Fettucine Senese is a wonderful Italian pasta dish, featuring a cream sauce with proscuitto, Italian sausage, mushrooms, and Pecorino Romano cheese.Fettucine Senese is a wonderful Italian pasta dish, featuring a cream sauce with proscuitto, Italian sausage, mushrooms, and Pecorino Romano cheese.
I made Fettucine Senese  for a pasta-themed dinner party we attended two years ago. Our menu featured several pasta entrees (a variety of fresh pastas were made during the dinner party), and this is the delicious entree I made. The sauce is an Olive Garden copycat recipe, which I found in one of my cookbooks, and it is DELICIOUS!

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Where “Senese” Originated

“Senese” is the term used to refer to people from the town of Siena, Italy.  This senese sauce is one of the sauces served on penne pasta at Olive Garden restaurants. Senese sauce  is a cream sauce, with proscuitto, Italian sausage, mushrooms, herbs, and Pecorino Romano cheese. It is fabulous, served on fettucine noodles.

We Made Our Own Pasta At A Dinner Party

All of us at the dinner party pitched in to make several kinds of fresh pasta.  My husband and a friend made the fettucine noodles from scratch used in this recipe, that evening.

Making fresh fettucine for this dish.
How I Found The Recipe For Fettucine Senese

I found th recipe for the sauce in one of my cookbooks, while searching for pasta recipes. The sauce sounded interesting, so I gave it a try. Good move!  The flavors were delicious, because proscuitto and Italian sausage really packed a LOT of flavor into the sauce.

This recipe for fettucine senese is a winner! The sauce is the star, and it is really easy to prepare all in one pan.  Add the cooked pasta of your choice (I used fettucine), and you’ve got a fantastic, and easy Italian fettucine senese that serves 4!

A few of the ingredients used to make the senese sauce for the pasta.
Is Fettucine Senese Difficult To Make?

The sauce and pasta is quite easy to prepare.   It’s EASY, EASY, EASY! If you can stir and cook pasta while making the sauce, you can make this delicious fettucine senese in about 30 minutes!

It was all I could do to stay out of the cooking pan while the sauce was cooking. It smelled and tastes so good!  The recipe is easily doubled, if you have more mouths to feed. Serve it with fettucine, or the pasta of your choice! You’re gonna LOVE Fettucine Senese!

The sauce for fettucine senese cooking in a large pot.
I really hope you will give this one a try. It’s absolutely delicious! Have a fantastic day, friends! Thanks for stopping by, and I truly hope you will come back again soon.

Looking For More PASTA Recipes?

You can find all of my recipes in the Recipe Index, located at the top of the page. A few pasta recipes you might enjoy include:

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Author's signatureOriginal Recipe Source for Sauce: The book “More of America’s Most Wanted Recipes”, by Ron Douglas, copyright 2010, by Verity Associates, LLC, page 183.

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Fettucine Senese
Prep Time
15 mins
Cook Time
10 mins
Total Time
25 mins

Fettucine Senese is a wonderful Italian pasta dish, featuring a cream sauce with proscuitto, Italian sausage, mushrooms, and Pecorino Romano cheese.

Category: Entree
Cuisine: Italian
Keyword: fettucine senese
Servings: 8 servings
Calories Per Serving: 1259 kcal
Author: JB @ The Grateful Girl Cooks!
  • 1/2 cup chopped onion
  • 3 cloves garlic , chopped
  • 2 Tablespoons butter
  • 1/2 cup extra virgin olive oil
  • 8 ounces (1/2 pound) sliced portobello (or button) mushrooms, sliced thinly
  • 6 Italian sausage links , casings removed
  • 1/4 cup plus 2 Tablespoons white wine (can substitute chicken broth, if desired)
  • 2 Tablespoons all purpose flour
  • 4 cups heavy whipping cream (or half-and-half)
  • 4 ounces proscuitto , chopped
  • 1 Tablespoon fresh sage (minced) OR 1 teaspoon dried sage (plus extra for garnish)
  • 1 Tablespoon minced fresh parsley OR 1 teaspoon dried parsley flakes
  • 8 ounces Pecorino Romano cheese , grated (plus extra for garnish)
  • 1 teaspoon garlic powder
  • Salt and pepper (to taste)
  • 1 pound fettucine pasta , cooked per package instructions)
  1. Bring a large pot of salted water to a boil (for pasta) while you are making sauce in another pan.

To make the sauce:
  1. In a large soup pot or large saucepan, heat olive oil and butter until melted. Add and sauté chopped onion and garlic. Cook onions and garlic for a few minutes until softened.

  2. Add Italian sausage (out of the casings); continue to break up sausage as it cooks. Once sausage is cooked and no longer pink, add wine. Bring mixture to a boil, then add in the flour a little at a time, stirring constantly.

  3. Stir in whipping cream, chopped proscuitto, sage, parsley, Pecorino Romano cheese, garlic powder, and salt and pepper (to taste). Stir and cook until sauce has thickened up a bit and is smooth. Continue to cook sauce on a low simmer for 10 minutes. Stir frequently.

  4. While sauce is cooking, prepare pasta according to package instructions. Drain. Toss cooked, drained pasta with the sauce. Mix well, to combine. Transfer pasta to a warm serving plate or individual plates. Garnish with dried herbs and additional grated cheese, if desired, and serve.

Recipe Notes

The recipe makes a lot of sauce! You will probably have some left over.

Nutrition Facts
Fettucine Senese
Amount Per Serving (1 g)
Calories 1259 Calories from Fat 927
% Daily Value*
Fat 103g158%
Saturated Fat 48g300%
Cholesterol 321mg107%
Sodium 1135mg49%
Potassium 625mg18%
Carbohydrates 50g17%
Fiber 3g13%
Sugar 3g3%
Protein 34g68%
Vitamin A 2045IU41%
Vitamin C 4.1mg5%
Calcium 422mg42%
Iron 2.7mg15%
* Percent Daily Values are based on a 2000 calorie diet.

Here’s one more to pin on your Pinterest boards!Fettucine Senese is a wonderful Italian pasta dish, featuring a cream sauce with proscuitto, Italian sausage, mushrooms, and Pecorino Romano cheese.







Fettucine Senese

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