Creamy Italian Three-Meat Sauce with Fettuccine

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Creamy Italian Three-Meat Sauce with Fettuccine - Andrea MeyersFollow Me on Pinterest

My guys love a good, hearty bowl of pasta, especially if there is some meat or meatballs to go with it. We start our sauce early and let it simmer all day, checking occasionally to see how it’s going, and waiting until all the flavors have bloomed to add salt or pepper near the end. Then we ladle it over a bed of noodles and sprinkle a little Parmesan over it. I have to make large batches so there is enough for lunch leftovers, which I put in the boys’ thermoses, and they check to make sure I add enough sauce and sprinkle in the Parmesan before closing the thermos lid. Italian meat sauce (ragù) is the stuff of dreams for this family of sauce lovers.

A traditional creamy meat sauce may have cream, half & half, or whole milk in the recipe, which combines with the tomatoes and meat to make a classic Northern-style ragù. For people with lactose-intolerance, like some of my family who developed it later in life, using a lactose-free low-fat milk and an Italian reduced-fat well-aged Parmigiano Reggiano or Grano Padano cheese–both naturally low in lactose–makes this a sauce almost anyone can enjoy. Dealing with lactose intolerance is about finding what works best for you.

Creamy Italian Three-Meat Sauce with Fettuccine
Prep time
Cook time
Total time
Serves: 8 servings (or 4 with leftovers)
  • 4 tablespoons olive oil
  • 2 large onions, diced
  • 8 ounces (227 g) carrots, peeled and fine grated
  • 4 large stalks celery, diced
  • 5 cloves garlic, minced12 ounces (336 g) Sweet Italian Ground Sausage (or links with casings removed)
  • 2 pounds (~900 g) 93% lean ground beef
  • 4 strips bacon, diced
  • 3 (6-ounce/170 g) cans tomato paste
  • 2 cups (480 ml) low-fat lactose-free milk
  • 2 cups (480 ml) dry white wine (chardonnay is fine)
  • salt and pepper to taste
  • grated Parmigiano Reggiano or Grano Padano cheese
  1. In the 8-quart stock pot, warm the olive oil and sauté the onions, carrots, celery, and garlic over medium heat until the vegetables are shiny and soft, about 5 to 6 minutes. Reduce heat to a simmer.
  2. In the large skillet, crumble the Sweet Italian Sausage and cook over medium heat just until browned but not cooked through, about 5 to 7 minutes. Strain and transfer to the pot with the vegetables and cover. Drain the fat. Repeat with the ground beef, 1 pound at a time. Repeat with the bacon, drain the bacon fat, then deglaze the pan with a little of the wine.
  3. Stir the tomato past and lactose-free milk in with the meat and vegetables. Cook covered over medium-low heat for about 1-1/2 hours, stirring occasionally. Stir in the wine and cook uncovered at a simmer for 4 to 6 hours, stirring occasionally. The sauce will be thick and rich.
  4. Season with a little salt and pepper to taste and simmer for about 15 more minutes, then serve with cooked fettuccine noodles and grated Parmigiano Reggiano or Grano Padano cheese.
More Information

8-quart stock pot with lid
large skillet

Recipe Notes:

This type of thick, rich sauce calls for a noodle that can stand up to it. Fettuccine, or other wide Italian noodles such as Pappardelle, make a perfect match. Sweet Italian sausage has more basil than Mild Italian sausage, and either will work fine in this recipe.


More Italian Recipes

Andrea Meyers - San Marzano Sauce with Peppers Andrea Meyers - Classic Spaghetti Carbonara Andrea Meyers - Pasta Primavera

[Disclosure: I am an ambassador for the National Dairy Council Beyond Lactose Intolerance awareness campaign. All opinions expressed are my own.]

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