Creamy Tomato and Spinach Pasta Recipe! Plus, a healthy version too.

Written by Lyndi. Posted in Recipes

With the start of this new year,  I am excited to get focused on cooking and eating healthy again.  My family comes from Italy, so naturally pasta is my favorite thing to cook and eat.  It's not easy to make a creamy pasta that is good for you, but I found a way.  With a few simple substitutions, this recipe is a healthy, fresh meal with a lot less fat and calories.  It was sooo tasty too, so I was very pleased!! This recipe is very quick and easy.  Look below for the regular recipe along with the healthy substitutions that I used. 
Creamy Tomato And Spinach Pasta


  • 1 Tbsp olive oil
  • 1 small onion
  • 2 cloves garlic
  • 1 (15 oz.) can diced tomatoes
  • ½ tsp dried oregano
  • ½ tsp dried basil
  • pinch red pepper flakes (optional)
  • freshly cracked pepper to taste
  • ½ tsp salt
  • 2 Tbsp tomato paste
  • 2 oz. cream cheese
  • ¼ cup grated Parmesan
  • ½ lb. penne pasta
  • ½ (9 oz.) bag fresh spinach

Healthy Substitutions:

-whole wheat pasta instead of white

-1/4 cup fresh basil instead of dried (sooo much better)

- fresh chopped tomato instead of canned

-my favorite marinara sauce instead of the tomato paste and water mix

-8 oz plain greek yogurt instead of cream cheese

-add grilled chicken breast for extra lean protein

This recipe tasted amazing with the healthier, fresher alternatives. 


  1. Bring a large pot of water to a boil over high heat. Add the pasta and cook until tender (7-10) minutes. Drain the pasta in a colander.
  2. While waiting for the pasta to cook, dice the onion and mince the garlic. Cook both in a large skillet with the olive oil over medium-low heat until softened and transparent (about 5 minutes).
  3. Add the diced tomatoes (with juices), oregano, basil, red pepper flakes, salt, and some freshly cracked pepper to the skillet with the onions and garlic. Stir to combine. Add the tomato paste and a ½ cup of water to the skillet and stir until the tomato paste is dissolved into the sauce.
  4. Turn the heat down to low. Cut the cream cheese into a few pieces and then add them to the skillet with the tomato sauce. Use a whisk to stir the sauce until the cream cheese has fully melted in and the sauce is creamy. Add half of the Parmesan to the skillet and whisk until it is melted in. Add the remainder of the parmesan and whisk until melted in again.
  5. Add the fresh spinach and gently stir it into the sauce until it has wilted (3-5 minutes). Add the pasta and stir until it is well coated in the creamy tomato sauce. Taste and adjust the salt and pepper as needed. Serve warm.

Recipe adapted from

  • Gwen Phillips

    Oh man! I am eating this as I comment…and it is GOOD!!!! I made it with fusilli pasta and the dried spices as that’s what I had on hand. I liked your idea of using the greek yogurt and happened to find cream cheese made WITH greek yogurt at my local grocery, so I used that. I also grilled some chicken breasts in the grill pan and added it on top. It tastes really decadent but is actually quite healthy, especially with the yogurt/cream cheese. Will DEFINITELY make this again! Thank you!

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