Italian Drunken Noodles with Sausage

Featured in: One-Dish Meal Ideas

Hearty spaghetti meets bold Chianti wine reduction in this sizzling Italian-Asian fusion. Spicy sausage or shrimp mingles with sweet cherry tomatoes, garlic, and onion while soy sauce and Worcestershire add umami depth. The pasta cooks directly in the skillet, absorbing every drop of the wine-kissed tomato sauce as it reduces to a rich clingy consistency. Fresh basil and Parmesan crown this vibrant dinner, ready in just 40 minutes. Perfect alongside crusty bread and that same glass of Chianti used in the sauce.

Updated on Sun, 01 Feb 2026 15:25:00 GMT
A close-up of Italian Drunken Noodles, featuring al dente spaghetti tossed in a rich red wine tomato sauce with plump shrimp and fresh basil leaves. Save
A close-up of Italian Drunken Noodles, featuring al dente spaghetti tossed in a rich red wine tomato sauce with plump shrimp and fresh basil leaves. | forknotion.com

My stove was cluttered with mismatched pans when a neighbor knocked with a bottle of Chianti and a challenge: use it for dinner, not just drinking. I had leftover sausage, a basket of cherry tomatoes turning soft, and pasta in the cupboard. What came together that night was a happy accident, a mash-up of Italian comfort and the bold, saucy spirit of Thai drunken noodles, minus any rulebook.

I made this for a group of friends who showed up hungry and tired after a long hike. They hovered around the stove, stealing bites of sausage straight from the pan, and by the time I plated it, half the basil had already disappeared into their mouths. Nobody asked for the recipe, they just kept eating in silence, which I took as the highest compliment.

Ingredients

  • 12 ounces spaghetti or linguine: Use whatever shape you love, the sauce is clingy enough to work with anything from penne to gluten-free rice noodles.
  • 2 tablespoons extra-virgin olive oil: This is your flavor base, so use the good stuff, it makes a difference when the pan gets hot.
  • 1 small yellow onion, thinly sliced: Slice it thin so it melts into the sauce and adds sweetness without any crunch.
  • 4 garlic cloves, minced: Fresh garlic turns golden and fragrant in seconds, do not walk away or it will burn.
  • 1 teaspoon red pepper flakes: Start with less if you are nervous, you can always add more heat at the end.
  • 8 ounces Italian sausage or shrimp: Sausage brings deep, savory richness, shrimp keeps it lighter and cooks in half the time.
  • 1 pint cherry tomatoes, halved: They burst into jammy sweetness when you press them with a spoon, creating little pockets of flavor.
  • 2 tablespoons tomato paste: This thickens the sauce and adds a concentrated tomato punch that balances the wine.
  • ½ cup dry red wine: Chianti or Sangiovese work beautifully, but any dry red you would drink will do the job.
  • 2 tablespoons soy sauce: It sounds odd in Italian food, but it adds umami depth that makes the whole dish sing.
  • 1 tablespoon Worcestershire sauce: Another secret weapon for savory complexity that nobody can quite place.
  • 1 teaspoon balsamic vinegar: A tiny splash brightens everything and cuts through the richness.
  • ½ cup fresh basil leaves, roughly torn: Tear it at the last second so it stays vibrant and fragrant.
  • 2 tablespoons chopped fresh parsley: It adds a fresh, grassy note that balances the tomato and wine.
  • ¼ cup grated Parmesan cheese: Stir it in off the heat so it melts into the sauce instead of clumping.
  • Salt and freshly ground black pepper: Taste as you go, the soy sauce and Parmesan are salty, so go easy at first.

Instructions

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Boil the Pasta:
Bring a large pot of salted water to a rolling boil and cook your pasta until just al dente, following the package directions. Reserve 1 cup of that starchy pasta water before draining, it is liquid gold for bringing the sauce together.
Heat the Pan:
While the pasta bubbles away, heat a large skillet over medium-high heat and add the olive oil, swirling it around until it shimmers.
Sauté the Aromatics:
Toss in the sliced onion and let it sizzle for 2 to 3 minutes until it softens and starts to turn golden at the edges. Stir in the garlic and red pepper flakes, cooking for just 30 seconds until the kitchen smells incredible.
Cook the Protein:
Add your crumbled sausage or shrimp to the skillet. If using sausage, break it into bite-sized pieces and cook for 5 to 7 minutes until browned and cooked through, if using shrimp, cook for 2 to 3 minutes per side until pink and opaque.
Add the Tomatoes:
Stir in the halved cherry tomatoes and tomato paste, cooking for about 2 minutes and gently mashing some of the tomatoes with your spoon to release their sweet juices.
Deglaze with Wine:
Pour in the red wine, scraping up all those flavorful browned bits stuck to the bottom of the pan. Let it simmer for 2 to 3 minutes until the wine reduces by about half and smells rich and concentrated.
Build the Sauce:
Stir in the soy sauce, Worcestershire sauce, and balsamic vinegar, mixing everything together. Taste it and adjust with salt, pepper, or more red pepper flakes if you want extra heat.
Toss the Pasta:
Add the drained pasta directly to the skillet and toss everything together, adding the reserved pasta water a few tablespoons at a time until the sauce clings to every strand.
Finish with Herbs and Cheese:
Remove the pan from the heat and stir in the torn basil, chopped parsley, and grated Parmesan, tossing until the cheese melts and everything is evenly coated.
Serve and Garnish:
Divide the pasta among bowls and top with extra basil, a sprinkle of Parmesan, sliced red chili if you like, and a lemon wedge on the side for brightness.
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One evening I served this to my father, who grew up on traditional Sunday gravy and was skeptical of anything called fusion. He finished his bowl, looked up, and asked if there was more in the pan. That quiet nod of approval meant more than any five-star review ever could.

How to Store and Reheat Leftovers

This keeps beautifully in a covered container in the fridge for up to 3 days, though the pasta will soak up some of the sauce as it sits. When you reheat it, add a splash of water, wine, or even a drizzle of olive oil to loosen everything back up, and warm it gently in a skillet over medium heat. The flavors deepen overnight, so leftovers can actually taste even better the next day.

Swaps and Variations

If you want to keep this vegetarian, skip the sausage and shrimp and use thick slices of sautéed mushrooms or cubes of marinated tofu instead. For a gluten-free version, swap in your favorite gluten-free pasta and double-check that your Worcestershire sauce is gluten-free too. You can also dial up the heat with fresh sliced chilies or tone it down by cutting the red pepper flakes in half.

Pairing Suggestions

This dish loves a crisp, peppery arugula salad dressed simply with lemon and olive oil to cut through the richness. A glass of the same Chianti you cooked with is the obvious choice, but a chilled Pinot Grigio works too if you want something lighter.

  • Serve with crusty bread to mop up every last bit of sauce.
  • A side of roasted broccoli or green beans adds color and balance.
  • For dessert, keep it simple with fresh fruit or a scoop of lemon sorbet.
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Steaming Italian Drunken Noodles served in a rustic bowl, highlighting crumbled Italian sausage, blistered cherry tomatoes, and a generous sprinkle of Parmesan cheese. Save
Steaming Italian Drunken Noodles served in a rustic bowl, highlighting crumbled Italian sausage, blistered cherry tomatoes, and a generous sprinkle of Parmesan cheese. | forknotion.com

This recipe has become my go-to for nights when I want something that feels special without the fuss. It is messy, bold, and just a little bit rebellious, exactly the kind of dinner that makes people happy.

Recipe Questions & Answers

What makes Italian drunken noodles different from regular pasta?

Italian drunken noodles combine traditional pasta techniques with Asian-inspired flavors like soy sauce and Worcestershire. The wine reduction creates a uniquely rich sauce that clings to every strand.

Can I make this vegetarian?

Absolutely. Replace sausage with sautéed mushrooms or marinated tofu. Use vegetarian Worcestershire sauce to keep it plant-based while maintaining deep umami flavors.

What type of wine works best?

Chianti or Sangiovese are ideal choices for their bold fruit and acidity. Any dry red wine like Merlot or Zinfandel will create that signature wine-kissed sauce.

How spicy is this dish?

The heat level is adjustable. Start with one teaspoon of red pepper flakes for medium spice. Reduce for mild flavor or add fresh chilies if you prefer extra kick.

Can I prepare this in advance?

Cook pasta and sauce separately, then combine just before serving. The sauce actually develops deeper flavors after resting in the refrigerator for a day.

What pasta shapes work well?

Spaghetti or linguine are traditional choices, but fettuccine or bucatini also work beautifully. The key is selecting long strands that capture the clingy wine sauce.

Italian Drunken Noodles with Sausage

Spicy sausage pasta in Chianti tomato sauce with Asian-inspired flavors

Prep Duration
15 minutes
Time for Cooking
25 minutes
Overall Time
40 minutes
Created by Rebecca Moore


Skill Level Medium

Cuisine Italian Fusion

Makes 4 Portions

Diet Information None specified

What You'll Need

Pasta

01 12 ounces spaghetti or linguine

Sauce and Proteins

01 2 tablespoons extra-virgin olive oil
02 1 small yellow onion, thinly sliced
03 4 garlic cloves, minced
04 1 teaspoon red pepper flakes
05 8 ounces Italian sausage or peeled shrimp

Vegetables and Aromatics

01 1 pint cherry tomatoes, halved
02 2 tablespoons tomato paste

Liquids and Seasonings

01 ½ cup dry red wine
02 2 tablespoons soy sauce
03 1 tablespoon Worcestershire sauce
04 1 teaspoon balsamic vinegar

Fresh Herbs and Cheese

01 ½ cup fresh basil leaves, roughly torn
02 2 tablespoons chopped fresh parsley
03 ¼ cup grated Parmesan cheese, plus extra for serving
04 Salt and freshly ground black pepper to taste

How to Prepare

Step 01

Cook Pasta: Bring a large pot of salted water to a boil. Cook pasta until al dente according to package directions. Reserve 1 cup of pasta cooking water, then drain and set aside.

Step 02

Heat Skillet: While pasta cooks, heat a large skillet over medium-high heat. Add olive oil and swirl to coat the pan evenly.

Step 03

Sauté Aromatics: Add onion and sauté for 2 to 3 minutes until it begins to soften. Stir in garlic and red pepper flakes; cook for 30 seconds until fragrant.

Step 04

Cook Protein: Add sausage or shrimp to the skillet. For sausage, cook 5 to 7 minutes, breaking into pieces, until browned and cooked through. For shrimp, cook 2 to 3 minutes per side until pink and opaque.

Step 05

Build Sauce Base: Stir in cherry tomatoes and tomato paste. Cook for 2 minutes, gently mashing some tomatoes to release their juices.

Step 06

Deglaze Pan: Pour in red wine to deglaze the pan, scraping up any browned bits. Simmer 2 to 3 minutes until reduced by about half.

Step 07

Season Sauce: Add soy sauce, Worcestershire sauce, and balsamic vinegar. Stir to combine. Taste and adjust seasoning with salt, pepper, or additional red pepper flakes as desired.

Step 08

Combine Pasta and Sauce: Add drained pasta to the skillet. Toss to coat, adding reserved pasta water a few tablespoons at a time until sauce clings to noodles.

Step 09

Finish with Fresh Elements: Remove from heat. Stir in basil, parsley, and Parmesan until melted and evenly incorporated throughout.

Step 10

Plate and Serve: Divide pasta among bowls. Garnish with extra basil, Parmesan, sliced chili if desired, and a lemon wedge for brightness.

Tools Needed

  • Large pot
  • Large skillet
  • Wooden spoon
  • Chef's knife
  • Cutting board
  • Tongs

Allergy Warnings

Go through every item for any allergens and talk to your healthcare provider if you have concerns.
  • Contains wheat unless using gluten-free pasta
  • Contains soy
  • Contains fish or shellfish if using shrimp
  • Contains milk from Parmesan cheese
  • May contain gluten in Worcestershire sauce

Nutrition Breakdown (per portion)

These values are provided for your reference only. Always seek medical guidance if you have dietary needs.
  • Energy (Calories): 630
  • Fats: 22 grams
  • Carbohydrates: 76 grams
  • Proteins: 29 grams