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Instant Pot creamy sausage and shells pasta in a white serving bowl
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5 from 16 votes

Instant Pot Creamy Sausage and Shells

Instant Pot Creamy Sausage and Shells is an easy pressure cooker dinner recipe made with Italian sausage and pasta in a tomato cream sauce. It's quick, easy and kid approved! 
Course Main
Cuisine Italian
Keyword instant pot creamy sausage and shells
Prep Time 5 minutes
Cook Time 8 minutes
pressure time 10 minutes
Total Time 23 minutes
Servings 10
Calories 310kcal
Author Dee


  • 1 tablespoon olive oil
  • 1.5 pounds ground Italian sausage
  • 1 tablespoon Italian seasoning
  • 1 teaspoon garlic powder
  • 1 pound uncooked medium shell pasta
  • 3 cups water
  • 1 24-ounce jar marinara sauce
  • 1 ½ cups heavy cream
  • 1 cup shredded Parmesan cheese
  • ¼ cup shredded mozzarella cheese (optional)


  • Hit SAUTE on the Instant Pot, and when it reads Hot, add the olive oil and sausage
  • Add the Italian seasoning and garlic powder, and cook sausage until brown and no longer pink, stirring frequently and breaking up sausage with a spatula or wooden spoon
  • Hit CANCEL, and deglaze pot with some of the water (about 1/2 cup) to loosen up browned bits from bottom of pot, if necessary
  • Add the uncooked pasta over the sausage, and add remaining water over and around pasta. Top with marinara sauce, and spread over pasta, but Do Not Stir!
  • Cover pot with lid, and turn vent to Sealing position. Hit PRESSURE COOK for 5 minutes. Pot will take a few minutes to reach pressure, then begin counting down and cook for 5 minutes
  • When pot beeps, turn vent and do a quick release or  gradual quick release, to control liquid spraying out of pot
  • When pin drops, carefully remove lid, and stir pasta. Stir in the cream, and gradually stir in the Parmesan cheese
  • Serve pasta topped with shredded mozzarella cheese, if desired



Recipe can be made in either 6 quart or 8-quart Instant Pot electric pressure cooker without changing cook time or ingredient amounts.
For firmer pasta, cook for 4 minutes.


Calories: 310kcal