Spicy Horseradish Italian sausage pasta

Last night I wanted something different for dinner. Something pasta, something spicy, but something a little tangy. While going through my cupboards and fridge I found some ingredients that sounded like they would go great together…….and it did! It was absolutely delicious and so I wanted to share it all with you today!

I will do my best to give the exact amounts, but I just made it to the taste I liked it. You can  always add or subtract anything you don’t like, substitute anything that you want as well. Please leave a comment and let me know what ya think! (pictures soon to come!)


  • Spicy Italian Sausage links (you could use ground)–3 links
  • Horseradish–2-3 TBSP
  • Creamy Deli Mustard–2-3 TBSP
  • Elbow Macaroni
  • Salt–dash to taste
  • Pepper–dash to taste
  • Onion Powder–dash to taste
  • Garlic Powder–dash to taste
  • Red Pepper Flakes– 1 TSP
  • Cream (or Milk)–1/2 cup
  • Flour–1/4 cup
  • Oil/butter–2 TBSP


Cook the elbow macaroni as per package directions.

Cut the Italian sausage in slices about 1/4 inch thick. Put them in a sauce pan and sautee with the red pepper flakes. Once that is cooked, DO NOT DRAIN the grease. You want to take the sausage out of the pan for next step.

Now we are going to make a roux (like for gravy). Take the oil from sausage and the 2 TBSP of butter or oil and add to the pan. Let that melt and warm up then slowly add a small amount of flour to the oil. You want them to blend nicely together (so they are creamy, not lumpy!)

Once that is creamy, slowly add the cream. As it boils, it will thicken (just like gravy) if you need more flour, add more to keep it like a sauce. You don’t want it as thick as gravy gets but you don’t want it to get soupy either.

Now put the sausage back in. Add the salt and pepper and onion and garlic powders, add for flavor, but never too much! Then add the Horseradish and the mustard. If you need more than I did, add more (mine are just rough estimates)

Once the sausage is mixed in there, add the elbow macaroni. Mix together till all the pasta is covered in sauce.

And wa-la! creamy, spicy goodness in your mouth!


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