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Sausage and peppers is a classic Italian-American comfort dish—and this slow cooker version makes it easier than ever.

With just a few simple ingredients, everything cooks together low and slow, creating tender sausage and flavorful peppers in a rich tomato sauce.

This lighter, WW-friendly version uses turkey sausage to keep things satisfying without feeling heavy. Perfect for an easy weeknight dinner, meal prep, or feeding a crowd.

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Sausage and peppers garnished with fresh basil in serving bowl on wood table.
Slow Cooked Sausage and Peppers

Why I Love This Slow Cooker Sausage and Peppers

  • Classic comfort food made easy in the slow cooker
  • Hands-off cooking—just set it and forget it
  • Lightened up with turkey sausage
  • Versatile: serve over pasta, zoodles, or in a sandwich
  • Great for leftovers and meal prep
kitchen counter with Italian sausage, slice onions, sliced bell peppers, can crushed tomatoes with slow cooker in background

Ingredients

  • Crushed tomatoes – Forms the base of the sauce (fire-roasted adds extra flavor)
  • Bell peppers – Use a mix of red and yellow for sweetness and color
  • Onion – Adds depth and balances the acidity of the tomatoes
  • Garlic – Fresh is best for flavor
  • Dried oregano – Classic Italian seasoning
  • Italian-style turkey sausage – Keeps it lighter; use sweet, hot, or a mix
  • Balsamic vinegar – Adds a subtle richness at the end
  • Salt and pepper – To taste
  • For Serving (optional):
    • Whole wheat pasta, zucchini noodles, polenta, or rolls
    • Grated Parmesan cheese

Substitutions and Variations

  • Use pork or chicken sausage instead of turkey
  • Add mushrooms or zucchini for extra veggies
  • Serve over spaghetti squash or cauliflower rice for a lower-carb option
  • Make it spicy with hot sausage or red pepper flakes

WW Points and Calories

According to my calculations each serving (including pasta) has 299 calories and 6 WW Points.

To see your WW Points for this recipe, track it in the WW App!
(You must be logged into WW on a smartphone or tablet.)
8 PointsPlus (Old plan)

I also like to keep this dish low carb by serving it over zoodles.

How to Make Slow Cooker Sausage and Peppers

  1. Lightly coat slow cooker with nonstick spray
  2. Add tomatoes, peppers, onion, garlic, and oregano; stir to combine
  3. Add sausage pieces and mix gently
  4. Cover and cook on LOW for 6–8 hours or HIGH for 3–4 hours
  5. Stir in balsamic vinegar and season with salt and pepper
  6. Serve over pasta, zoodles, or in a sandwich

Tips for the Best Results

  • Slice peppers evenly so they cook at the same rate
  • Use pre-cooked or browned sausage for extra flavor (optional)
  • Add crushed red pepper flakes if you like heat
  • Stir gently to keep sausage pieces intact

Serving Suggestions

  • Serve over whole wheat pasta with a side salad
  • Spoon into a hoagie roll for a classic sandwich
  • Serve over zucchini noodles or spaghetti squash for a lighter meal
Sausage and peppers over zucchini noodles topped with fresh basil in decorative ceramic bowls.
WW Friendly Sausage and Peppers over Zucchini Noodles

If you’ve made this Crock Pot Sausage with Peppers, please give the recipe a star rating below and leave a comment letting me know how you liked it. And stay in touch on Pinterest, Facebook, Instagram and Twitter for the latest updates.

4.32 from 16 votes

Slow Cooker Sausage & Peppers Recipe

Crock Pot Sausage and Peppers is a family favorite. Serve with your favorite tossed green salad for an easy, healthy satisfying dinner.
Prep: 30 minutes
Cook: 6 hours
Total: 6 hours 30 minutes
Servings: 8
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Ingredients 

  • 1 can (28 ounces) crushed tomatoes
  • 2 red bell peppers, seeded and sliced 1/2-inch thick
  • 1 yellow bell pepper, seeded and sliced 1/2-inch thick
  • 1 large onion, sliced into 1/4-inch thick half moons
  • 4 garlic cloves, chopped
  • 1 tablespoon dried oregano
  • 1-1/2 pounds uncooked Italian-style turkey sausage, cut into 2-inch chunks (sweet, hot or a combination of both)
  • 2 teaspoons balsamic vinegar
  • Salt and pepper to taste
  • 1/2 pound whole wheat pasta, cooked (for serving)
  • Grated Parmesan cheese, optional (for serving)

Instructions 

  • Ideal Slow Cooker Size: 5- or 6-quart.
  • Coat the slow cooker with nonstick cooking spray.
  • Add the tomatoes, bell peppers, onion, garlic and oregano. Stir well to combine.
  • Add the sausage and stir again.
  • Cover and cook on low until the vegetables are very tender, 6 to 8 hours on LOW or 3 to 4 hours on HIGH.
  • Just before serving, stir in the balsamic vinegar and season to taste with salt and freshly ground black pepper.
  • Serve over pasta with grated Parmesan, if desired.

Notes

Serving size: 1 cup sausage and peppers + 1/2 cup pasta
WW Points: 6
Check the WW Points for this recipe and track it in the WW app.
(Must be logged into WW on a smartphone or tablet.)
8 PointsPlus (Old plan)
Optional additions: 1 tablespoon sugar to balance acidity of tomatoes, 1-2 tablespoons tomato paste if the crushed tomatoes seem really runny. For a spicier sauce add 1/2 teaspoon crushed red pepper flakes.

Nutrition

Serving: 1cup sausage and peppers + 1/2 cup pasta, Calories: 299kcal, Carbohydrates: 35g, Protein: 21g, Fat: 10g, Saturated Fat: 3g, Polyunsaturated Fat: 2g, Monounsaturated Fat: 2g, Cholesterol: 45mg, Sodium: 923mg, Potassium: 588mg, Fiber: 7g, Sugar: 10g, Vitamin A: 1308IU, Vitamin C: 102mg, Calcium: 72mg, Iron: 10mg

Nutrition information is automatically calculated, so should only be used as an approximation.

Additional Info

Course: Main Course
Cuisine: American
Tried this recipe?Mention @simplenourishedliving or tag #simplenourishedliving!

Source: Slightly adapted from Weight Watchers Family Style Cookbook (affiliate link)

Frequently Asked Questions

Can I make sausage and peppers in advance?
Yes! It reheats beautifully and tastes even better the next day.

Can I use raw sausage?
Yes, it cooks fully in the slow cooker, but browning first adds extra flavor.

Can I freeze this?
Yes—store in an airtight container and freeze for up to 2–3 months.

What’s the best way to serve this?
Over pasta, in a sandwich roll, or with zucchini noodles for a lighter option.

More WW-Friendly Sausage Recipes You’ll Love

About Martha McKinnon

Weight Watchers Lifetime Member, Yoga Practitioner and Blogger who loves to share her passion for trying to create a happy, healthy, balanced life in what often feels like an overwhelming out of control world.

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4.32 from 16 votes (14 ratings without comment)

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10 Comments

  1. 5 stars
    This is my 2nd crockpot recipe I’ve learned and I’m honored to have Martha as my teacher. To be honest I’m a typical pig headed 45yr single male. I never cooked, I don’t shop for things that take forever to create. This meal took no more than 15mins to make. I really enjoyed it, however I was too lazy to find uncooked versions of meat. The precooked version in my humble opinion worked just find. I followed everything except I needed to get rid of plenty of jalapeรฑos. It probably came out more with a kick than most readers would prefer. I really enjoyed making thus, whereas I shall make it again several times.

  2. 5 stars
    Had some chicken sausage to use, so making this now. Can’t wait for dinner. I’ve sampled it, and it’s delish!

  3. Hi Martha,
    I made this recipe this week. The flavors were awesome. However, I found the turkey sausage texture to be less than favorable. It seemed “grainy”. Is there another alternative?
    Thanks so much. I love your recipes.

    Mary

    1. Hi Mary, Not sure what to suggest. Maybe it was the kind of turkey sausage. Possibly cooking it less long? Hope this helps. ~Martha

    1. Hi Alene, yes you can use chicken or turkey sausage. I have never frozen it, but believe it would be fine. Hope this helps. ~Martha

  4. Just a suggestion , rather than adding sugar to the tomatoes to cut the acidity add 2 whole baby carrots while cooking. Remove after cooking. This will decrease the acidity.