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Cajun Shrimp and Sausage Fettuccine: A Flavor-Packed Comfort Dish

This Cajun Shrimp and Sausage Fettuccine is a bold and creamy pasta dish packed with smoky sausage, tender shrimp, and a spicy Creole-inspired tomato cream sauce. It's rich, hearty, and ready in just over 30 minutes—perfect for a weeknight dinner with a Southern kick.
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Prep Time 5 minutes
Cook Time 25 minutes
Rest Time 5 minutes
Total Time 35 minutes
Course Main Course
Cuisine Cajun
Servings 4

Ingredients
  

  • For the Pasta & Protein:
  • 1 lb raw shrimp peeled and deveined
  • 2 tsp Cajun or Creole seasoning
  • 1/4 tsp black pepper
  • 1 lb fettuccine pasta
  • 2 tbsp olive oil
  • 1 lb smoked sausage andouille or spicy Sicilian, sliced
  • 1 large onion thinly sliced
  • 6 cloves garlic minced
  • For the Sauce:
  • 1 cup chicken broth
  • 3/4 cup heavy cream or half-and-half
  • 2 cups crushed tomatoes
  • 1 tsp Worcestershire sauce
  • 3 sprigs fresh thyme
  • 1 –2 tbsp Cajun or Creole seasoning
  • 1 tbsp granulated sugar
  • 1 tsp garlic powder
  • 1 tsp onion powder
  • 1 tsp dried oregano
  • 1 tsp cayenne pepper optional, adjust to spice preference
  • 1/4 tsp smoked paprika
  • 1/4 tsp black pepper
  • 1/4 cup freshly grated Parmesan cheese or Parmesan rind
  • For Garnish:
  • 2 tbsp fresh chopped parsley or preferred herbs
  • Extra Parmesan for topping
  • Freshly cracked black pepper to taste

Instructions
 

  • Toss shrimp with Cajun seasoning and black pepper. Set aside.
  • Boil water, cook fettuccine to al dente, drain, and set aside.
  • Heat 1 tbsp olive oil in a skillet over medium-high. Sauté shrimp for 2–4 minutes, flipping halfway. Remove and set aside.
  • In the same skillet, add a bit more oil if needed and cook sausage slices for 4–5 minutes until browned. Remove and set aside.
  • Add more oil if necessary. Sauté onions, garlic, and thyme for about 5 minutes until fragrant and softened.
  • Add chicken broth, heavy cream, crushed tomatoes, and Worcestershire. Stir and bring to a simmer.
  • Add Cajun seasoning, sugar, garlic powder, onion powder, oregano, cayenne (if using), smoked paprika, and black pepper. Simmer for 5 minutes.
  • Stir in Parmesan (or Parmesan rind) and simmer for another 5 minutes until smooth and creamy.
  • Toss cooked pasta and sausage into the sauce. Heat for 2–3 minutes. Add shrimp, stir well, and remove from heat.
  • Top with fresh parsley, extra Parmesan, and cracked black pepper. Serve hot and enjoy!
Keyword Andouille Sausage Pasta, cajun shrimp pasta, creamy cajun pasta, shrimp and sausage fettuccine, spicy pasta dish
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