If you love the cozy, comforting flavors of Italian cooking with a playful twist, this Italian Drunken Noodles Recipe is going to steal your heart. It takes wide, ribbon-like pasta and douses it in a rich, vibrant sauce made from Italian sausage, garlic, red wine, and tomatoes, creating a dish that’s both familiar and exciting. Every bite bursts with bold flavors, from the slight kick of crushed red pepper flakes to the fragrant touch of fresh basil. Whether you’re cooking for a weeknight dinner or sharing with friends, this recipe is a sure way to impress without any fuss.

Ingredients You’ll Need
The magic of this Italian Drunken Noodles Recipe lies in its simple, quality ingredients that build layers of flavor. Each one plays a key role, from the hearty sausage adding depth, to the fresh basil that brightens the dish right at the end.
- 12 oz fettuccine or wide pasta: Choose your favorite wide noodle to soak up the sauce beautifully.
- 2 tbsp olive oil: A good-quality olive oil adds richness and helps cook your sausage perfectly.
- 1/2 lb Italian sausage (or ground beef/chicken): For that authentic Italian flavor and satisfying texture.
- 1/2 medium onion, thinly sliced: Adds sweetness and a lovely base aroma when sautéed.
- 4 cloves garlic, minced: Essential for that punch of aromatic flavor that makes the sauce irresistible.
- 1/4 cup red wine (or chicken broth for a non-alcoholic version): Brings depth and complexity, defining the ‘drunken’ part of the recipe.
- 1 can (14.5 oz) diced tomatoes, undrained: Provides fresh, vibrant tomato flavor and a juicy texture.
- 1 tbsp tomato paste: Concentrates the tomato taste, making the sauce rich and luscious.
- 1/2 tsp crushed red pepper flakes: Adds a gentle heat; adjust to your spice preference.
- 1 tsp dried oregano: Adds an earthy, aromatic Italian herb flair.
- 1/2 tsp dried basil: Another classic herb that elevates the sauce’s flavor harmony.
- Salt and pepper to taste: Balances and enhances all the flavors perfectly.
- 1/4 cup fresh basil, chopped (for garnish): Brightens the finished dish with fresh herbal notes and beautiful green color.
- Grated Parmesan cheese (optional): For a final cheesy touch that melts beautifully over the warm noodles.
How to Make Italian Drunken Noodles Recipe
Step 1: Cook the Pasta
Start by cooking the fettuccine or wide noodles according to the package instructions. Be sure to save about half a cup of the pasta water before draining; this starchy liquid is golden for adjusting the sauce’s consistency later on.
Step 2: Brown the Sausage
Heat the olive oil in a large skillet over medium heat, then add the Italian sausage. Break it apart gently with a spoon as it cooks. You want it nicely browned to build rich, savory flavor — about 5 to 7 minutes until fully cooked through.
Step 3: Sauté Onion and Garlic
Next, toss in the thinly sliced onions and minced garlic. Sauté them for 2 to 3 minutes until the onions turn translucent and the garlic releases its lovely aroma. This step fills your kitchen with a mouthwatering scent and lays the groundwork for the sauce.
Step 4: Add the Red Wine
Pour in the red wine and use your spoon to scrape up any browned bits stuck to the pan’s bottom. These bits are packed with flavor and will enrich the sauce. Let the wine cook down for 2 to 3 minutes so the alcohol evaporates, leaving just the essence.
Step 5: Build the Sauce
Stir in the diced tomatoes with their juices, tomato paste, crushed red pepper, oregano, basil, salt, and pepper. Combine everything well and let the sauce simmer gently for 5 to 7 minutes, letting the flavors meld into a harmonious, vibrant sauce.
Step 6: Combine Pasta and Sauce
Add the cooked pasta to the skillet and toss gently to coat every ribbon. If you feel the sauce is too thick, splash in a bit of that reserved pasta water, a little at a time, until the sauce luxuriously clings to each strand without being runny.
Step 7: Final Seasoning Check
Give everything a taste and adjust as needed — maybe a bit more salt, an extra sprinkle of pepper, or a dash more red pepper flakes if you want more heat. This is where you make the recipe your own.
Step 8: Garnish and Serve
Remove the pan from the heat. Sprinkle generously with fresh chopped basil and, if you’re feeling indulgent, some grated Parmesan. This finishing touch brings freshness and a creamy, salty finish that ties all the flavors together beautifully.
Step 9: Enjoy!
Serve your Italian Drunken Noodles hot from the pan and prepare for compliments on this comforting, flavor-packed dish.
How to Serve Italian Drunken Noodles Recipe

Garnishes
Fresh basil and Parmesan cheese make the perfect garnishes, adding both brightness and savory richness. You can also sprinkle a little extra crushed red pepper for guests who love it spicy. Presentation shines when these final touches are added just before serving.
Side Dishes
Pair this dish with a simple green salad dressed in a light vinaigrette or some roasted vegetables to keep the meal balanced and vibrant. Garlic bread or focaccia would also complement wonderfully, perfect for mopping up any lingering sauce.
Creative Ways to Present
For a festive dinner, try serving the Italian Drunken Noodles Recipe in individual pasta bowls topped with a basil leaf and a shaving of Parmesan. You might even drizzle a little extra virgin olive oil over the top for an elegant touch. It’s a dish that looks as good as it tastes.
Make Ahead and Storage
Storing Leftovers
Store any leftovers in an airtight container in the refrigerator for up to 3 days. The pasta will absorb more sauce as it sits, so add a splash of water or broth when reheating to keep it saucy and fresh.
Freezing
You can freeze your Italian Drunken Noodles Recipe, but for best texture, freeze the sauce and pasta separately if possible. Store in freezer-safe containers for up to 2 months. Thaw overnight in the fridge before reheating gently.
Reheating
Reheat leftovers in a skillet over medium-low heat, adding a bit of water or broth to loosen the sauce. Stir frequently to warm evenly without drying out, then finish with a fresh sprinkle of Parmesan or basil if you have it on hand.
FAQs
Can I use a different type of pasta for this recipe?
Absolutely! While wide noodles like fettuccine are traditional here, you can experiment with pappardelle, tagliatelle, or even sturdy penne. The key is choosing a pasta that holds up well to the rich sauce.
Is there a non-alcoholic substitute for the red wine?
Yes, you can replace red wine with chicken broth, extra diced tomatoes with juice, or even grape juice combined with a splash of vinegar. This keeps flavor depth without the alcohol.
How spicy is the dish, and can I adjust the heat?
The crushed red pepper flakes give a mild to moderate kick but feel free to adjust to your liking. Add more for heat or omit if you prefer it mild – the balance of flavors still shines.
Can I make this recipe vegetarian?
Yes, substitute the Italian sausage with plant-based sausage or hearty mushrooms for a vegetarian twist. Adjust seasoning to boost umami and enjoy a delicious meat-free version.
What wine pairs well with Italian Drunken Noodles?
A medium-bodied red wine like Chianti or Sangiovese complements the sausage and tomato sauce beautifully. For a white, a crisp Pinot Grigio works nicely if you prefer lighter pairings.
Final Thoughts
This Italian Drunken Noodles Recipe is a wonderful celebration of rustic Italian flavors with a relaxed, homey vibe. It’s effortless enough for weeknights but special enough for company, a perfect recipe to have up your sleeve. Give it a go — your taste buds will thank you for the rich sauce, the comforting noodles, and the joyful heartiness of this fantastic meal!
Print
Italian Drunken Noodles Recipe
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Total Time: 30 minutes
- Yield: 4 servings
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
Description
Italian Drunken Noodles combine hearty fettuccine pasta with a savory tomato and Italian sausage sauce enriched by red wine and aromatic herbs. This flavorful, easy-to-make skillet dish offers a perfect balance of spice and freshness, topped with fresh basil and optional Parmesan cheese, ideal for a comforting weeknight meal.
Ingredients
Pasta
- 12 oz fettuccine or wide pasta (your choice)
Sauce and Sausage
- 2 tbsp olive oil
- 1/2 lb Italian sausage (or ground beef/chicken)
- 1/2 medium onion, thinly sliced
- 4 cloves garlic, minced
- 1/4 cup red wine (or chicken broth for a non-alcoholic version)
- 1 can (14.5 oz) diced tomatoes, undrained
- 1 tbsp tomato paste
- 1/2 tsp crushed red pepper flakes (adjust to taste)
- 1 tsp dried oregano
- 1/2 tsp dried basil
- Salt and pepper to taste
Garnish
- 1/4 cup fresh basil, chopped
- Grated Parmesan cheese (optional)
Instructions
- Cook Pasta: Bring a large pot of salted water to a boil and cook the fettuccine according to the package instructions until al dente. Drain the pasta and reserve 1/2 cup of the pasta cooking water. Set the pasta aside.
- Cook Sausage: Heat olive oil in a large skillet over medium heat. Add the Italian sausage (or your choice of ground meat) to the skillet, breaking it up with a spoon, and cook until browned and cooked through, approximately 5-7 minutes.
- Sauté Onion and Garlic: Add the thinly sliced onion and minced garlic to the skillet with the sausage. Cook for 2-3 minutes until the onions become translucent and fragrant, stirring occasionally to prevent burning.
- Deglaze with Wine: Pour in the red wine, scraping up any browned bits stuck to the bottom of the pan to incorporate into the sauce. Allow the wine to cook and reduce slightly for 2-3 minutes.
- Add Tomatoes and Seasonings: Stir in the diced tomatoes with their juice, tomato paste, crushed red pepper flakes, dried oregano, dried basil, and a pinch of salt and pepper. Combine everything thoroughly and let the sauce simmer for 5-7 minutes, allowing flavors to meld.
- Toss Pasta in Sauce: Add the cooked pasta to the skillet and gently toss to coat it evenly with the sauce. If the sauce appears too thick, gradually add the reserved pasta water a little at a time to reach the desired consistency.
- Adjust Seasoning: Taste your noodles and adjust the seasoning as needed by adding more salt, pepper, or crushed red pepper flakes depending on your spice preference.
- Garnish: Remove the skillet from heat. Sprinkle the chopped fresh basil and grated Parmesan cheese over the top as garnish to add freshness and depth of flavor.
- Serve: Plate the Italian drunken noodles while hot and enjoy this flavorful and comforting dish with friends or family.
Notes
- For a non-alcoholic version, substitute red wine with chicken broth or vegetable broth.
- Feel free to swap Italian sausage with ground beef, chicken, or a plant-based alternative.
- Add extra crushed red pepper flakes if you prefer a spicier dish.
- Reserve pasta water is important to adjust sauce consistency without diluting flavor.
- Serve with a simple side salad or garlic bread for a complete meal.
- Leftovers store well in an airtight container in the fridge for up to 3 days.

