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April 30, 2019

Instant Pot Creamy Tomato Parmesan Fettuccine

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Instant Pot Creamy Tomato Parmesan Fettuccine–a big bowl of noodles with a creamy tomato sauce, spinach, Italian sausage and parmesan cheese.

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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.

Pin this recipe for later!

Instant Pot Creamy Tomato Parmesan Fettuccine--a big bowl of noodles with a creamy tomato sauce, spinach, Italian sausage and parmesan cheese. 

More Instant Pot Pasta Recipes You’ll Love…

Instant Pot Smoked Sausage with Parmesan and Orzo

Instant Pot Creamy Beef and Penne

Instant Pot Lasagna Ravioli

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--a big bowl of noodles with a creamy tomato sauce, spinach, Italian sausage and parmesan cheese. 

Pin this recipe for later!

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Instant Pot Creamy Tomato Parmesan Fettuccine


★★★★★

4.9 from 11 reviews

  • Author: Karen Petersen
  • Prep Time: 15 minutes
  • Cook Time: 4 minutes (plus 5 minute NPR)
  • Total Time: 30 minutes
  • Yield: 8 servings 1x
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Ingredients

Scale
  • 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

Instructions

  1. 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.
  2. Deglaze the pot with the broth. Turn off the saute setting.
  3. 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.
  4. Place the butter on top of noodles. Sprinkle in the Italian seasoning, Pour the crushed tomatoes over the top. Do not stir.
  5. 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.
  6. 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.
  7. Remove the pot from the Instant Pot base and stir in the parmesan cheese.
  8. Serve and enjoy!

Notes

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

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*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.

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34 Comments Filed Under: All Recipes, Sausage, Instant Pot, Pasta

Recommendations

Comments

  1. Lisa Littleton says

    June 28, 2021 at 4:09 pm

    YUMMY!
    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!

    ★★★★★

    Reply
    • Karen says

      June 29, 2021 at 3:34 pm

      Thanks so much for the 5 stars Lisa!

      Reply
  2. Rina says

    May 10, 2020 at 9:46 pm

    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?

    ★★★★★

    Reply
    • Karen says

      May 11, 2020 at 2:38 pm

      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.

      Reply
  3. Emerson Smith says

    March 24, 2020 at 4:26 pm

    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😜

    ★★★★★

    Reply
    • Karen says

      March 25, 2020 at 6:16 pm

      You’re welcome Emerson! I would love to see your photos!

      Reply
  4. Brittany says

    September 7, 2019 at 5:21 pm

    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. 🙂

    ★★★★★

    Reply
    • Karen says

      September 9, 2019 at 12:38 pm

      Awesome Brittany thanks for sharing!

      Reply
  5. Mindy says

    May 6, 2019 at 7:18 pm

    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!!!!

    ★★★★★

    Reply
    • Karen says

      May 7, 2019 at 10:10 am

      I love those ideas. I’m so happy you found this recipe and liked it!

      Reply
  6. Al Penaluna says

    May 6, 2019 at 3:21 am

    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 👍🙂

    ★★★★★

    Reply
    • Karen says

      May 6, 2019 at 8:06 am

      Thanks Al for sharing your experience! I will write a note in the recipe that 1 minute more works for some people.

      Reply
      • Ruth Wade says

        July 25, 2019 at 3:08 pm

        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 !!!

        Reply
  7. Heather says

    May 4, 2019 at 2:19 am

    How do you think using dice chicken thighs instead of sausage would turn out?

    Reply
    • Karen says

      May 4, 2019 at 9:27 pm

      good but you’d probably need more flavoring or seasoning since Italian sausage adds so much.

      Reply
  8. Sharon says

    May 3, 2019 at 7:11 pm

    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.

    ★★★★

    Reply
    • Karen says

      May 4, 2019 at 9:29 pm

      Okay yes try that next time!

      Reply
      • Sharon says

        September 21, 2020 at 9:46 am

        Using a 5 minute cook time was perfect.

        ★★★★★

        Reply
    • Sharon says

      September 21, 2020 at 9:44 am

      Using a 5 minute cook time was perfect.

      Reply
      • Karen says

        September 21, 2020 at 1:26 pm

        good to know! thanks!

        Reply
        • Sharon says

          February 27, 2022 at 6:09 pm

          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.

          ★★★★★

          Reply
          • Sharon says

            February 27, 2022 at 9:52 pm

            Correction – put the cream cheese on top of the crushed tomatoes before pressure cooking.

  9. judy henderson says

    May 1, 2019 at 7:16 pm

    So yummy
    Will have to make it again

    ★★★★★

    Reply
    • Karen says

      May 4, 2019 at 9:38 pm

      So glad you enjoyed it!

      Reply
  10. Chris says

    May 1, 2019 at 9:48 am

    Do you drain the grease from the sausage?

    Reply
    • Karen says

      May 4, 2019 at 9:40 pm

      If there is an excess amount. Mine really didn’t have any.

      Reply
  11. Jaci says

    April 30, 2019 at 7:55 pm

    Made this tonight… only had hot Italian sausage and it was AMAZING!! New favorite recipe! Thank you 😊

    ★★★★★

    Reply
    • Karen says

      April 30, 2019 at 9:26 pm

      Jaci, thank you so much for your nice note. I appreciate it! I really really loved this one as well!

      Reply
  12. Kathryn says

    April 30, 2019 at 3:46 pm

    Did you use fresh or dried pasta?

    Reply
    • Karen says

      April 30, 2019 at 9:28 pm

      dried…I’ve never tried fresh pasta in the IP. I’d be nervous it would fall apart.

      Reply
  13. diane diprete says

    April 30, 2019 at 1:52 pm

    can you use lo-fat cream cheese to reduce the calorie count

    Reply
    • Karen says

      April 30, 2019 at 9:29 pm

      If you’d like. yes.

      Reply
      • Sussan says

        May 8, 2019 at 5:49 am

        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

        Reply
        • Karen says

          May 8, 2019 at 3:15 pm

          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.

          Reply

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Hi, I’m Karen. I know that dinner time can be less than relaxing. Busy schedules and cranky kids and a hundred other things can lead to weariness when it comes to putting dinner on the table. I can help! I make homemade, family-friendly slow cooker and Instant Pot dinners and share the recipes with you.

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