Gemelli with Turkey Italian Sausage and Roasted Vegetables in a Parmesan Cream Sauce

My mother-in-law, Fran, and her husband, Bud, came to our house for a quick visit and dinner before they headed home to Idaho. After looking through the fridge, I ended up making this gemelli with turkey Italian sausage and roasted vegetables in a parmesan cream sauce. This pasta was a huge hit with everyone! The veggies and sausage were delicious, and the creamy Parmesan sauce tied the whole dish together really nicely. We enjoyed this meal with my house salad and freshly baked bread. We wish Fran and Bud could have stayed longer, but we are very grateful they stopped by on their way home from Washington.
Gemelli with Turkey Italian Sausage and Roasted Vegetables in a Parmesan Cream Sauce
Ingredients:
- Olive oil, to taste
- 8 oz button mushrooms, quartered
- 1 small red onion, quartered
- 1 small red bell pepper, sliced
- 5-6 cloves of garlic (keep skins on for roasting)
- Sea salt and freshly cracked black pepper, to taste
- 10 spears of asparagus, ends trimmed, cut into thirds
- 1 yellow squash, sliced
- 1 zucchini, sliced
- 1 lb. gemelli pasta, cooked per instructions
- 3-5 links of Turkey Italian sausage, to taste
Fran’s Parmesan Cream Sauce:
- 12 oz of evaporated milk
- ¾ cup of finely shredded Parmesan cheese
- ¼ tsp fresh nutmeg, grated
- Sea salt and freshly cracked black pepper, to taste
- 2-3 tbsp cornstarch, mixed with some cold milk
Serving:
- Fresh basil, chopped
- Parmesan cheese, grated
How to Make Gemelli with Turkey Italian Sausage and Roasted Vegetables in a Parmesan Cream Sauce:
Preheat the oven to 400 degrees. Coat a baking sheet with olive oil cooking spray.
Roast the veggies by placing the mushrooms, onion, bell pepper, and garlic (keep the skins on so they don’t burn while roasting) on the baking sheet. Drizzle with olive oil and season with sea salt and pepper to taste.

Place in the oven and roast for 10 minutes.
Remove from the oven and stir the veggies. Add the asparagus, yellow squash, and zucchini to the baking sheet, drizzle with a bit more oil, and re-season with a bit more salt and pepper. Spread out in an even layer and return to the oven. Roast for an additional 10 minutes.
Remove from the oven and set aside to cool for a bit. Once the garlic has cooled, carefully remove the skins and slice them, then return them to the rest of the veggies.

Meanwhile, cook the pasta in a large pot of well-salted boiling water according to the package instructions. Drain, reserving ½ cup of the cooking water.
Meanwhile, cook the sausage by heating 1 tablespoon of olive oil in a large skillet over medium heat. Remove the turkey sausage from the casings and cook, breaking it into crumbles.
Prepare the cream sauce by combining the evaporated milk, Parmesan cheese, nutmeg, sea salt, and pepper to taste in a small saucepan over medium heat for 3-5 minutes. Stir constantly until the cheese is melted.
Make the slurry by combining the cornstarch with a little cold milk and mixing well. Once the sauce starts to boil, add the cornstarch slurry and stir until well combined and thickened. Taste and re-season or add more cheese, if desired.
Finish the dish by adding the cooked and drained pasta, the roasted veggies, turkey Italian sausage, and fresh basil to the cream sauce and mixing until well combined, adding some reserved pasta water if needed.
Serve immediately and enjoy.

Equipment
Ingredients
- Olive oil to taste
- 8 oz button mushrooms quartered
- 1 small red onion quartered
- 1 small red bell pepper sliced
- 5-6 cloves of garlic keep skins on for roasting
- Sea salt and freshly cracked black pepper to taste
- 10 spears of asparagus ends trimmed, cut into thirds
- 1 yellow squash sliced
- 1 zucchini sliced
- 1 lb. gemelli pasta cooked per instructions
- 3-5 links of Turkey Italian sausage to taste
Fran's Parmesan Cream Sauce:
- 12 oz of evaporated milk
- ¾ cup of finely shredded Parmesan cheese
- ¼ tsp fresh nutmeg grated
- Sea salt and freshly cracked black pepper to taste
- 2-3 tbsp cornstarch mixed with some cold milk
Serving:
- Fresh basil chopped
- Parmesan cheese grated
Instructions
- Preheat the oven to 400 degrees. Coat a baking sheet with olive oil cooking spray.
- Roast the veggies by placing the mushrooms, onion, bell pepper, and garlic (keep the skins on so they don't burn while roasting) on the baking sheet. Drizzle with olive oil and season with sea salt and pepper to taste.
- Place in the oven and roast for 10 minutes.
- Remove from the oven and stir the veggies. Add the asparagus, yellow squash, and zucchini to the baking sheet, drizzle with a bit more oil, and re-season with a bit more salt and pepper. Spread out in an even layer and return to the oven. Roast for an additional 10 minutes.
- Remove from the oven and set aside to cool a bit. Once the garlic has cooled, carefully remove the skins and slice them, then return them to the rest of the veggies.
- Meanwhile, cook the pasta in a large pot of well-salted boiling water according to the package instructions. Drain, reserving ½ cup of the cooking water.
- Meanwhile, cook the sausage by heating 1 tablespoon of olive oil in a large skillet over medium heat. Remove the turkey sausage from the casings and cook, breaking it into crumbles.
- Prepare the cream sauce by combining the evaporated milk, Parmesan cheese, nutmeg, sea salt, and pepper to taste in a small saucepan over medium heat for 3-5 minutes. Stir constantly until the cheese is melted.
- Make the slurry by combining the cornstarch with a little cold milk and mixing well. Once the sauce starts to boil, add the cornstarch slurry and stir until well combined and thickened. Taste and re-season or add more cheese, if desired.
- Finish the dish by adding the cooked and drained pasta, the roasted veggies, turkey Italian sausage, and fresh basil to the cream sauce and mixing until well combined, adding some reserved pasta water if needed.
- Serve immediately and enjoy.



I first made this for my husband (who was my fiancée then!), must have been 10 years ago?! To this day he will still ask for it when I offer to make him whatever he wants
CJ,
You’ve made my day a bit brighter–I’m so glad you and your husband love this recipe. Thank you so much for taking the time to let me know and for being a loyal reader.
-Pam