Homemade Italian Sausage and Pesto Pizza Recipe

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Make pizza night special with this sausage and pesto pizza. Italian sausage, caramelized onions, sautéed mushrooms, sun-dried tomatoes and melted mozzarella combine for a homemade pizza that’s simple to assemble and impossible to resist.

finished sausage and pesto pizza

How This Sausage and Pesto Pizza Became a Family Favorite

I first tasted this combination at a home cooking demonstration years ago, and it quickly became a family favorite. The bright herb flavor of pesto with savory Italian sausage and sweet caramelized onions creates a balanced pizza that pleases both kids and adults. I started making it for special dinners and birthdays, and it’s remained one of our go-to recipes for easy entertaining.

A few simple techniques — browning the sausage well, slowly caramelizing the onions, and sautéing mushrooms until tender — make a big difference in the final flavor. Use your preferred pizza dough or a store-bought crust for an extra-fast weeknight meal.

Homemade Italian Sausage Pizza

Homemade Italian Sausage Pizza

Yield: 8 servings
Prep Time: 15 minutes
Cook Time: 30 minutes
Total Time: 45 minutes

Add pizzazz to pizza night with this Italian sausage and pesto pizza. Spicy or mild Italian sausage, sweet caramelized onions, sun-dried tomatoes and melty mozzarella pair with herby pesto for a savory, well-rounded pie. Use homemade dough or a store-bought crust — both work beautifully.

Ingredients

  • Pizza dough for 1 crust (homemade or store-bought)
  • 1/4 cup pesto sauce
  • 1 pound Italian sausage (mild or spicy, to taste)
  • 1 medium onion (for caramelizing)
  • 1/2 cup mushrooms, sliced
  • 1/4 cup diced sun-dried tomatoes (packed in oil is convenient)
  • 1 cup shredded mozzarella cheese

Instructions

  1. Preheat the oven to 425°F (220°C). Lightly grease a pizza stone, stoneware pan or baking sheet.
  2. Prepare the dough. Press or roll the dough evenly over the pan to form the crust.
  3. Brown the sausage. Remove casings, crumble and brown the Italian sausage in a skillet over medium heat until cooked through; drain any excess fat and set aside.
  4. Caramelize the onions. Thinly slice the onion. Melt about 1–2 tablespoons butter (or olive oil) in a skillet, add the onions and cook over medium-low heat until softened. Stir in a small pinch of brown sugar if you like extra sweetness, reduce heat, cover briefly and cook until lightly browned and tender.
  5. Sauté the mushrooms. In the same or a separate skillet, cook sliced mushrooms in 1–2 tablespoons butter or oil until tender. Season with a little salt and pepper.
  6. Prepare remaining toppings. Dice sun-dried tomatoes if needed and grate the mozzarella.
  7. Assemble the pizza in this order: spread the pesto over the crust, then add the caramelized onions, browned sausage, sautéed mushrooms, sun-dried tomatoes and finally the shredded mozzarella.
  8. Bake for 20–30 minutes, until the crust is golden and the cheese is melted and bubbling. To check doneness, lift the edge of the crust — the underside should be lightly browned.
  9. Slice and serve hot, using a pizza cutter. Let the pizza rest 2–3 minutes before slicing to help the cheese settle.
Nutrition Information (approximate per serving)

Yield: 8 servings | Calories: 334 | Total Fat: 24g | Saturated Fat: 9g | Cholesterol: 48mg | Sodium: 644mg | Carbohydrates: 12g | Fiber: 1g | Protein: 17g

Ingredients needed for this sausage pizza

Ingredients You’ll Need for This Italian Sausage and Pesto Pizza

Below are the essential ingredients and a few tips for choosing them. Quantities are listed in the recipe card above.

  • Pizza dough — choose your favorite style: homemade, bread machine dough, pre-made grocery dough or bakery dough.
  • Pesto — jarred pesto works well if you prefer convenience; it adds bright, herby flavor as the sauce base.
  • Italian sausage — mild or spicy both pair nicely with pesto; select based on your family’s taste.
  • Caramelized onion — slow-cooked onions add sweetness and depth. A little butter and a touch of brown sugar help achieve a rich color and flavor.
  • Sautéed mushrooms — cook until tender to avoid releasing excess moisture on the pizza.
  • Sun-dried tomatoes — chopped sun-dried tomatoes add concentrated tomato flavor and a pleasant chew.
  • Mozzarella cheese — use shredded mozzarella, or mix in a little Parmesan for nuttier notes.

Step-by-Step Assembly

Prepare all toppings before assembling so the pizza goes into the oven quickly. Spread pesto over the rolled dough, then layer the caramelized onions, browned sausage, mushrooms, sun-dried tomatoes and finish with cheese. Bake until the crust is golden and the cheese is melted.

  • pesto sauce being spread over pizza dough on a stoneware pan
    Layer 1: Pesto
  • carmalized onions layered over pesto sauce on a pizza crust
    Layer 2: Caramelized onions
  • italian sausage layered on a homemade pizza
    Layer 3: Browned Italian sausage
  • sauted mushrooms layered on pesto pizza
    Layer 4: Sautéed mushrooms
  • chopped sundried tomatoes layered on pesto pizza
    Layer 5: Sun-dried tomatoes
  • mozzerella cheese layered on a pesto pizza
    Layer 6: Grated mozzarella
Sliced Sausage Pizza on a pizza stone.
Bake at 425°F for 20–30 minutes or until the crust is golden and the cheese is melted.

Slice with a pizza cutter and serve hot. This pizza pairs well with a simple green salad and a light vinaigrette to balance the rich flavors.

Tips, Variations and Storage

  • Swaps: Swap turkey or chicken sausage for a lighter option, or use crumbled Italian-seasoned plant-based sausage for a vegetarian version.
  • Cheese: Try a mix of mozzarella and provolone, or finish with a sprinkle of grated Parmesan after baking.
  • Make ahead: Prepare toppings in advance and refrigerate. Assemble and bake when ready.
  • Leftovers: Store slices in an airtight container in the fridge for up to 3 days; reheat in a hot oven or toaster oven to keep the crust crisp.

Helpful Kitchen Tools

A pizza stone or a sturdy baking sheet and a sharp pizza cutter make a difference. A skillet for browning sausage and sautéing vegetables is also useful.

More Main Dish Ideas

  • Tater tot casserole
  • Creamy chicken enchiladas
  • Upside-down cheeseburgers
  • Hamburger steak
  • Creamy tortellini soup with sausage and spinach

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