Paleo Fettuccine with Italian Sausage

Paleo Fettuccine with Italian Sausage

You might think fettuccine is off limits as soon as you start following a Paleo diet, and you’d be 100% correct! Fettuccine is a flat thick noodle made of egg and flour, a pasta cut in ribbons, and therefore not Paleo. Only there is an asterisk connected to that statement, specifically for this recipe. :)

Unlike most gluten-free branded products and ingredients, this fettuccine is not only gluten-free but also Paleo. Most gluten-free products use some other grain to replace the wheat which is why everything gluten-free is not Paleo however it does work the other way. Everything that is Paleo is also gluten-free.

Paleo Fettuccine with Italian SausagePaleo Fettuccine with Italian Sausage

Why is this gluten-free fettuccine Paleo?

The gluten-free fettuccine we ate during this meal is made by Cappello’s. Cappello’s is a Denver based gourmet-food company. Stacey Marcellus and Benjamin Frohlichstein founded the high-end gluten free and grain free company in 2011.

Cappello’s mission is simple: provide fresh, uniquely delicious options for gourmet food-lovers, healthy eaters and people with dietary restrictions.

How is this Gluten-free, Paleo Fettuccine Made?

The ingredients this Paleo fettuccine is made up of are: almond flour, cage-free eggs, tapioca flour, xanthan gum and sea salt.

Paleo Fettuccine with Italian Sausage

For me, the only questionable ingredient in this fettucine was the xanthan gum. “The worst xanthan gum seems to be capable of (in adults) is causing some digestive distress in those who are susceptible by increasing stool bulk, water content, and sugar content” (source). Neither Jeff, Dave nor I had any issues after consuming this single meal.

How Does It Taste?

I’m an Italian girl who grew up eating pasta! I know the difference between the real deal and the fake, canned garbage that some folks pass off as pasta. The taste and texture of Cappello’s fettuccine is spot on and tastes delicious. And I made sure to let them know how I felt on Instagram. :)

Even though the box says you only need to cook the noodles in boiling water for 45 seconds, I cooked it a little longer because I’m not a fan of al dente pasta. :)

How Much Does it Cost?

At the time of this article, four 9 oz. (255g) packages of fettuccine costs $44.00, the packages are freezable and ship in custom eco-coolers.

You may be thinking that one 9oz package for $11 may be expensive but
a. if you have gone gluten-free and/or Paleo and have not had pasta in quite a long time then this should be considered a luxury item, not an every day food, something you purchase for a special occasion and
b. remember, this is a high-end product. It takes time, love and passion to make a quality product and ship it anywhere across the country.
c. If you break this meal down into cost per serving I think you’d be surprised at how cost-effective it actually is (even if you eat the equivalent of three servings, like we may have). When compared to eating out, this meal is not that expensive.

Where Is It Sold?

Cappello’s sells and ships their Paleo fettuccine (along with lasagna, gnocchi and chocolate chip cookie dough) on their website. It is available in select stores around Colorado and Wyoming. And it’s also available on Amazon.

I served this Paleo Fettuccine with homemade pasta sauce, italian sausage and a side salad with oil & vinegar dressing.

Paleo Fettuccine with Italian Sausage

Paleo Fettuccine with Italian Sausage

Yield: 3-4 Servings


  • 26oz strained tomatoes (I use Pomi brand)
  • 2 tablespoons tomato paste
  • onion powder, to taste
  • garlic powder, to taste
  • fine sea salt, to taste
  • black pepper, to taste
  • 7-10 leaves fresh basil
  • 2lbs mild Italian sausage, sliced
  • 2 packages Cappello's Fettuccine


  1. Add tomato sauce to a medium-sized saucepan over medium-low heat. Add tomato paste along with a heavy sprinkling of onion powder and garlic powder to cover the top of the pan. Season with fine sea salt and black pepper to taste. Tear fresh basil, add to sauce, stir to combine, reduce heat to low and cover. Stir every once in a while but be careful of splatter when you lift the lid.
  2. In a large skillet over medium heat add sliced Italian sausage and cook until browned on all sides. Stir every once in a while.
  3. Fill a second medium-sized saucepan 3/4 of the way with water, add a pinch of sea salt and bring to a boil over medium-high heat.
  4. Once the water is boiling, add a small hand full of fettuccine to the pot, set your timer for 1 1/2 to 2 minutes. Remove fettuccine with a slotted spoon or tongs and set aside in a large bowl. Continue cooking fettuccine like this until done.
  5. In a plate with ridges for sauce spillage, ladle a small amount of sauce in the plate. Top with a serving of fettuccine. Ladle more sauce on top, finish it off with a serving of Italian sausage and serve with a side salad.
  6. Enjoy! :)