Smoked Sausage Cajun Alfredo
When I’m craving something rich, bold, and soul-satisfying, this Smoked Sausage Cajun Alfredo always hits the spot. It’s got that perfect marriage of spicy Cajun heat and velvety Alfredo creaminess, all wrapped around thick pasta and smoky sausage. This is comfort food that feels a little indulgent, a little rustic, and incredibly satisfying.
The idea for this dish came on a weeknight when I had smoked sausage and heavy cream staring back at me from the fridge. I wanted something easy but with a ton of flavor, and this combination practically built itself. I tossed in some Cajun seasoning, garlic, and Parmesan, and the result was magic. Since then, it’s become a go-to in my dinner rotation.
There’s just something about that smoky, meaty sausage swimming in a spicy Alfredo sauce that feels both hearty and luxurious. It’s one of those meals that fills the house with the most delicious aroma, and by the time I sit down to eat, I’m already looking forward to leftovers.



Why You’ll Love This Smoked Sausage Cajun Alfredo
You’ll love this Smoked Sausage Cajun Alfredo for its rich depth of flavor and how quickly it comes together. It’s perfect for weeknights but impressive enough for a dinner with friends. The smoky sausage gives it a savory backbone, the Cajun spice brings heat and personality, and the Alfredo sauce balances it with creamy smoothness.
Plus, it’s endlessly customizable. You can use your favorite pasta shape, add in veggies like bell peppers or spinach, or even swap the sausage for shrimp. It’s a one-pan wonder that packs comfort and spice into every bite.
Ingredients
Smoked Sausage: This is the star of the dish. The smokiness adds a deep, meaty flavor that infuses the whole sauce. I like using andouille for its bold character, but any smoked sausage will do.
Heavy Cream: The base of our Alfredo. It brings that luscious, silky texture that makes the sauce feel indulgent.
Parmesan Cheese: It melts into the sauce and adds a salty, nutty layer that ties everything together.
Garlic: Fresh minced garlic adds that familiar punch that blends perfectly with Cajun spices.
Cajun Seasoning: This is where the heat and character come from. It adds smoky, spicy, and earthy notes to every bite.
Butter: Used to sauté the garlic and start the sauce off right. It adds a richness that complements the cream.
Pasta: Fettuccine is my choice, but penne or linguine also work well. The pasta holds onto the sauce beautifully.
Salt and Black Pepper: Essential for balance and seasoning. Add to taste.
How to Make Smoked Sausage Cajun Alfredo
Step 1: Cook the Pasta
Bring a large pot of salted water to a boil and cook the pasta according to package directions. Drain and set aside, reserving a cup of pasta water.
Step 2: Brown the Sausage
In a large skillet over medium-high heat, add sliced smoked sausage. Cook until browned and slightly crispy on the edges. Remove and set aside.
Step 3: Sauté Garlic and Add Seasoning
Lower the heat to medium. Add butter to the same skillet, then stir in the minced garlic. Cook until fragrant. Sprinkle in Cajun seasoning and stir to coat.
Step 4: Make the Alfredo Sauce
Pour in the heavy cream, stirring to combine. Bring to a simmer and let it reduce slightly. Add the grated Parmesan and stir until melted and smooth.
Step 5: Combine Everything
Add the cooked pasta and sausage to the sauce. Toss everything together until evenly coated. If the sauce is too thick, add a splash of pasta water to loosen it up.
Step 6: Season and Serve
Taste and adjust with salt and black pepper. Serve immediately with a sprinkle of extra Parmesan and chopped parsley if you like.
Recipe Variations and Possible Substitutions
This Smoked Sausage Cajun Alfredo is easy to personalize. If you want to turn up the heat, add a pinch of cayenne or a few dashes of hot sauce. Not into sausage? Try cooked shrimp or shredded rotisserie chicken for a twist. You can also lighten things up by using half-and-half instead of heavy cream, though the sauce won’t be as rich.
For a veggie boost, toss in spinach, bell peppers, or even sun-dried tomatoes. Mushrooms are another great addition, bringing umami and heartiness that pair beautifully with the cream sauce.
If you don’t have Cajun seasoning, you can mix paprika, garlic powder, onion powder, thyme, oregano, cayenne, salt, and pepper to make a homemade version.
Serving and Pairing Suggestions
Serve this pasta hot from the skillet, preferably with some crusty garlic bread to mop up that extra sauce. A light salad with lemon vinaigrette adds a refreshing contrast to the richness of the Alfredo.
It pairs wonderfully with crisp white wines like Pinot Grigio or Sauvignon Blanc. For non-alcoholic options, lemon water or sparkling water with citrus works great to cleanse the palate.



Storage and Reheating Tips
Store any leftovers in an airtight container in the fridge for up to 4 days. Reheat gently on the stovetop over low heat, adding a splash of milk or cream to revive the sauce. Stir occasionally to prevent the cream from separating.
Microwaving also works—heat in short intervals and stir in between. Avoid overheating, as it may cause the sauce to break.
FAQs
Can I use kielbasa instead of andouille in Smoked Sausage Cajun Alfredo?
Yes! Kielbasa works just as well. It has a milder flavor but still adds a smoky richness to the dish.
What pasta shape works best for Smoked Sausage Cajun Alfredo?
Fettuccine is my favorite, but penne and rigatoni are excellent too because they hold the sauce well.
Is Smoked Sausage Cajun Alfredo spicy?
It has a gentle kick, but it depends on your Cajun seasoning. You can easily adjust the spice level to your liking.
Can I make Smoked Sausage Cajun Alfredo ahead of time?
Yes, but it’s best fresh. If making ahead, keep the pasta and sauce separate until reheating to avoid over-softening the noodles.
Can I freeze Smoked Sausage Cajun Alfredo?
I wouldn’t recommend freezing it. Cream-based sauces often separate after thawing, changing the texture and flavor.
Related Recipe You’ll Like
If this creamy, spicy Smoked Sausage Cajun Alfredo hit the right notes for you, you’ll probably love my Creamy Cajun Shrimp Pasta too—it’s a seafood-forward version with the same bold flavors.
Another reader favorite is the Creamy Parmesan Italian Sausage Soup. It’s rich, hearty, and perfect when you want those cozy vibes in a bowl.
And for a fun twist on Alfredo, check out the Garlic Butter Steak Bites with Creamy Parmesan Shells — the sauce is indulgent and the steak adds an irresistible sear.
Don’t Forget to Save and Share This Recipe for Later
Loved this Smoked Sausage Cajun Alfredo? Make sure to pin it on your favorite Pinterest board so you can come back to it anytime. If someone you know enjoys a good pasta night or loves bold Cajun flavor, share this recipe with them! A quick share can be the start of their new favorite dinner.
Smoked Sausage Cajun Alfredo

Smoked Sausage Cajun Alfredo is a creamy, spicy, and smoky pasta dish that brings big flavor with minimal effort. It blends the richness of Alfredo sauce with the heat of Cajun seasoning and the savory depth of smoked sausage. Tossed with tender pasta and a touch of garlic, this easy one-skillet dinner is perfect for weeknights or when you need a comforting, crowd-pleasing meal. Customize it with veggies or switch up the protein to make it your own.
Ingredients
- 12 oz smoked sausage, sliced
- 2 tablespoons butter
- 3 garlic cloves, minced
- 1 tablespoon Cajun seasoning (adjust to taste)
- 1 1/2 cups heavy cream
- 1 cup grated Parmesan cheese
- 12 oz pasta (fettuccine, penne, or linguine)
- Salt and black pepper to taste
- Optional: chopped parsley for garnish
Instructions
- Boil pasta in salted water according to package directions. Drain and set aside.
- In a large skillet, brown the sliced sausage over medium-high heat until caramelized. Remove and set aside.
- Lower heat to medium and melt butter in the same pan. Add minced garlic and sauté until fragrant.
- Stir in Cajun seasoning, then pour in heavy cream. Bring to a gentle simmer.
- Add Parmesan cheese and stir until the sauce is smooth and slightly thickened.
- Return sausage and cooked pasta to the skillet. Toss until everything is well coated.
- Season with salt and pepper to taste. Garnish with parsley and serve hot.
Notes
- Reserve pasta water to adjust sauce consistency if needed.
- Use andouille sausage for a spicier, smokier flavor.
- Add bell peppers, spinach, or mushrooms for extra texture and nutrition.
Nutrition Information:
Yield:
4Serving Size:
1Amount Per Serving: Calories: 864Total Fat: 70gSaturated Fat: 36gTrans Fat: 2gUnsaturated Fat: 26gCholesterol: 189mgSodium: 2184mgCarbohydrates: 35gFiber: 2gSugar: 4gProtein: 25g