This Creamy Italian Sausage Orzo is just that rich, silky, and full of savory sausage flavor with tender orzo and bright spinach folded in at the end. It hits the spot when you want something hearty but not complicated.
This meal is special because the orzo soaks up a creamy, slightly cheesy broth while the Italian sausage adds a smoky, spiced bite. It’s like a one-pot hug for your weekday evenings. If you like similar cozy soups, you might enjoy a related take on creamy sausage soups like this Creamy Italian Sausage Gnocchi Soup.
Top reasons to make this tonight:
- Quick to cook and easy to clean up
- Uses simple pantry ingredients
- Loved by both kids and adults
Why You’ll Love This Recipe
- Ready in about 30 minutes
- Made with pantry staples and fresh spinach
- One-pot comfort less mess, more flavor
- Crowd-pleasing and great for leftovers
Ingredients for Creamy Italian Sausage Orzo
- 1 cup orzo pasta
- 1 pound Italian sausage, casing removed if needed
- 1 onion, chopped
- 2 cloves garlic, minced
- 2 cups chicken broth
- 1 cup heavy cream
- 1 cup spinach, roughly chopped
- 1 teaspoon Italian seasoning
- Salt and pepper to taste
- Parmesan cheese for serving
Step-by-Step Instructions of Creamy Italian Sausage Orzo
- Brown the sausage in a large skillet or Dutch oven over medium heat, breaking it into small pieces until no pink remains. Drain excess fat if needed.
- Sauté the chopped onion in the same pot for 3–4 minutes, until soft and translucent.
- Add the minced garlic and Italian seasoning; cook 30 seconds until fragrant.
- Pour in the chicken broth and bring to a gentle boil.
- Stir in the orzo, reduce heat to a simmer, and cook uncovered for about 8–10 minutes, stirring occasionally so the orzo cooks evenly.
- Pour in the heavy cream and simmer 2–3 minutes more until the sauce thickens slightly.
- Fold in the chopped spinach and cook until wilted, about 1–2 minutes.
- Season with salt and pepper to taste. Serve hot with a sprinkle of Parmesan cheese.

Tips for Success
- Use full-fat cream for the creamiest texture and best mouthfeel.
- Stir often after adding orzo so it cooks evenly and doesn’t stick to the bottom.
- If the mixture gets too thick, add a splash more broth or water to loosen it.
- Taste and salt gradually sausage can be salty on its own.
Substitutions & Variations of Creamy Italian Sausage Orzo
To Make It Vegan/Gluten-Free:
- For vegan: use plant-based sausage, replace heavy cream with canned coconut milk or a cashew cream, and omit Parmesan or use a vegan cheese.
- For gluten-free: swap orzo for a gluten-free small pasta or use riced cauliflower for a low-carb option.
Variations:
- Add mushrooms and bell peppers when sautéing the onion for extra veggies.
- Stir in sun-dried tomatoes or a spoonful of pesto for a flavor boost.
- Swap spinach for kale or arugula for a different green and texture.
- Use spicy Italian sausage for heat or turkey sausage for a lighter dish.
Storage Instructions of Creamy Italian Sausage Orzo
Refrigerator: Cool completely, then store in an airtight container for up to 4 days. Reheat gently on the stove with a splash of broth to loosen the sauce.
Freezer: This dish is best frozen without cream (freeze up to 2 months). Thaw in the fridge, then add fresh cream when reheating.
Make-Ahead: Brown the sausage and chop the veggies a day ahead. Store separately and finish the dish when ready to serve for the best texture.
Frequently Asked Questions (FAQ) of Creamy Italian Sausage Orzo
Can I use ground pork or beef instead of Italian sausage?
Yes. If you use plain ground meat, add extra Italian seasoning and a pinch of fennel or crushed red pepper to mimic the sausage flavor.
Will the orzo absorb too much liquid if I store leftovers?
Yes, orzo soaks up sauce over time. When reheating, add a little broth or cream to bring back a creamy consistency.
Is there a low-fat version that still tastes good?
Use turkey sausage and half-and-half instead of heavy cream. The texture won’t be quite as rich but will still be tasty.
Final Thoughts
Creamy Italian Sausage Orzo is a simple, comforting meal that fits busy weeknights and makes great leftovers. It’s warm, creamy, and flexible a real go-to when you want homey flavor with little fuss. Try it, leave a comment, and give it a star rating if it becomes a family favorite.
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Creamy Italian Sausage Orzo
A cozy, creamy dish featuring Italian sausage and tender orzo that’s quick to prepare and perfect for busy weeknights.
- Total Time: 30 minutes
- Yield: 4 servings
Ingredients
- 1 cup orzo pasta
- 1 pound Italian sausage, casing removed if needed
- 1 onion, chopped
- 2 cloves garlic, minced
- 2 cups chicken broth
- 1 cup heavy cream
- 1 cup spinach, roughly chopped
- 1 teaspoon Italian seasoning
- Salt and pepper to taste
- Parmesan cheese for serving
Instructions
- Brown the sausage in a large skillet or Dutch oven over medium heat, breaking it into small pieces until no pink remains. Drain excess fat if needed.
- Sauté the chopped onion in the same pot for 3–4 minutes, until soft and translucent.
- Add the minced garlic and Italian seasoning; cook 30 seconds until fragrant.
- Pour in the chicken broth and bring to a gentle boil.
- Stir in the orzo, reduce heat to a simmer, and cook uncovered for about 8–10 minutes, stirring occasionally.
- Pour in the heavy cream and simmer 2–3 minutes more until the sauce thickens slightly.
- Fold in the chopped spinach and cook until wilted, about 1–2 minutes.
- Season with salt and pepper to taste. Serve hot with a sprinkle of Parmesan cheese.
Notes
Use full-fat cream for the creamiest texture. Stir often to prevent sticking. Taste and salt gradually as sausage can be salty.
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
- Diet: Paleo
