This is the Best Creamy Pesto Pasta Recipe for a 30-minute meal, one pan, family-friendly dish with the perfect balance of cream and homemade basil pesto. This creamy pesto pasta recipe combines ziti, Pecorino Romano, and a silky pesto cream sauce for a pasta dinner that’s rich yet simple to make.
Bring a pot of salted water to a boil. Add ziti and cook until al dente, according to package instructions. Reserve ⅓ cup pasta water, then drain and toss with olive oil to prevent sticking.
In a large skillet over medium heat, sauté garlic for 30 seconds until fragrant. Pour in heavy cream, stirring until warmed. Whisk in pesto, Pecorino Romano, salt, black pepper, and red pepper flakes. Simmer for 2 minutes, letting the flavors blend.
Add the cooked ziti to the skillet and toss to coat. Gradually stir in reserved pasta water if needed, adjusting until the sauce reaches your desired consistency. Let everything heat through for 1–2 minutes.
Plate the pasta and sprinkle with extra Pecorino Romano and fresh basil. Serve immediately.
Notes
Storage Store creamy pesto pasta leftovers in an airtight container in the refrigerator for up to 3 days.Freeze Freezing is not recommended, since cream-based sauces tend to separate.Reheat: When reheating creamy pesto pasta, warm it gently in a skillet with a splash of cream or water to bring the sauce back together.Substitutions
Heavy Cream: Use half-and-half instead of heavy cream for a lighter sauce.
Adjustments Cooking time may need to be adjusted based on the geography of the area (high vs. low elevation), cookware (stoneware vs traditional bakeware), and outdoor temperature if grilling.Nutrition information is only an estimate