Creamy Tuscan Chili Mac

Featured in: Weeknight Dinners

This hearty Italian-American fusion brings together the best of comfort food and Tuscan flavors. Tender elbow macaroni swims in a rich, velvety sauce made from crushed tomatoes, heavy cream, and aged Parmesan. Ground beef or Italian sausage adds protein depth, while oil-packed sun-dried tomatoes contribute concentrated sweetness and intense umami notes. Fresh baby spinach wilts into the dish, providing color and nutrients. Dried oregano and basil evoke classic Italian seasonings, with optional red pepper flakes for gentle warmth. Ready in just 40 minutes, this one-pot meal delivers restaurant-quality results with simple techniques and accessible ingredients.

Updated on Sun, 08 Feb 2026 08:07:00 GMT
A bowl of creamy Tuscan chili mac with ground meat, wilted spinach, and sun-dried tomatoes. Finished with grated Parmesan cheese. Served hot. Pin It
A bowl of creamy Tuscan chili mac with ground meat, wilted spinach, and sun-dried tomatoes. Finished with grated Parmesan cheese. Served hot. | urbanspatula.com

My neighbor Marco showed up one Tuesday evening with a container of sun-dried tomatoes from his garden and wouldn't leave until I promised to make something with them. We ended up combining his Italian heritage with my love of comfort food, and this Creamy Tuscan Chili Mac was born right there in my kitchen. It's the kind of dish that bridges two worlds and somehow feels like home no matter where you're from.

I made this for my book club last month when everyone was expecting the same tired pasta dishes we always serve. The moment people tasted it, the whole room went quiet in that way that means they're genuinely surprised. One guest asked for the recipe before she'd even finished her bowl, and honestly, that's when I knew this was something special.

Ingredients

  • 12 oz elbow macaroni: Small pasta shapes work best here because they catch the creamy sauce in all their little curves.
  • 1 lb ground beef or Italian sausage: Sausage adds more herbaceous flavor, but ground beef keeps things lighter if that's your preference.
  • 1 small yellow onion, finely diced: This creates a sweet, mellow base that mellows out during cooking.
  • 3 cloves garlic, minced: Don't skip the mincing step, as it distributes the garlic flavor evenly throughout.
  • 1 cup sun-dried tomatoes in oil: Use the oil they're packed in for cooking, it's liquid gold and adds deep flavor you can't replicate.
  • 4 cups baby spinach: It wilts down dramatically, so this generous amount becomes just enough in the final dish.
  • 1 cup heavy cream: This is what transforms the whole thing from chili into something creamy and luxurious.
  • 1 cup grated Parmesan cheese: Freshly grated makes a real difference in how smoothly it melts into the sauce.
  • 1 can crushed tomatoes: The backbone of the sauce, providing acidity and body.
  • 2 cups low-sodium broth: Choose chicken or vegetable depending on your meat choice.
  • 2 tbsp tomato paste: This concentrates the tomato flavor and deepens the color beautifully.
  • 2 tbsp olive oil: I use the reserved sun-dried tomato oil plus a bit of regular olive oil.
  • 1 tsp dried oregano and 1 tsp dried basil: These dried herbs bloom when they hit the warm sauce, don't switch to fresh here.
  • 1/2 tsp crushed red pepper flakes: Optional, but a gentle warmth balances the richness perfectly.
  • Salt and black pepper: Taste as you go, the broth is already salted so be cautious at first.

Instructions

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Get your pasta ready:
Boil salted water and cook the pasta until just shy of fully tender, it'll continue cooking slightly when you fold it into the sauce. Drain and set aside in a clean bowl.
Build your flavor base:
Heat your oil in a large pot over medium heat, then add the diced onion and let it soften for about three minutes until it becomes translucent and sweet smelling. You'll know it's ready when your kitchen starts to smell like something good is happening.
Wake up the garlic:
Add the minced garlic and stir for just one minute, watching it carefully so it softens without browning. If it starts to brown, the flavor turns bitter, so timing matters here.
Brown your meat:
Add the ground beef or sausage to the pot, breaking it apart with your spoon as it cooks until there's no pink left and it's all golden brown. If you notice excess grease pooling, go ahead and drain some of it off.
Layer in the Tuscan elements:
Stir in the chopped sun-dried tomatoes, tomato paste, oregano, basil, and red pepper flakes if using, and cook everything together for two minutes. This short cooking time helps release the herb flavors into the oil.
Add your liquid base:
Pour in the crushed tomatoes and broth, then bring the whole pot to a simmer before reducing heat to medium-low. Let it bubble gently for five minutes so the flavors start to get to know each other.
Make it creamy:
Reduce heat to low and stir in the heavy cream and Parmesan cheese slowly, watching as the sauce becomes silky and rich. Keep stirring until the cheese is completely melted and incorporated.
Add your greens:
Dump in the spinach and stir until it wilts completely into the sauce, which happens faster than you'd think. This is where the dish gets both nutrition and a gorgeous green color.
Bring it all together:
Gently fold the cooked pasta into the sauce and let everything simmer together for two to three minutes. This resting time lets the pasta absorb the flavors and ensures every bite tastes cohesive.
Season and serve:
Taste your creation and adjust salt and pepper to your liking, then serve immediately with extra Parmesan scattered on top. The dish is best enjoyed hot when the cream is still silky.
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There's something almost magical about watching people experience the combination of Italian comfort and American heartiness on one plate. My mom, who's a purist about her Italian food, actually approved of this dish, which felt like winning an award.

The Magic of Sun-Dried Tomatoes

Sun-dried tomatoes in oil aren't just an ingredient, they're a flavor multiplier in this dish. The oil they're packed in carries concentrated tomato essence and herbs, so always reserve it and cook with it. Most people throw away that oil thinking it's just packing material, but using it is the difference between good and extraordinary.

Adjusting for Your Preferences

This recipe is flexible enough to work with what you have on hand or what you're avoiding. A vegetarian version works beautifully if you use vegetable broth and add an extra cup of mushrooms for umami depth. You can also swap half the Parmesan for mozzarella if you want the sauce even creamier, or add a pinch of nutmeg if you like a warm spice note running through it.

Storage and Wine Pairing

This dish actually tastes even better the next day when the flavors have deepened, so don't hesitate to make it ahead and reheat it gently. For pairing, a crisp Pinot Grigio cuts through the richness, or if you prefer red wine, a light-bodied Chianti works beautifully.

  • Store leftovers in an airtight container for up to three days in the refrigerator.
  • Reheat gently over low heat with a splash of broth to restore the sauce consistency.
  • This freezes well for up to three months, making it perfect for quick weeknight dinners.
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Creamy Tuscan chili mac in a rustic bowl, featuring a rich tomato cream sauce and colorful vegetables. Comforting Italian-inspired dinner. Pin It
Creamy Tuscan chili mac in a rustic bowl, featuring a rich tomato cream sauce and colorful vegetables. Comforting Italian-inspired dinner. | urbanspatula.com

This Creamy Tuscan Chili Mac has become my go-to dish when I want something that feels special but doesn't require special skills. It's proof that sometimes the best recipes come from saying yes to a neighbor with a container of sun-dried tomatoes.

Questions & Answers

Can I make this vegetarian?

Absolutely. Omit the ground beef or Italian sausage and use vegetable broth instead of chicken broth. Consider adding diced bell peppers or mushrooms for extra texture and substance.

What type of pasta works best?

Elbow macaroni is traditional, but any small pasta shape catches the creamy sauce beautifully. Try cavatappi, penne, shells, or farfalle for similar results with slightly different textures.

How do I store and reheat leftovers?

Store in an airtight container in the refrigerator for up to 4 days. Reheat gently over medium-low heat, adding a splash of broth or cream to restore the sauce's consistency. The pasta will absorb more liquid as it sits.

Can I freeze this dish?

Yes, though the texture may change slightly. Freeze in portion-sized containers for up to 3 months. Thaw overnight in the refrigerator before reheating. The cream sauce may separate slightly but will come together when reheated with stirring.

What can I substitute for sun-dried tomatoes?

If sun-dried tomatoes aren't available, use diced roasted red peppers for sweetness or add extra tomato paste for depth. Alternatively, chopped olives or capers can provide a similar briny intensity.

How can I make this spicier?

Increase the crushed red pepper flakes to 1 teaspoon, or add fresh diced jalapeños when sautéing the onions. A pinch of cayenne pepper or hot sauce added with the tomatoes also works well.

Creamy Tuscan Chili Mac

Italian-inspired comfort food featuring beef, sun-dried tomatoes, spinach, and Parmesan in a luscious creamy tomato sauce over perfectly cooked macaroni.

Prep Time
15 minutes
Cook Time
25 minutes
Overall Time
40 minutes
Created by Carter Phillips


Skill Level Easy

Cuisine Italian-American

Portions 6 Serving Size

Diet Preferences None specified

What You’ll Need

Pasta

01 12 oz elbow macaroni or small pasta

Meats

01 1 lb ground beef or Italian sausage

Vegetables

01 1 small yellow onion, finely diced
02 3 cloves garlic, minced
03 1 cup sun-dried tomatoes in oil, drained and chopped
04 4 cups baby spinach, roughly chopped

Dairy & Cream

01 1 cup heavy cream
02 1 cup grated Parmesan cheese

Pantry

01 1 can (14.5 oz) crushed tomatoes
02 2 cups low-sodium chicken or vegetable broth
03 2 tbsp tomato paste
04 2 tbsp olive oil
05 1 tsp dried oregano
06 1 tsp dried basil
07 1/2 tsp crushed red pepper flakes
08 Salt and black pepper to taste

How-To Steps

Step 01

Prepare Pasta: Cook pasta according to package instructions until al dente. Drain and set aside.

Step 02

Sauté Aromatics: Heat olive oil in a large pot or Dutch oven over medium heat. Add diced onion and cook until softened, approximately 3 minutes.

Step 03

Bloom Garlic: Add minced garlic and cook for 1 minute until fragrant.

Step 04

Brown Meat: Add ground beef or Italian sausage to the pot. Cook while breaking apart with a spoon until browned and cooked through. Drain excess fat if necessary.

Step 05

Build Sauce Base: Stir in sun-dried tomatoes, tomato paste, dried oregano, dried basil, and crushed red pepper flakes. Cook for 2 minutes.

Step 06

Simmer Sauce: Pour in crushed tomatoes and broth. Bring to a simmer, then reduce heat and cook for 5 minutes.

Step 07

Create Creamy Texture: Stir in heavy cream and Parmesan cheese until the sauce becomes creamy and cheese melts completely.

Step 08

Wilt Spinach: Add chopped spinach and stir until fully wilted.

Step 09

Combine Elements: Gently fold cooked pasta into the sauce. Simmer for 2-3 minutes to allow flavors to meld.

Step 10

Finish and Serve: Season with salt and black pepper to taste. Serve hot, garnished with additional Parmesan cheese if desired.

Tools You’ll Need

  • Large pot or Dutch oven
  • Wooden spoon
  • Chef's knife
  • Cutting board
  • Colander

Allergy Warnings

Review every ingredient for allergens and ask a professional if you’re unsure.
  • Contains dairy: Parmesan cheese and heavy cream
  • Contains gluten: wheat pasta
  • May contain egg if using fresh pasta
  • May contain sulfites: sun-dried tomatoes in oil may include preservatives

Nutrition Info (for each serving)

These nutrition details are for reference and don’t replace medical guidance.
  • Energy: 520
  • Fats: 27 g
  • Carbohydrates: 43 g
  • Proteins: 27 g