Instant Pot Creamy Tomato Parmesan Fettuccine–a big bowl of noodles with a creamy tomato sauce, spinach, Italian sausage and parmesan cheese.
Instant Pot Creamy Tomato Parmesan Fettuccine
I love this pasta! It’s got the creamy factor thanks to cream cheese. But it’s also got some bite from crushed tomatoes. Plus tons of flavor from Italian sausage. This will please all of your taste buds. I could have kept eating this until it was gone but had to cut myself off.
A few notes about the recipe:
The noodles. I chose to use fettuccine noodles. You can use other types of pasta like cavatappi, penne, macaroni or linguine. Sometimes fettuccine, linguine and spaghetti noodles stick together when cooked in the Instant Pot. Make sure to scatter the noodles so they aren’t all in one big clump. Even with a little stickage these noodles were still so tasty.
Crushed tomatoes. I like using crushed tomatoes because they are the perfect cross between chunky diced tomatoes and smooth tomato sauce. They add lots of flavor and texture.
Italian sausage. I buy the ground Italian sausage that is not in casing. I like to buy mild so that it’s not too spicy. Italian sausage gives so much flavor.
More Instant Pot Pasta Recipes You’ll Love…
Instant Pot Smoked Sausage with Parmesan and Orzo
Instant Pot Creamy Beef and Penne
What Pressure Cooker Did You Use?
To make Instant Pot Creamy Tomato Parmesan Fettuccine I used my 6 quart Instant Pot Duo 60 7 in 1*. I love this Instant Pot because it has the yogurt making function which I use almost weekly. It has two pressure settings (high and low), and there are also little slots in the handles so that you can rest the lid there instead of putting it down on your counter-top.
Instant Pot Creamy Tomato Parmesan Fettuccine
- Prep Time: 15 minutes
- Cook Time: 4 minutes (plus 5 minute NPR)
- Total Time: 30 minutes
- Yield: 8 servings 1x
- 1 pound ground Italian sausage
- 1 cup diced onion
- 1 tsp minced garlic
- 3 1/2 cups chicken broth
- 1 pound (16 oz) uncooked fettuccine noodles
- 1 Tbsp butter
- 2 tsp Italian seasoning
- 1 (28 oz) can crushed tomatoes
- 1 (8 oz) package cream cheese
- 6 oz spinach, coarsely chopped
- 1/2 cup shredded or grated parmesan cheese
- Turn your Instant Pot to the saute setting. When the display says HOT add in the Italian sausage and break it up*. Add in the diced onion. Brown the sausage and cook the onions for about 5 minutes. Add in the garlic and stir for 20 seconds.
- Deglaze the pot with the broth. Turn off the saute setting.
- Break the fettuccine noodles in half so they will be able to fit in the pot. Scatter the noodles unevenly into the liquid so they’re not in one big clump. This will help them from sticking together.
- Place the butter on top of noodles. Sprinkle in the Italian seasoning, Pour the crushed tomatoes over the top. Do not stir.
- Cover the Instant Pot and secure the lid. Make sure the valve is set to sealing. Set the manual/pressure cook button to 4 minutes (see note). Once time is up let the pressure release naturally for 5 minutes and then move the valve to venting. Remove the lid.
- Cut the cream cheese into cubes and add them into the pot. Add in the spinach. Stir well. Break up any clumps of noodles and let the cream cheese melt.
- Remove the pot from the Instant Pot base and stir in the parmesan cheese.
- Serve and enjoy!
I used my 6 quart Instant Pot Duo 60 7 in 1*. You can make this in your 8 quart. Keep the cooking time the same. You can halve this recipe and make it in your 3 quart. Keep the same cooking time.
4 minutes of pressure cook time was enough for me. Several others have stated that 5 minutes was the perfect amount of time.
- Category: Pasta
- Method: Instant Pot
- Cuisine: Italian
*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.
Lisa Littleton says
I made this recipe as directed and it was a hit with my family. According to the other reviews, about the cook time, I pressure cooked for 5 minutes and pasta was done. Great recipe and will check out your other recipes!
Thanks so much for the 5 stars Lisa!
I love this recipe so much! I’ve been looking for a great tomato cream sauce for years and finally found one I love! But I was wondering, would this work using fresh pasta?
So glad you found this recipe Rina! I would think that fresh pasta would fall apart more in the Instant Pot. I haven’t tried it myself. I also think that it would need a shorter pressure cooking time.
Emerson Smith says
It’s nice when the end product looks just as appetizing as your photo. I forgot the spinach but not to worry. It was delicious. Thank you😜
You’re welcome Emerson! I would love to see your photos!
This was so delicious!! I did cook for 5 min. as the note suggested and it was PERFECT. This was a hit with the whole family! I was super nervous about cooking pasta in the IP, however this was super easy and only took me about 7 min to put together. Definitely will be making this recipe again. 🙂
Awesome Brittany thanks for sharing!
Fabulous!!! I made a half recipe (in my 6 qt.) and it came out great. I used penne instead of fettuccine because I had it on hand. My particular brand of pasta called for an 11 minute cook time so, using the pasta cooking “formula” , I rounded that to 12 minutes, cut that time in half and subtracted 1 minute for a 5 minute cook time (vs. 4 minutes per the recipe). Every brand of pasta has a little different cook time so using the “formula” will help determine the correct cook time. I did use the 5 minute NR. Perfect! I am still amazed that pasta comes out perfectly cooked al dente in the IP! But back to the recipe, I used sweet Italian ground sausage, added about 1/4 tsp cushed red pepper for a little heat, and fire roasted crushed tomatoes. I totally agree that crushed tomatoes are just right . No other changes to any other ingredients or amounts, and none needed. We LOVED this recipe—probably my favorite now from this site! Thank you, Karen for another great recipe!!!!
I love those ideas. I’m so happy you found this recipe and liked it!
Al Penaluna says
I love cooking for my gorgeous wife. I use the insta pot at least twice a week or more. Usually I make enough for two to four or even five more left over meals is why I use insta pot only twice a week. Something I’ve got into the habit of is reading the comments. I find by doing so to get great tips. In this section it was suggested to cook noodles and extra minute. I find my insta pot under cooks as well so I will do this when I make this tonight. Otherwise it will be made exactly as the recipe calls except no spinach. She is not a spinach person. Thank you for the daily updates/recipes. Al
P.S. I am not making anything inappropriate here just want you to know I think you are a very beautiful lady 👍🙂
Thanks Al for sharing your experience! I will write a note in the recipe that 1 minute more works for some people.
Ruth Wade says
I can’t WAIT to try this!!! but Al, your wife and I are on the same page with that spinach… so I think I will add broccoli !!!
How do you think using dice chicken thighs instead of sausage would turn out?
good but you’d probably need more flavoring or seasoning since Italian sausage adds so much.
This was very good, however the fettuccini was undercooked with only 4 minutes of cooking time. Based on the formula of dividing the cooking time (12 min. for Barilla) in half, and subtracting a minute, it should cook for 5 minutes which I will try next time. This would be good with mushrooms added.
Okay yes try that next time!
Using a 5 minute cook time was perfect.
Using a 5 minute cook time was perfect.
good to know! thanks!
I put the cut up cream cheese on top of the spinach. It was nicely melted and was easy to stir into the cooked fettuccine.
Correction – put the cream cheese on top of the crushed tomatoes before pressure cooking.
judy henderson says
Will have to make it again
So glad you enjoyed it!
Do you drain the grease from the sausage?
If there is an excess amount. Mine really didn’t have any.
Made this tonight… only had hot Italian sausage and it was AMAZING!! New favorite recipe! Thank you 😊
Jaci, thank you so much for your nice note. I appreciate it! I really really loved this one as well!
Did you use fresh or dried pasta?
dried…I’ve never tried fresh pasta in the IP. I’d be nervous it would fall apart.
diane diprete says
can you use lo-fat cream cheese to reduce the calorie count
If you’d like. yes.
Going to try all these recipes, have a slow cooker, older version.. where do i buy Italian sausage & explain crushed tomatoes.. only know about diced & tomato paste
Hi Sussan, this is an instant pot recipe. Italian sausage is found by the regular sausage. You can usually buy it in mild or hot. Crushed tomatoes are next to the regular tomatoes. They are like of like half pureed diced tomatoes.