to replace with zucchini. When mixing veggies and tomato based sauces, I’ve found it more palatable to use hard cheeses like shredded Parmesean or Romano. I would also use something like heavy cream or half and half in place of cream cheese. I feel the tang of cream cheese detracts from the flavor of a tomato based dish. Paired with a good rosemary bread I bet this would be pretty tasty. Also, treat yourself make homemade sauce. It tastes better and is better for you.
give me a break…..this is a totally different recipe.. Leave the spinach in it is more healthy than zucchini