Creamy Chicken Sausage Orzo Skillet
One-pan creamy chicken sausage orzo skillet with tender pasta, savory sausage, and rich cream sauce. A quick weeknight dinner ready in 30 minutes.

The Perfect One-Pan Wonder
This creamy orzo skillet represents the pinnacle of weeknight cooking efficiency. By cooking the orzo directly in the skillet with the other ingredients, the pasta absorbs all the savory flavors while creating a naturally creamy texture without the need for multiple pots.
The key to success lies in the proper liquid-to-orzo ratio and timing. The pasta should be tender but not mushy, while the sauce achieves the perfect consistency through the starch released from the orzo and the richness of the cream.
π‘ Professional Tip
Toast the orzo for 1-2 minutes before adding liquid - this develops a nutty flavor and helps the pasta maintain its shape during cooking.
Frequently Asked Questions
Small pasta shapes like ditalini or small shells work well. Adjust cooking time as needed and add more broth if necessary since different shapes absorb liquid differently.
Italian sausage, turkey sausage, or even kielbasa work great. Remove casings if using link sausages and adjust seasoning since some sausages are saltier than others.
Substitute heavy cream with coconut cream and use nutritional yeast instead of Parmesan. The texture will be slightly different but still delicious.
Stir frequently, especially in the first few minutes. Make sure there's enough liquid and don't let it cook on too high heat once the liquid is added.
Absolutely! Bell peppers, zucchini, mushrooms, or sun-dried tomatoes all work well. Add heartier vegetables with the onions, and delicate ones near the end.
Refrigerate for up to 3 days. Add a splash of broth or cream when reheating as the orzo will continue to absorb liquid and may become thick.
Cream-based pasta dishes don't freeze well as the sauce may separate. It's best enjoyed fresh or within a few days of refrigeration.
A crisp white wine like Pinot Grigio or Sauvignon Blanc complements the creamy sauce. You can also use the same wine for cooking that you plan to drink.
Recipe Troubleshooting Guide
Mushy Orzo
Problem: Orzo becomes overcooked and mushy
Solution: Reduce cooking time and check doneness frequently. Start checking at 8 minutes. The orzo should be al dente since it continues cooking off heat.
Too Thick Sauce
Problem: Sauce becomes too thick before orzo is cooked
Solution: Add more chicken broth gradually, 1/4 cup at a time, until desired consistency is reached. Keep heat at medium to prevent scorching.
Sauce Separation
Problem: Cream sauce looks curdled or separated
Prevention: Remove from heat and whisk vigorously. Add cream gradually next time and don't let it boil rapidly. Use room temperature cream if possible.
Bland Flavor
Problem: Dish lacks flavor despite following recipe
Recovery: Season each component as you cook. Taste and adjust salt, pepper, and herbs before serving. Quality chicken broth makes a big difference.
Uneven Cooking
Problem: Some orzo is undercooked while other pieces are overdone
Prevention: Stir more frequently and ensure liquid covers the orzo evenly. Use a wide, heavy-bottomed skillet for even heat distribution.
Flavor Balance Issues
Too Sweet: Add more black pepper, red pepper flakes, or a squeeze of lemon juice
Too Salty: Add more cream or a handful of fresh spinach to balance
Bland: Increase garlic, herbs, or add a splash of white wine vinegar

Selecting Quality Ingredients
The foundation of exceptional orzo skillet starts with quality chicken sausage - look for varieties with natural casings and minimal fillers. The sausage provides the primary protein and flavor base, so choosing a well-seasoned variety enhances the entire dish.
Fresh spinach wilts beautifully into the creamy sauce, while cherry tomatoes add bright acidity that balances the richness. High-quality Parmesan cheese melts smoothly and provides the perfect finishing touch of umami depth.
Essential Ingredient Notes
- Chicken Sausage: Choose fully cooked chicken sausage for convenience. Italian, sun-dried tomato, or spinach and feta varieties add extra flavor dimension.
- Orzo Selection: Look for high-quality orzo made from durum wheat. It holds its shape better during cooking and has superior texture when finished.
- Heavy Cream: Don't substitute with milk - heavy cream provides the richness and doesn't curdle as easily. Bring to room temperature before adding.

Mastering the One-Pan Technique
The secret to perfect one-pan orzo lies in building flavors progressively. Start by browning the sausage to develop deep, caramelized flavors, then use the same pan to sautΓ© aromatics, capturing all those delicious browned bits.
Timing is crucial when adding the cream - wait until the orzo is almost tender before incorporating dairy to prevent curdling. The residual heat and pasta starch create the perfect creamy consistency without overcooking.
The Perfect Simmer
Maintain a gentle simmer once liquid is added. Rapid boiling can cause the orzo to break apart and the sauce to reduce too quickly.
Creamy Chicken Sausage Orzo Skillet
π Ingredients
For the Base
- 480ml chicken brothProvides cooking liquid and flavor
- 240ml heavy creamCreates rich, velvety sauce
- 100g grated Parmesan cheeseAdds nutty, savory depth
- 15ml Italian seasoningBlend of herbs for flavor
- 60ml white wine (optional)Adds brightness and depth
- Fresh basil leavesFor aromatic garnish
For the Creamy Sauce
- 450g chicken sausage, slicedMain protein component
- 340g orzo pastaRice-shaped pasta perfect for skillet cooking
- 1 medium onion, dicedAromatic base for flavor
- 3 cloves garlic, mincedEssential for savory depth
- 200g fresh spinachAdds color and nutrition
- 150g cherry tomatoes, halvedBright acidity to balance richness
- 30ml olive oilFor sautΓ©ing and flavor
Instructions
Cook the Sausage
Heat olive oil in a large skillet over medium-high heat. Add sliced chicken sausage and cook for 4-5 minutes until browned on both sides. Remove sausage and set aside.
SautΓ© Aromatics
In the same skillet, add diced onion and cook for 3-4 minutes until softened. Add minced garlic and cook for another 30 seconds until fragrant. Add white wine if using and let it reduce.
Add Orzo and Liquid
Add orzo pasta to the skillet and stir for 1 minute to toast lightly. Pour in chicken broth and bring to a boil. Reduce heat to medium and simmer for 10-12 minutes, stirring occasionally.
Create Creamy Sauce
Stir in heavy cream, Italian seasoning, red pepper flakes, salt, and pepper. Add cherry tomatoes and cooked sausage back to the skillet. Simmer for 2-3 minutes until sauce thickens slightly.
Finish and Serve
Remove from heat and stir in fresh spinach until wilted. Add Parmesan cheese and mix until melted. Garnish with fresh basil and serve immediately with extra Parmesan.
Recipe Notes & Tips
Storage
Store leftovers in the refrigerator for up to 3 days. Add a splash of broth or cream when reheating as the orzo continues to absorb liquid.
Serving Suggestions
Serve with crusty bread and a simple arugula salad. The dish is rich enough to stand alone but pairs beautifully with crisp white wine.
Variations
Try adding sun-dried tomatoes, roasted red peppers, or mushrooms. For extra richness, stir in a dollop of cream cheese or mascarpone at the end.