
This cheesy shrimp sausage bacon pasta has become my ultimate comfort dish when I want to impress dinner guests without spending hours in the kitchen. The combination of seafood and smoky meats creates a flavor explosion that's elevated by a rich, velvety cheese sauce coating every bite of pasta.
I first created this dish when hosting an impromptu dinner party and needed something special but doable. My guests practically licked their plates clean and now it's requested at nearly every gathering I host.
- Rotini pasta works perfectly by catching all the sauce in its spirals
- Heavy cream creates the luxurious base for our cheese sauce
- Cream cheese adds tanginess and helps thicken the sauce beautifully
- Cheese blend using Gruyère provides nuttiness while smoked Gouda adds depth
- Fresh shrimp brings sweet ocean flavor that pairs wonderfully with the rich sauce
- Smoked sausage adds savory smokiness and meaty texture
- Bacon contributes irresistible salty crispness that contrasts with the creamy sauce
- Fresh garlic is essential for aromatic depth
- Italian seasoning adds herbal notes throughout the dish
- Fresh parsley brightens the finished dish with color and freshness
How To Make Cheesy Shrimp Sausage Bacon Pasta
- Prepare the proteins
- Pat your shrimp completely dry with paper towels before seasoning them thoroughly with seafood seasoning. Heat olive oil in a large skillet until shimmering then carefully add the shrimp without crowding the pan. Cook them just until they turn pink and opaque about 2 minutes per side. They should curl into a C shape not an O which would indicate overcooking. Remove immediately to prevent them becoming rubbery. Brown the sausage pieces in the same skillet until the edges develop a delicious caramelization which adds tremendous flavor to the final dish.
- Create the bacon crunch
- Cook your bacon slices until properly crisp in a separate pan. The key is cooking over medium heat to allow the fat to render slowly preventing burning. Once golden and crisp transfer to paper towels to drain excess grease then chop into generous pieces that will stand out in the pasta.
- Perfect the pasta
- Bring a large pot of water to a rolling boil before adding generous salt that should taste like seawater. Add your rotini and stir immediately to prevent sticking. Cook according to package directions but test 1 minute before the suggested time to ensure you achieve true al dente texture with a slight resistance in the center. Reserve a cup of starchy pasta water before draining just in case you need to adjust the sauce consistency later.
- Craft the cheese sauce
- Using the same skillet where you cooked the proteins gives your sauce an incredible flavor foundation. Melt butter then sauté minced garlic just until fragrant about 60 seconds being careful not to brown it which would create bitterness. Add cream cheese and heavy cream using a whisk to create a smooth base. Sprinkle in all seasonings and let the mixture gently simmer for 2 minutes to infuse the flavors. Add the cheese blend in small handfuls whisking constantly between additions to ensure a silky smooth texture without graininess.
- Combine and finish
- Gently fold the cooked pasta into the cheese sauce ensuring each piece gets thoroughly coated. Add all your proteins evenly distributing them throughout the mixture. The residual heat will warm everything perfectly without overcooking the shrimp. If the sauce seems too thick add a splash of the reserved pasta water to reach your desired consistency. Garnish generously with fresh parsley right before serving to add bright color and flavor contrast.
The smoked sausage is truly the unsung hero of this dish. While many people focus on the shrimp I find the sausage adds an essential smoky depth that ties all the flavors together. My husband initially questioned combining seafood with sausage and bacon but after one bite he declared it his new favorite pasta dish.
Make Ahead Options
This pasta dish can be partially prepared ahead of time to make dinner service effortless. Cook all proteins and store them separately in the refrigerator. The pasta can be cooked to just under al dente drained tossed with a little olive oil and refrigerated. When ready to serve simply prepare the cheese sauce and combine with the reheated components. The entire dish comes together in minutes this way.
Perfect Pairings
A simple green salad with a light vinaigrette provides the perfect counterpoint to the richness of this pasta. For wine I recommend a crisp unoaked Chardonnay or Pinot Grigio that cuts through the creaminess while complementing the seafood. If you prefer red a light Pinot Noir works surprisingly well without overwhelming the delicate shrimp flavor.
Creative Variations
This recipe welcomes creative adaptations based on what you have available. Scallops make an excellent substitute for shrimp offering a similar sweet flavor with different texture. For a more affordable version use all sausage and bacon omitting the seafood entirely. The sauce works beautifully with any protein combination. You can also experiment with different pasta shapes penne rigatoni or shells all work wonderfully by capturing the sauce in their own unique way.

Storage Guidelines
Refrigerate leftovers in an airtight container for up to 3 days. When reheating add a splash of milk or cream to revitalize the sauce as it tends to thicken in the refrigerator. Warm gently over low heat stirring frequently to prevent the sauce from separating. While technically possible to freeze this dish the texture of the shrimp and sauce quality will diminish so I recommend enjoying it fresh or as refrigerated leftovers.

Recipe FAQs
- → What cheeses work best for this pasta dish?
The recipe calls for a blend of Gruyère, aged white cheddar, smoked Gouda, and mild cheddar which creates a complex flavor profile. For best results, grate the cheese fresh rather than using pre-packaged varieties. If you need substitutions, any good melting cheeses like fontina, provolone, or monterey jack can work well.
- → Can I make this dish ahead of time?
While best enjoyed fresh, you can prepare components ahead of time. Cook the proteins and store separately. Make the pasta and cheese sauce just before serving. If you must prepare the entire dish ahead, reheat gently with a splash of cream or milk to restore the creamy texture, as the sauce may thicken when cooled.
- → What can I substitute for the seafood if serving someone with allergies?
For those with seafood allergies, simply omit the shrimp and increase the amounts of sausage and bacon. Alternatively, add chicken breast pieces sautéed with the same seasonings. For a vegetarian version, consider adding sautéed mushrooms, which provide umami flavor and meaty texture.
- → What side dishes pair well with this pasta?
Since this dish is rich and indulgent, pair it with lighter sides like a crisp green salad with vinaigrette, roasted asparagus, or garlic green beans. A simple bruschetta or garlic bread works well for soaking up extra sauce. For wine pairing, try a crisp Sauvignon Blanc or lightly oaked Chardonnay.
- → How do I prevent the cream sauce from breaking or curdling?
To prevent the sauce from breaking, avoid high heat when adding the cream and cheese. Remove the pan from heat before incorporating the cheese, and add it gradually while stirring constantly. Using room temperature cream cheese and freshly grated cheese (which melts better than pre-packaged) also helps create a smooth sauce.
- → Can I use a different type of pasta?
While rotini works beautifully because its spiral shape captures the sauce, you can substitute other medium-shaped pastas like penne, fusilli, farfalle, or cavatappi. Longer pastas like fettuccine or linguine can work but won't hold as much of the chunky components. For a lighter version, try chickpea or whole wheat pasta.