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Fettuccine alfredo with sausage in the US

Fettuccine alfredo that manages to incorporate sausage without turning the dish into a greasy mess.

Based on 751 Opinions
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Updated May 2026
01
Rocco’s Pizza and Italian Kitchen image 1
Rocco’s Pizza and Italian Kitchen image 2
Rocco’s Pizza and Italian Kitchen image 3
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Italian kitchen offers Jersey Style and Grandma Style pizzas with huge slices and unique presentation. Atmosphere feels clean and welcoming with a carry-out vibe and beautiful decor. Pizza stands out for high quality ingredients and crispy, delicious crusts not found elsewhere in the area.

Creamy texture with a subtle sweetness defines the Fettuccine Alfredo here. Options to add chicken and a side of garlic knots come with the dish, making it a filling choice.

Specialty pizzas feature authentic Italian sausage but come with only 2 to 3 sausage nuggets per slice. The sausage amount is often light, especially on traditional red sauce pies.

People are saying

"I thought the pizza was amazing and delicious."

"I'd get the Fettuccine Alfredo repeatedly without getting sick of it."

"The Italian sausage here is authentic and great."

Good to know

1

They offer pizza by the slice, and the slices are huge.

2

The wait time is 25 minutes unless you order ahead.

3

They charge $6 plus tax for a single slice of pizza.

02
Macoletta image 1
Pizza restaurant

Brick oven pizzas shine with lamb sausage and a crispy crust. Fettuccine Alfredo is creamy but mild, best with extra pepper. Outdoor seating offers live jazz and a lively vibe, perfect for special occasions with craft cocktails and great vegan choices.

Fettuccine Alfredo features a creamy texture with a generally mild flavor. Adding pepper can enhance its taste, though some find it could use more seasoning.

Lamb sausage stands out with a game-changing flavor, featured in both pizza and gnocchi dishes. Classic cheese and sausage pizza offers a crispy crust and slightly sweet sauce.

People are saying

"The Italian food here, especially the pizza, is amazing."

"The broccoli rabe sausage pizza is my favorite."

"I thought the Fettuccine Alfredo was pretty good."

Good to know

1

Thursday nights feature live jazz music, perfect for a relaxed evening.

2

The pizza-making class allows hands-on experience for participants.

3

Reservations are recommended for the pizza-making class due to limited spots.

03
Mony's Pizzeria & Italian Kitchen image 1

Pizza restaurant offers a cozy family-owned vibe with beautiful decor suited for couples, families, and groups. Multiple TVs show sports while awesome music plays, and a bar area welcomes solo diners. The atmosphere feels hospitable and refreshing, making it easy to relax and enjoy a hearty meal.

Creamy texture stands out in the fettuccine Alfredo here. The dish pairs well with chicken and serves enough for two meals.

Sausage here is handmade daily with boutique quality ingredients and ground onsite. It tastes premium and juicy, made from scratch alongside dough and sauce.

People are saying

"This Italian food is the best pizza I've ever had."

"This sausage pizza tastes like classic New York pizza."

"I tried the Fettuccine Alfredo and it was so creamy."

Good to know

1

Lunch specials are available daily, offering great value.

2

Parking is available on the building's roof if ground level is full.

3

The restaurant offers a 30-inch pizza, perfect for sharing.

04
Tony's Di Napoli image 1
Italian restaurant

Two-floor Italian spot buzzes with live music and authentic design. Creamy fettuccine Alfredo shines with homemade pasta and rich sauce. Savory Italian sausage pairs perfectly with tender pasta and earthy broccoli rabe.

Creamy and rich, the fettuccine Alfredo features a perfectly balanced sauce. Homemade pasta and options like adding chicken enhance the dish's comforting flavor and generous portions.

Italian sausage stands out with its savory flavor and pairs well with tender pasta and earthy broccoli rabe. Sausage and meatballs come highly recommended and are served with rich vodka sauce.

People are saying

"The Italian food portions here are huge, enough for three people."

"The sausage and meatballs were highlights of my meal."

"I thought the Fettuccine Alfredo was excellent, one of the best."

Good to know

1

Reservations are highly recommended as the restaurant is always packed.

2

Expect large portion sizes; one dish can serve 2-3 people.

3

Gratuity is automatically added to the bill, so check your total.

05
The Boss's Signature image 1

Restaurant offers a freshly remodeled interior with beautiful chandeliers and an open, modern design. Atmosphere ranges from quiet and chill to lively, with a welcoming vibe and small, closely arranged seating. Features include a private event space and a bar area with slot machines and games.

Fettuccine Alfredo here gets high praise for its creamy texture and rich flavor. It pairs well with dishes like chicken marsala and is a popular choice alongside the skirt steak sandwich.

Sausage patties here have a surprising rich flavor that even skeptics appreciate. Dishes like vodka rigatoni feature well-seasoned sausage paired with bacon and potatoes for a hearty taste.

People are saying

"The American Food, especially the pot roast and brisket, is melt-in-your-mouth delicious."

"I really liked the sausage patty; it was delicious."

"This Fettuccine Alfredo is the best I've ever had in a restaurant."

Good to know

1

Reservations are recommended for private events to ensure availability.

2

The restaurant offers brunch on weekends, which is a new addition.

3

Happy hour specials are available online; check for details before visiting.

06
DeFalco's Italian Deli & Grocery image 1

Small deli and grocery with an authentic Italian vibe and old-school deli counter. Warm, inviting atmosphere with nostalgic family photos and a shaded outdoor patio. Offers a mini market featuring imported Italian goods alongside classic homemade dishes.

Fettuccine Alfredo with grilled chicken stands out for its perfect seasoning and scrumptious flavor. It consistently ranks among the top pasta dishes available here.

Real Chevalatta sausage appears in sandwiches and pasta dishes. Italian sausage with onion and bell pepper tastes like a meatball sub but better. Sausage features in pizzas and lasagna, paired with sauce, cheese, and bread that stand out.

People are saying

"I found the food here to be delicious and amazing."

"I always purchased my Christmas Eve Italian sausage from here."

"I thought the Fettuccine Alfredo was the best I have ever had."

Good to know

1

There is plenty of parking available nearby.

2

Expect busy lunch hours with longer wait times.

3

Prices are generally higher than average for deli items.

07
Paladino's Italian Eatery image 1
Italian restaurant

Small, cozy Italian restaurant with limited seating and close tables creates a lively, sometimes noisy atmosphere. Catchy music and a giant TV showing multiple games add energy to the space. Friendly vibe and efficient use of space make it feel welcoming despite its size.

Creamy, homemade Alfredo sauce defines the fettuccine Alfredo here. Chicken versions come with four pieces of garlic bread, and substitutions for extra garlic bread are common.

Italian sausage appears in sandwiches and pizzas, often paired with mozzarella and sweet peppers. Sausages come in mild and spicy varieties, are moist, and add flavorful richness to large, hearty sandwiches.

People are saying

"The food here is great and substantial."

"The Italian sausage on the sandwich is large and covered in mozzarella."

"I thought the Fettuccine Alfredo was creamy and delicious."

Good to know

1

They have a double points day on Tuesday for free food credit.

2

Call ahead to put your name on the list for quicker seating.

3

The restaurant can get crowded quickly due to its small size.

08
Grammy’s Goodies image 1
Italian restaurant

Family-run Italian spot with casual New York pizzeria style and red and white tablecloths sets a cozy, welcoming atmosphere. Outdoor tent seating with heated patio and a play area for kids creates a relaxed, homey vibe. Desserts and homemade pasta stand out as signature offerings.

Creamy sauce and homemade pasta define the fettuccine Alfredo here. Large portions come with flavorful chicken and a unique yet classic-tasting sauce.

Massive stromboli packs a brick of sausage inside with sauce on the side. Sausage sandwiches and sausage with peppers get strong praise. Spaghetti comes with Italian sausage and homemade noodles, paired with garlic knots. The mix of sweet ricotta and spicy sausage stands out.

People are saying

"The Italian food, especially the garlic knots, were huge and amazing."

"The family's Italian sausage is served with such passion."

"The Fettuccine Alfredo here is so creamy and flavorful."

Good to know

1

Parking is limited, so arrive early or be prepared to park down the street.

2

Cash is handled without gloves, which may pose health risks.

3

First-time customers receive a free order of garlic knots.

09
Giuseppe's image 1
Italian restaurant

Italian restaurant offers a cozy, old-school vibe with elegant yet laid-back atmosphere and well-lit, quaint decor. Seating includes a small bar and outdoor patio, creating a comfortable space that feels like home. The environment stays quiet and peaceful, making conversation easy without raising voices.

Fettuccine Alfredo with Meatballs offers a unique combo not often seen on menus. The chicken strips sometimes outshine the Alfredo, but the chicken fettuccine alfredo remains a solid choice.

Sausage appears in several dishes like pork ricotta and penne sausage, clams and fennel sausage, and a house sausage in penne ala vodka. It also features in a sandwich and pairs well with Alfredo and rigatoni pasta.

People are saying

"The food here is fantastic and the portions are large."

"I found Giuseppe's Fettuccine Alfredo to be fantastic."

"The Alfredo with sausage was delicious and not too heavy."

Good to know

1

Reservations are recommended, especially on weekends to avoid long waits.

2

Happy hour runs from 3 to 6 PM with discounted food and drinks.

3

Expect a busy atmosphere during weekends; arrive early for seating.

10
Celeno’s Bistro image 1
Italian restaurant

Italian bistro offers a cozy family atmosphere with live guitar music serenading diners. The space includes a private room for larger parties and a buffet option alongside regular menu items. Tables sit close together, creating an intimate but sometimes tight dining experience.

Fettuccine Alfredo stands out with a rich, creamy sauce that many find memorable. It comes from a buffet alongside other Italian dishes like lasagna and meatballs, but it clearly steals the show.

Italian sausage comes with peppers and onions, served alongside meatballs and pasta dishes. The sausage is part of a buffet featuring chicken parmigiana, tortellini Alfredo, and garlic knots.

People are saying

"The Italian food here is served by the most kind, welcoming, and hardworking staff."

"The sausage and peppers were flavorful and excellent."

"I've never eaten Fettuccine Alfredo this good before."

Good to know

1

Celeno’s Bistro offers a buffet-style dinner starting at 5pm.

2

Lunch prices are $11.99, with a full bar during happy hour.

3

The all-you-can-eat buffet runs from 11am to 2pm.

11
Pasta Bella image 1
Italian restaurant

Italian restaurant offers a renovated interior with comfortable seating and an open patio. Atmosphere is fun and noisy, attracting groups for celebrations and casual dining. Space at the bar invites guests to enjoy cocktails while waiting.

Fresh and delicious fettuccine Alfredo often comes with chicken. It appears in the Tour of Italy combo alongside chicken Parmesan, lasagna, and baked manicotti.

Bread comes with a bowl of sausage and peppers. Rolls with tomatoes and sausage add a fresh touch. The garlic rolls and sausage soup offer rich, hearty flavors.

People are saying

"The pasta portions here are huge and delicious."

"The sausage portions here are huge; you'll have plenty left over."

"I found the Fettuccine Alfredo delicious and fresh."

Good to know

1

Pasta Bella is wheelchair accessible for guests with mobility needs.

2

Cash is recommended for payments, especially in the Atlanta area.

3

The restaurant accommodates large parties, making it suitable for gatherings.

12
Angelo's Coal Oven Pizzeria image 1

Coal oven creates authentic old-school pizza with a warm, lively atmosphere that feels like a mom and pop spot. Seating spreads across two floors with ample, comfortable tables spaced generously. Loud and chaotic energy fills the space, matching the vibrant vibe.

Creamy and rich, the Fettuccine Alfredo features perfect seasoning and pairs well with chicken or roasted mushrooms for added flavor.

Sausage appears in several dishes, including sausage and peppers and a white pizza with sausage. It also features alongside pepperoni and prosciutto on pizzas with customizable toppings.

People are saying

"I thought the pizza here was amazing and the best I've ever had."

"The pizza crust here is really crispy and good."

"The Fettuccine Alfredo is creamy, rich, and perfectly seasoned."

Good to know

1

Make a reservation to avoid long wait times, especially during peak hours.

2

The restaurant does not allow dining in 35 minutes before closing on Friday nights.

3

Expect a wait to be seated during busy times.

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