Pasta alla Montecarlo (Creamy Meat Sauce)

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Pasta alla Montecarlo is a delicious meat sauce made with vegetables, beef and sausage simmered in a tomato sauce with cream and wait for it…pesto! A unique and utterly delicious and comforting recipe that you’ve just got to try!

Pasta alla Montecarlo (creamy meat sauce) in a country style blue and white bowl sitting on a wooden chopping board.
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Much like Zozzona, Pasta alla Montecarlo comes under the recipes that I can’t quite believe actually are Italian.

They seem to break all the ‘rules’ in terms of being simple with uncomplex flavours. This pasta feels like another ‘throw everything you have in the fridge’ type dinner, yet it works and it’s absolutely delicious!

Monte Carlo is in Monaco near the French and Italian border and only a short drive to the region of Liguria, famous for basil pesto.

Although it’s unclear where this pasta comes from exactly and its origins, it seems to have influence from these surrounding areas; Ligurian pesto, cream-based French sauces, and hearty meat ragus are often found in northern Italy. Plus, if you add in the luxury and decadence that Monte Carlo is famous for, you have it all in this dish.

Ingredient notes

An overhead shot of all the ingredients needed to make Pasta alla Montecarlo; pesto, heavy cream, tomato paste, pasta, sausages, beef, carrot, onion, Parmesan and white wine.

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  • Basil pesto – I’m a bit of a snob when it comes to pesto and never buy store-bought stuff because it doesn’t even compare to homemade pesto. You only need 2-3 tablespoons for this dish, but I still make a full batch and keep it in the fridge for other uses like sandwiches and salads.
  • Ground beef – I’ve also seen this dish made with ground veal a lot. We also tested this recipe with veal, and it was really delicious, but since beef is more accessible, we went with that (se whatever one you like).
  • Italian sausages – use regular, mild sausages and not spicy/hot ones.
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Visual walk-through of the recipe

See our step-by-step photos below to give you a visual representation of the recipe. The full written recipe can be found in the recipe card below.

Prep – make a batch of basil pesto if using homemade. Bring a large pot of water to a boil and salt it well, and finely chop the carrot and onion.

Step 1 – saute the vegetables until nice and soft but not browned (7-8 minutes) (photo 1).

Step 2 – add the sausage (casings removed) and ground beef or veal and saute until browned (photo 2).

Four photos in a collage showing how to saute vegetables and sausages and beef in a pan with tomato paste and wine.

Step 3 – Add the white wine and reduce it by half or until you can no longer smell the alcohol. Stir in the tomato paste and cream with a small pinch of salt and pepper and simmer gently on a medium-low heat for 15-20 minutes (photos 3-6).

Step 4 – Turn off the heat and add the pesto with the cooked, al dente pasta. Toss until thoroughly coated in the sauce, then add a generous grating of Parmigiano Reggiano and serve (photos 7 and 8).

Four photos in a collage showing how to make a creamy sauce with pesto.

Recipe tips

  • Best pasta to use – to be honest, most pasta shapes will work with this recipe. I like to use a short pasta shape, such as rigatoni, but penne, orecchiette or even a long shape, such as tagliatelle, will work well.
  • Prep in advance – you can make the sauce in advance and store it in the fridge (don’t add the pasta). When you’re ready to serve, you can reheat it and cook the pasta. You may need to loosen the sauce with a little pasta water.
A close up of a fork picking up a bite of pasta in a creamy meat sauce.

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Pasta alla Montecarlo

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By Emily

Prep: 10 minutes
Cook: 45 minutes
Total: 55 minutes
Servings: 4 servings
Pasta alla Montecarlo is a delicious meat sauce made with vegetables, beef and sausage simmered in a tomato sauce with cream and wait for it…pesto! A unique and utterly delicious and comforting recipe that you've just got to try!
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Ingredients

  • 1 Onion
  • 1 Carrot
  • 4 Italian Sausages , (about 250g/1.2 lb)
  • 1/2 lb (250g) ground beef or veal
  • 1 and 1/4 cup heavy cream (double cream UK), (300ml)
  • 1 tablespoon tomato paste
  • 1/2 cup (120ml) white wine
  • 2 tablespoons basil pesto
  • Parmigiano Reggiano, for serving
  • 1 lb (450g) rigatoni pasta , (or pasta of choice)
  • salt and pepper

Instructions 

Prep

  • Although you can use store-bought basil pesto, I recommend making your own. Follow our basil pesto recipe, then keep leftovers in the fridge for other uses such as sandwiches and salads.
  • Finely chop the carrot and onion.
  • Bring a large pot of water to a boil and salt it well.

Make the sauce

  • Heat 1-2 tablespoons of olive oil in a large pan and gently sauté the vegetables for around 7-8 minutes until soft but not browned.
  • Next turn up the heat and add the sausages removed from their casings and the ground beef. Saute the meat until browned, if there’s a lot of excess moisture, keep cooking until most of it has evaporated.
  • Add the white wine and let it reduce by half or until you can no longer smell a strong alcohol smell.
  • Stir in the tomato paste, then add the cream with a small pinch of salt and pepper and simmer gently on a medium-low heat for 15-20 minutes.
  • 10 minutes before the end, add the pasta to the boiling water and cook until al dente.
  • Turn off the heat and add 2 tablespoons of pesto along side the cooked al dente pasta. Toss until the pasta is full coated.
  • Finally add a generous grating of Parmigiano Reggiano and serve.

Notes

  • Storage – Cream based sauces are always best served immediately but leftovers can be stored in the fridge for up to 1-2 days. Reheat it on the stove and use water to loosen it as needed.

Helpful Info for All Recipes

  • I always use extra virgin olive oil in all of my recipes unless stated otherwise
  • When I use canned or jarred tomatoes of any kind I always use Cirio or Mutti brands for the best results and flavour.
  • All vegetables are medium sized unless stated otherwise
  • All recipes are tested and developed using a fan (convection) oven
  • Find out more about how nutrition is calculated.
  • Check out our must have Italian Pantry Staples.
  • You can also find all our Essential Kitchen Tools for Italian Cooking.

Nutrition

Calories: 620kcal | Carbohydrates: 91g | Protein: 26g | Fat: 13g | Saturated Fat: 4g | Polyunsaturated Fat: 1g | Monounsaturated Fat: 4g | Trans Fat: 1g | Cholesterol: 40mg | Sodium: 165mg | Potassium: 573mg | Fiber: 5g | Sugar: 6g | Vitamin A: 2765IU | Vitamin C: 4mg | Calcium: 60mg | Iron: 3mg

Nutrition information is automatically calculated, so should only be used as an approximation.

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