X

📖 PIZZA RULES is out now! Get your signed copy of Peggy's new book.    🍕 BUY NOW

  • About Peggy
  • Pizza 101 & FAQs
  • Doughs & Sauces
  • Pizzas by Season
  • Popular Toppings
  • Subscribe
  • Contact
  • Press
  • Disclaimer & Copyright Info
  • Recipe Index
menu icon
go to homepage
  • About Peggy
  • Pizza 101 & FAQs
  • Doughs & Sauces
  • Pizzas by Season
  • Popular Toppings
  • Subscribe
  • Contact
  • Press
  • Disclaimer & Copyright Info
  • Recipe Index
  • Follow me!

    • Facebook
    • Instagram
    • TikTok
    • YouTube
  • search icon
    Homepage link
    • About Peggy
    • Pizza 101 & FAQs
    • Doughs & Sauces
    • Pizzas by Season
    • Popular Toppings
    • Subscribe
    • Contact
    • Press
    • Disclaimer & Copyright Info
    • Recipe Index
  • Follow me!

    • Facebook
    • Instagram
    • TikTok
    • YouTube
  • ×
    Home » Recipe Index » Meat Pizzas

    Italian Sausage Pizza with Pesto and Red Sauce

    Published Feb 1, 2024 · Modified Feb 27, 2025

    Jump to Recipe - Print Recipe

    In this recipe, I've jazzed up classic Italian sausage pizza with alternating swirls of pesto and red sauce, two different cheeses, and a chiffonade of either basil or baby spinach leaves. Feel free to use store-bought sauces to make it even easier!

    Italian sausage pizza with pesto and marinara sauce

    Sausage has always been one of my favorite pizza toppings, and when I say sausage, I mean small meatball-size hunks of the Italian kind, not the pre-cooked slices (though those can be tasty, too). There's just something about the texture and flavor balance—springy, meaty morsels, anise and dried herb seasonings, creamy cheese, tangy tomato sauce, crunchy-chewy crust, and yes, those pools of grease that form on top during baking.

    red sauce swirl
    pesto and red sauce on pizza dough

    In my version of the classic pizzeria pie, I emphasize the herbaceous undertones in Italian sausage with a base layer of both pesto and red sauce. (The swirl, pictured above, ensures that both sauces end up on every slice.) Then, I keep things simple: nothing but bite-size pieces of cooked sausage, diced fresh mozzarella, a sprinkle of finely shredded Parmigiano-Reggiano, and a finishing garnish of baby spinach (or basil).

    before bakingafter baking

    You'll get the tastiest results from freshly made cooked-down pizza sauce and bright-green pesto straight from the food processor. That being said, since you only need ⅓ cup of pesto and ½ cup of red sauce, this might be the time to reach for the jarred/canned stuff instead. I promise I'll never judge!

    Italian sausage pizza with pesto and marinara sauce

    Italian Sausage Pizza FAQs

    Can I use low-moisture mozzarella instead of fresh?

    Sure! I like the fresh mozzarella because it's less salty and not as greasy when baked. However, shredded low-moisture mozzarella would give you more of a classic pizzeria taste.

    Do you recommend hot or mild Italian sausage for this recipe?

    I like mild, but hot would be delicious, too. For reference, ½ pound of sausage is 2 to 3 links.

    Is it important to make my own pesto and pizza sauce?

    Nope. If you want to make your own, follow the links below in the recipe card. If you don't want to make your own, choose the highest-quality options, though, since the flavors really shine on this pizza.

    Do I really have to cook the sausage before putting it on the pizza?

    Yes, you really do. Since your pizza will only bake for 10 minutes or less, it's important to precook the raw meat to prevent undercooking and the risk of food-borne illness.

    Italian sausage pizza with pesto and marinara sauce
    Italian sausage pizza with pesto and marinara sauce
    Print Recipe
    4.34 from 3 votes

    Italian Sausage Pizza with Red Sauce and Pesto

    This has everything you want in a classic Italian sausage pizza: swirls of red sauce and herbaceous pesto, creamy mozzarella cheese, a sprinkling of Parmigiano-Reggiano, and a garnish of fresh basil or spinach.
    Prep Time15 minutes mins
    Cook Time10 minutes mins
    Total Time25 minutes mins
    Course: Main Course
    Cuisine: American, Italian, Mediterranean
    Keyword: meat pizza, pesto, red sauce, sausage
    Makes: 1 (12- to 14-inch) pizza
    Cost: $10

    Equipment

    • Large skillet
    • Rolling pin (optional)
    • Large rimmed baking sheet or baking stone/steel
    • Pizza peel (optional)
    • Pizza Cutter

    Ingredients

    • 1 tablespoon olive oil
    • ½ pound Italian sausage (mild or hot), casings removed
    • 1 (14- to 16-ounce) ball pizza dough
    • ½ cup red pizza sauce, homemade or store-bought
    • ⅓ cup green pesto sauce, homemade or store-bought
    • 4 ounces fresh mozzarella cheese, diced
    • ¼ cup finely shredded Parmigiano-Reggiano cheese
    • Kosher salt
    • Freshly ground black pepper
    • 3 to 5 large basil or medium baby spinach leaves

    Instructions

    • Preheat the oven to 500°F (if using a baking sheet) or as high as it will go (if using a baking stone/steel; place the stone in the top third or place the steel in the bottom third of the oven before you start preheating). Let the oven preheat for at least 30 minutes. Then, if you’re using a baking stone or steel, switch the oven to Broil on high.
    • Pinch the sausage into small pieces and put it on a plate near the stove. Heat the olive oil in a large skillet over medium-high heat. When the oil is hot (it will slosh around the skillet when you lift the handle), add the sausage and cook, stirring frequently, just until all the pieces are no longer pink, about 5 minutes. Take the skillet off the heat and transfer the sausage to a paper towel–lined plate. Blot the top of the sausage with a few clean paper towels.
    • Stretch or roll out your dough to a 12- to 14-inch circle, then transfer it to a baking sheet / pizza pan or a lightly floured pizza peel (if using a baking stone/steel).
    • Prick the dough all over with a fork. Use a spoon to dollop and spread the red pizza sauce into a spiral shape (see photo above). Then, use another spoon to fill in the rest of the naked dough with pesto sauce, getting it all the way to the edges. Scatter the sausage evenly over top, followed by the diced mozzarella and shredded Parmigiano. Sprinkle with a pinch of salt and few grinds of black pepper.
    • Transfer the pizza to the oven and bake until the crust is evenly browned on the bottom and the cheese has browned in spots—8 to 10 minutes on the baking sheet, 5 to 8 minutes on the baking stone/steel.
    • While the pizza bakes, stack the basil or baby spinach leaves, roll them lengthwise into a long, thin cigar shape, and slice them thinly to make little ribbons (chiffonade).
    • Take the pizza out of the oven and let it sit for a minute or two, then top with the basil or baby spinach ribbons; slice and serve.

    Looking for more sausage pizzas? Try these next:

    • Grandma Pizza with Sausage, Pepper, Onion, and Mushrooms
    • Pumpkin and Sausage Pizza

    More Meat Pizza Recipes

    • Thursday Night Pizza's Meat Lover's Pizza recipe
      Meat Lover's Pizza (with five different types of meat!)
    • cup and char pepperoni featured image
      Popular Pizza Toppings: Cup and Char Pepperoni
    • prosciutto pizza slices on peel
      Prosciutto Pizza with Roasted Red Peppers and Balsamic Glaze
    • Sloppy Joe Pizza recipe from ThursdayNightPizza.com
      Sloppy Joe Pizza (a Pizzafied Classic)

    Comments

    1. allHungry says

      August 14, 2024 at 7:09 am

      5 stars
      This Italian Sausage Pizza recipe is absolutely mouthwatering! The combination of flavors is perfect, and the step-by-step instructions make it so easy to follow. Thank you for sharing this gem!

      Reply
      • Peggy Paul Casella says

        August 28, 2024 at 9:13 pm

        You're very welcome!

        Reply
    2. Russell says

      October 11, 2025 at 9:26 pm

      3 stars
      Points given for the way you applied the sauce and pesto, and for the combination of these as the base, and suggesting a baking steel. I'm going to try that combo or red and pesto tomorrow at home. Points deducted for not cooking the Italian sausage on the pie, using frest mozz (it will be watery with no snap), and not insisting on using uncooked hand crushed or milled canned plum tomatoes for the sauce. Your sauce will taste better, and you will spend less money. Cook the sausage ON the pie, at 500 for 10 minutes it will be done and you get the added flavor from the rendered fat. I agree with using mild vs. hot sausage with this combination. Use canned plum tomatoes. You can crush by hand, mill them, or use crushed plum tomatoes. Cento is a very good common brand. Add a little salt and dried oregano to taste taste 1/4 to 1/2 tsp. If desired, add 1 clove fresh crushed garlic (not pre-peeled or pre-crushed) pinch of sugar, red pepper flakes to taste. DO NOT COOK SAUCE because if you do, it will taste like spaghetti sauce. The sauce will cook fine in the oven and will taste MUCH better than store bought crap. Use ONLY low moisture whole milk mozzarella unless you are cooking at 800-900 degrees. Using fresh mozz at 500 will have too much water and your pizza will be soggy. It's easier if you get a 1/2 pound sliced like Boar's Head. Lastly toss whole fresh Basil leaves on your pie after it cools for a few minutes. You can sprinkle fresh grated Parmisiano Reggiano, I recommend fresh grated Pecoriino romano instead. Pecorino has a sharper, tangier, more intense flavor.

      Reply
    4.34 from 3 votes (1 rating without comment)

    Leave a Reply Cancel reply

    Your email address will not be published. Required fields are marked *

    Recipe Rating




    This site uses Akismet to reduce spam. Learn how your comment data is processed.

    Peggy Paul Casella, creator of ThursdayNightPizza.com

    Hi, I'm Peggy!

    Since 2014, I've made it my mission to de-snobbify homemade pizza.

    More about me

    Check Out My New Book!

    Pizza Rules: A Quick-Start Guide to Making Pizza at Home, is no typical cookbook. It's part crash course, part inspiration guide, with funky illustrations and guided notebook pages to help you record baking times, favorite topping combos, ingredients, and more.


    Most Popular Posts

    • olive everything pizza, square featured image
      Olive Pizza with Everything Bagel Seasoning and Mozzarella
    • balsamic glaze
      Popular Pizza Toppings: How to Make Balsamic Glaze
    • Italian sausage pizza with pesto and marinara sauce
      Italian Sausage Pizza with Pesto and Red Sauce
    • 3-cheese broccoli pizza
      3-Cheese Broccoli Pizza with Sweet-Hot Peppers
    See more Popular Toppings →

    Pizza Dough Recipes

    • Neapolitan pizza dough topped on pizza peel
      Neapolitan Pizza Dough Recipe
    • 1-Hour Pizza Dough, balls on counter ready for stretching
      1-Hour Pizza Dough
    • Thursday Night Pizza's Overnight Pizza Dough recipe
      Easy Overnight Pizza Dough
    • no yeast sourdough pizza dough balls
      No Yeast Sourdough Pizza Dough
    See more Pizza Dough →

    Footer

    Learn More

    • About Peggy
    • Pizza 101
    • Pizza Making FAQs

    Connect

    • Subscribe to the TNP newsletter
    • Follow TNP on Instagram, Facebook, Pinterest, TikTok, and YouTube
    • Contact Peggy

    Popular Recipes

    • Comfort Food Dishes in Pizza Form
    • Seasonal Pizza Recipes
    • Homemade Pizza Doughs and Sauces
    • Classic Pizza Recipes and Styles

    As an Amazon Associate, I earn from qualifying purchases.

    Copyright © 2025 Peggy Paul Casella | Privacy Policy & Disclosure | Disclaimer & Copyright

    Rate This Recipe

    Your vote:




    A rating is required
    A name is required
    An email is required

    Recipe Ratings without Comment

    Something went wrong. Please try again.