If you’re looking for a comforting, crowd-pleasing meal that practically makes itself, the Slow Cooker Baked Ziti with Italian Sausage and Cream Cheese Recipe is your new best friend. This dish combines the hearty flavors of Italian sausage, creamy cheese, and perfectly cooked ziti pasta, all simmered slowly in a rich tomato sauce. It’s an effortless recipe that fills your kitchen with mouthwatering aromas and ends with a bubbling, cheesy casserole everyone will rave about. Whether you’re feeding the family or bringing a dish to a potluck, this recipe delivers satisfying layers of flavor and texture that just can’t be beaten.

Ingredients You’ll Need
The beauty of the Slow Cooker Baked Ziti with Italian Sausage and Cream Cheese Recipe lies in its straightforward, essential ingredients that harmonize perfectly to create an unforgettable meal. Each item adds something special, from the robust Italian sausage to the creamy smoothness of cream cheese, ensuring every bite is packed with flavor and texture.
- 48 oz. Pasta Marinara or Meat Sauce: This forms the rich and savory base that ties the dish together.
- 29 oz. Diced Italian Tomatoes: Adds brightness and a slightly chunky texture to the sauce.
- 1 lb. Italian Sausage (cooked and crumbled): Provides hearty, meaty flavor and a satisfying bite.
- 1 1/2 cups Water: Keeps the sauce moist and helps cook the pasta evenly in the slow cooker.
- 8 oz. Cream Cheese (softened): Creates a luscious, creamy layer that melts beautifully into the ziti.
- 1 Egg: Binds the cheese mixture, making it silky and cohesive.
- 1/2 cup Parmesan Cheese (freshly grated): Adds sharpness and depth with its nutty flavor.
- 1 tablespoon Garlic (minced): Brings an aromatic punch that elevates the entire dish.
- 2 teaspoons Basil (chopped): Infuses an earthy, slightly sweet herbaceousness throughout.
- 2 teaspoons Parsley (chopped): Adds a fresh, mild brightness to the layers.
- 16 oz. Ziti Pasta (uncooked): The perfect pasta shape to absorb sauce and hold creamy cheese.
- 2 cups Mozzarella Cheese (freshly grated): Melts into a bubbly, gooey topping that everyone loves.
How to Make Slow Cooker Baked Ziti with Italian Sausage and Cream Cheese Recipe
Step 1: Prepare the Cream Cheese Mixture
Start by blending the cream cheese, egg, Parmesan cheese, basil, and parsley in a mixing bowl. Using an electric mixer, beat everything together until the mixture turns smooth and creamy. This luscious blend is the secret to the dish’s rich, velvety texture, adding a dreamy layer between the pasta and sauce.
Step 2: Combine the Sauce Ingredients
In a large bowl, stir together your pasta sauce, diced Italian tomatoes, cooked and crumbled Italian sausage, and water. This mixture is packed with robust and savory flavors which will soak into the ziti, ensuring every bite bursts with Italian goodness.
Step 3: Layer the Ingredients in the Slow Cooker
Begin by spooning one-third of the pasta sauce mixture into the bottom of your slow cooker, creating a flavorful base for the pasta to cook evenly and absorb all those saucy bits.
Step 4: Add the First Layer of Pasta
Sprinkle half of the uncooked ziti evenly over the sauce layer. It’s important to distribute the pasta so it cooks evenly and soaks up the beautiful sauce beneath.
Step 5: Add Dollops of Cream Cheese Mixture
Dollop half of your cream cheese mixture over the layer of pasta. These pockets of creamy goodness will melt during cooking and provide moments of indulgence throughout the dish.
Step 6: Repeat the Layers
Layer the remaining pasta sauce mixture on top, followed by the rest of the ziti and the remaining cream cheese dollops. This layering technique ensures every forkful is a perfect balance of pasta, sauce, and cheese.
Step 7: Final Sauce Layer and Topping
Pour the last third of the sauce mixture over the top, making sure to fully cover the pasta. Then sprinkle the grated mozzarella cheese evenly over the surface. For an appealing finish, scatter some additional chopped basil and parsley. This topping creates the delicious golden crust we all look forward to.
Step 8: Cook on High
Cover your slow cooker and cook the baked ziti on high for 4 hours. During this time, the flavors mingle and the cheese melts into a bubbly, irresistible topping. The pasta will come out tender and infused with all the rich, savory flavors you’ve built layer by layer.
Step 9: Stir and Serve
Just before serving, give the ziti a gentle stir to combine the creamy layers and cheesy topping with the saucy pasta beneath. This dish is perfect served piping hot alongside warm garlic bread and a crisp green salad for a truly satisfying meal.
How to Serve Slow Cooker Baked Ziti with Italian Sausage and Cream Cheese Recipe

Garnishes
Fresh herbs like chopped basil or parsley add a pop of color and fresh flavor as a garnish. A sprinkle of grated Parmesan just before serving also adds a touch of cheesiness that perfectly complements the melted mozzarella topping.
Side Dishes
This dish shines best paired with simple sides that complement without overpowering. Think crusty garlic bread for dipping, or a crisp Caesar or mixed green salad to balance out the rich, creamy baked ziti.
Creative Ways to Present
For a rustic party display, serve the baked ziti directly from the slow cooker on the table. Or try layering individual portions in small ramekins topped with extra mozzarella and a basil leaf for a charming presentation at a dinner party.
Make Ahead and Storage
Storing Leftovers
Leftover baked ziti keeps beautifully in the fridge for up to 4 days. Store it in an airtight container to preserve its flavors and creamy consistency.
Freezing
You can freeze portions of this dish for up to 3 months. Wrap tightly in freezer-safe containers or foil before freezing to maintain freshness. Thaw overnight in the fridge before reheating.
Reheating
Reheat leftovers in the microwave or oven. If using an oven, cover the dish with foil and warm at 350°F until heated through, about 20-25 minutes. This helps the cheese stay melty without drying out.
FAQs
Can I use a different type of pasta for this recipe?
Absolutely! While ziti is ideal for this recipe because it holds sauce well, penne or rigatoni can be great substitutes with similar texture and flavor absorption.
Is it necessary to cook the Italian sausage before adding it to the slow cooker?
Yes, cooking the sausage beforehand ensures it’s fully cooked and crumbled properly, which adds the best texture and flavor to the casserole.
Can I make this recipe vegetarian?
Definitely! Simply omit the Italian sausage and substitute with sautéed mushrooms, zucchini, or plant-based sausage alternatives for a delicious vegetarian version.
Can I prepare this dish without a slow cooker?
You can bake it in the oven at 350°F for about 45 minutes covered with foil, then uncovered for the last 10 minutes to brown the cheese. Just cook the pasta separately before layering.
What type of cream cheese should I use?
Use regular full-fat cream cheese for the creamiest result. Soften it to room temperature so it blends smoothly with the eggs and cheese.
Final Thoughts
The Slow Cooker Baked Ziti with Italian Sausage and Cream Cheese Recipe is pure comfort food made effortless. It’s a crowd-pleaser with layers of cheesy, saucy, and savory goodness that will have everyone asking for seconds. Give this recipe a try and discover how a few simple ingredients, slow-cooked with love, can create a dish that feels like a warm hug from the inside out.
