Creamy, spicy, and rich Sausage Harissa Pasta.
This Creamy Sausage Harissa Pasta is filled with flavorful Italian chicken sausage, spicy harissa paste, and creamy coconut milk.

The only thing that’s going to get me through winter is pasta – cozy, comforting, and rich pasta recipes that are creamy and full of flavor.
This Creamy Sausage Harissa Pasta is pure comfort food, filled with hearty chicken sausage, spicy harissa pasta, and rich coconut milk.

What is harissa paste?
Harissa paste is a North African red chile paste, usually made from dried chili peppers, garlic, olive oil, and a combination of spices.

How to make Creamy Sausage Harissa Pasta:
- Bring a large pot of salted water to a boil. Cook the pasta according to the packet instructions until al dente. Reserve ¼ cup cooking liquid and drain pasta.
- Meanwhile, heat oil in a large skillet over medium-high heat. Add the shallot and cook until soft, 6-8 minutes. Stir in the garlic and cook for 1 minute more, stirring frequently to prevent burning. Add the sausage and break apart using a wooden spoon until browned, 6-8 minutes. Season with salt and pepper to taste (I used ~½ tsp kosher salt as sausage can already be salty).
- Add the harissa paste, tomato paste, and 1 tbsp vegetable broth. Stir well and cook for 2-3 minutes until tomato paste has darkened in color. Deglaze pan with remaining chicken brown and coconut milk. Simmer for a few minutes until thickened. Season to taste then remove from heat. Add pasta and stir well using tongs to fully coat pasta in sauce. Add pasta water if needed to achieve a glossy texture.
- Serve with fresh parsley and parmesan (optional).


Why you’ll love this Creamy Sausage Harissa Pasta:
- Simple and easy to make
- Rich, creamy, and indulgent
- High-protein
- Ultimate comfort meal
- Oh so delicious!

If you’re looking for more delicious creamy pasta recipes, you’ll also love this Creamy Chanterelle Mushroom Pasta, this Creamy Roasted Red Pepper Pasta, and this Creamy Caramelized Leek Tagliatelle.
Also, if you make this recipe and decide to share it on Facebook or Instagram don’t forget to tag me @healthienut + #healthienut! I love seeing your mouthwatering recreations!

Creamy, spicy, and rich Sausage Harissa Pasta.
- 1 tbsp olive oil
- 1 shallot, finely minced
- 2-3 cloves garlic, finely minced
- 1 lb Italian chicken sausage
- 2 tbsp harissa paste
- 2 tbsp tomato paste
- ¼ cup low-sodium chicken broth
- ½ cup full-fat coconut milk
- 8 oz spaghetti or other long pasta
- Kosher salt
- Black Pepper
- Parmesan, for serving
- Finely chopped parsley, for serving
-
Bring a large pot of salted water to a boil. Cook the pasta according to the packet instructions until al dente. Reserve ¼ cup cooking liquid and drain pasta.
-
Meanwhile, heat oil in a large skillet over medium-high heat. Add the shallot and cook until soft, 6-8 minutes. Stir in the garlic and cook for 1 minute more, stirring frequently to prevent burning. Add the sausage and break apart using a wooden spoon until browned, 6-8 minutes. Season with salt and pepper to taste (I used ~½ tsp kosher salt as sausage can already be salty).
-
Add the harissa paste, tomato paste, and 1 tbsp vegetable broth. Stir well and cook for 2-3 minutes until tomato paste has darkened in color. Deglaze pan with remaining chicken brown and coconut milk. Simmer for a few minutes until thickened. Season to taste then remove from heat. Add pasta and stir well using tongs to fully coat pasta in sauce. Add pasta water if needed to achieve a glossy texture.
-
Serve with fresh parsley and parmesan (optional).