Zucchini and Sausage in Pink Sauce

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This from-scratch pink sauce recipe is packed with classic Italian flavor. Swap out the traditional pasta in favor of roast sausages and zucchini for a low carb/keto, and gluten-free dinner. This tomato cream sauce will be a new family favorite, for sure!

A serving dish of roast sausage and zucchini in homemade pink sauce

Homemade Pink Sauce Recipe

Do you ever make a huge meal, eat it for dinner one day and heat up leftovers for lunch all week and then immediately make it again because you’re so sad that the leftovers are gone? 

That’s what happened when I made this zucchini and sausage in pink sauce recipe. It’s just so good! And that’s coming from someone who usually gets burned out on leftovers after a day or two. 

I wasn’t kidding when I shared my recipe for zucchini noodles with homemade pesto and roast shrimp the other day and said that zucchini has pretty much taken over my kitchen. It’s true! 

For this recipe, I cut the zucchini into big chunks instead of spiralizing it. It held up to the hearty tomato cream sauce better that way. The bigger pieces of zucchini also mean that you can broil them right on the same pan as your sausages. Everything gets toasty and charred and has an extra layer of flavor. 

This dinner is so warm and cozy. I’m definitely looking forward to eating it all fall and winter long!

Ingredients for homemade tomato cream sauce

What is pink sauce? 

Pink sauce, also known as tomato cream sauce or rosario sauce, is basically a combination of marinara sauce and alfredo sauce. It’s similar to vodka sauce, except even richer and creamier. It’s pretty much the best sauce ever. 

You can eat it on pasta or tortellini, use it on a pizza, or ditch the carbs like I did here. It’s delicious paired with sausage, chicken, or even shrimp.

Homemade Pink Sauce simmering in a pot

How do you make pink sauce from scratch? 

The first time I had tomato cream sauce was way back in college when one of my roommates mixed together a jar of pasta sauce and a jar of alfredo. We were instantly hooked at ate it pretty regularly. 

Of course, that’s not how I make it anymore. These days I make this pink sauce recipe entirely from scratch – and it barely takes any more time than opening those two jars did. Of course, this homemade version tastes a million times better!

To make it, you’ll start by making a super garlicky alfredo sauce. Alfredo doesn’t traditional have a ton of garlic, but marinara does, so we’ll also that in this step. Melt some butter, then add loads of fresh garlic. Cook until the garlic is fragrant, but don’t let it brown or it will get bitter. Low heat is key here. 

Next, whisk in some heavy cream and bring it to a simmer. Stir in some parmesan cheese to form a thick, creamy alfredo. 

Finally, add the ingredients for classic marinara: crushed tomatoes and fresh basil. If you’re really dedicated, you can crush your own fresh tomatoes. I use canned tomatoes here. They’re just as tasty and the flavor is more consistent, especially when tomatoes aren’t in season. 

Add a little water to thin the sauce if it’s too thick, season to taste with a little sea salt and some crushed red pepper, and there you have it! My absolute favorite thing to eat right now. 

homemade pink sause in a pot, ready to serve

Just look how luscious that tomato cream sauce is! It’s definitely rich, but a little goes a long way.

You can make a big batch and freeze it if you want, but it’s so quick to make that I usually just make it as I need it.  

Love this recipe? Here are some more low carb Italian comfort food recipes!

A ball jar of homemade pink sauce/tomato cream sauce

Roast sausage and zucchini in homemade pin sauce is a delicious keto dinner

Zucchini and Sausage in Pink Sauce

This from-scratch pink sauce recipe is packed with classic Italian flavor. Swap classic pasta in favor of roast sausages and zucchini for a low carb, keto, and gluten-free dinner. This tomato cream sauce will be a new family favorite, for sure!
Print Pin Rate
Course: Healthy Weeknight Dinner Recipes
Cuisine: Italian
Prep Time: 10 minutes
Cook Time: 20 minutes
Total Time: 30 minutes
Servings: 4 servings
Calories: 467kcal


  • 2 Tablespoons butter
  • ½ cup heavy cream
  • 6 garlic cloves crushed
  • ¾ cup grated parmesan
  • 14 ounces crushed tomatoes about 1.5 cups
  • 2 Tablespoons chopped fresh basil
  • ¼ teaspoon crushed red pepper flakes
  • 3 medium zucchini
  • 2 teaspoons olive oil
  • 6 Italian sausages


  • Melt the butter in a saucepan set over medium-low heat. Add the garlic and cook 1-2 minutes, until fragrant but not browned.
  • Whisk in the cream. Increase heat and bring to a simmer. Let simmer 5 minutes, whisking constantly, until reduced by about half. Stir in the parmesan cheese until smooth.
  • Stir in the tomatoes and basil. Let simmer 5 minutes. If desired, whisk in 1/4 cup of water to thin the sauce. Season to taste with salt and red pepper.
  • Cut each zucchini crosswise into 4 pieces. Cut eat of those pieces lengthwise into four wedges. Drizzle with oil.
  • Arrange the zucchini wedges and sausages on a baking sheet. Broil for 10 minutes, until the sausages are cooked through and the zucchini is lightly charred.
  • Slice the sausages into rounds. Stir the sausage and zucchini into the sauce.
Nutrition Facts
Zucchini and Sausage in Pink Sauce
Amount Per Serving (1 g)
Calories 467 Calories from Fat 333
% Daily Value*
Fat 37g57%
Saturated Fat 17g106%
Trans Fat 1g
Polyunsaturated Fat 21g
Cholesterol 86mg29%
Carbohydrates 14g5%
Fiber 3g13%
Sugar 7g8%
Protein 21g42%
* Percent Daily Values are based on a 2000 calorie diet.
Tried this recipe?Mention @HealthyDelish or tag #HealthyDelish!

Hi, I'm Lauren!

I'm a certified plant-based cook and enthusiastic omnivore who loves looking for creative ways to make weeknight meals more nutritious. I'm the author of Heathy Eating One Pot Cookbook and Healthy Meal Prep Slow Cooker Cookbook. I also blog at The Busy Foodie. Read more...


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