Skip to main content

Fettuccine with Sausage, Sage, and Crispy Garlic

This fettuccine with sausage, sage, and crispy garlic is a sophisticated yet simple high-protein dish that brings together classic Italian flavours. The combination of aromatic fresh sage and thinly sliced golden garlic creates a fragrant oil that perfectly coats every strand of egg pasta. Using turkey sausages provides a lighter, leaner protein source without compromising on the traditional savoury depth of the dish.

Ideal for a comforting midweek meal, this recipe is as nourishing as it is flavourful. The addition of sharp, nutty Asiago cheese provides a lovely finishing touch that complements the herbs beautifully. Serve this alongside a crisp green salad or some steamed tenderstem broccoli for a balanced dinner that feels like a genuine treat from a trattoria kitchen.

Continue reading below

Ingredients for Fettuccine with Sausage, Sage, and Crispy Garlic

  • 350g fettuccine (preferably egg fettuccine, such as De Cecco)

  • 2 tablespoons butter, divided

  • 60ml olive oil

  • 8 garlic cloves, peeled, thinly sliced

  • 2 tablespoons finely chopped fresh sage

  • 450g sweet Italian turkey sausages, casings removed

  • 1/4 teaspoons dried crushed red pepper (optional)

  • 120g grated Asiago cheese* (about 90g )

How to make Fettuccine with Sausage, Sage, and Crispy Garlic

Meanwhile, melt 1 tablespoon butter with oil in heavy large skillet over medium heat. Add garlic slices and sauté until light golden, about 45 seconds. Using slotted spoon, transfer garlic to bowl.

Increase heat to medium-high; add sage to same skillet and stir until beginning to crisp, about 10 seconds. Add sausage and sauté until browned and crisp in spots, breaking up with fork, about 8 minutes.

Drain pasta; add pasta and remaining 1 tablespoon butter to skillet. Using tongs, toss pasta with sausage mixture. Add crushed red pepper, if desired; season to taste with salt and pepper. Transfer pasta to large bowl. Top with crispy garlic and grated Asiago cheese.

*Available at some supermarkets and at specialty foods stores and Italian markets.

Disclaimer

While every effort has been made to ensure the information is accurate and up to date, individual needs may vary and dietary requirements can differ based on personal health conditions. Always check food labels and allergen information before preparing or consuming any recipe. If you have specific health concerns, allergies, intolerances, or are following a medically prescribed diet, seek advice from your GP, pharmacist, or a registered dietitian before making significant changes to your diet or lifestyle.

Article history

The information on this page is peer reviewed by qualified clinicians.

  • 17 Jan 2026 | Originally published

    Authored by:

    UK recipe editors

    Peer reviewed by

    UK recipe editors
flu eligibility checker

Ask, share, connect.

Browse discussions, ask questions, and share experiences across hundreds of health topics.

symptom checker

Feeling unwell?

Assess your symptoms online for free

Sign up to the Patient newsletter

Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.

Please enter a valid email address

By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.