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In a large pot or deep skillet over medium heat, cook the Italian sausage until browned and fully cooked. Drain excess grease if necessary.
Cut the cream cheese into chunks and add it to the sausage. Stir until the cheese is fully melted and combined with the sausage.
Add the undrained can of diced tomatoes, followed by the jar of Alfredo sauce. Pour 1 cup of water into the empty Alfredo jar, shake it to get all the remaining sauce, and pour that into the pot as well. Stir everything together until smooth.
Stir in the dry pasta, making sure it’s fully submerged in the sauce mixture. Bring the pot to a gentle simmer, then reduce the heat to medium.
Cover and cook for 15 minutes, stirring once halfway through to prevent sticking.
After 15 minutes, check that the pasta is tender. Sprinkle the Italian blend cheese evenly over the top.- For a quick finish: cover the pot and cook for 2–3 minutes until the cheese melts.- For a golden top: place under the broiler for 2–3 minutes until bubbly and slightly browned.
Spoon into bowls and enjoy hot! This dish pairs great with garlic bread or a side salad.