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Pork Tenderloin Medallions With Creamy Garlic Spinach Sauce & Pasta

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A Rich Creamy Deeply Flavored Garlic Spinach Sauce with Fettuccine and Juicy Pork Tenderloin Medallions. These Pork Tenderloin Medallions with creamy Garlic Spinach Sauce and Pasta is the perfect dinner dish for the Pasta Lovers in your family.

Pork Tenderloin medalions on a bed of pasta

A few weeks ago I found a screaming deal on a Pork Tenderloin Fillet. I love a deal! (I’m not picky about what kind of deal…just give me a deal! I’ll be flying high for a good week!)

 Any who… I digress.  I put the tenderloin away in the freezer for another day.

I don’t know why I even bothered putting it in the freezer? That little ol’ piggy kept a callin’ to me! Which means I went to work…have I mentioned how much I LOVE my work! I do!

I really love it when the jumble in my brain comes out SO good on the plate! The flavors of this dish are going to have your eyeballs rolling back in your head, so you can see the drool behind ya!

How To Make Pork Tenderloin Medallions with creamy Garlic Spinach Sauce and Pasta

You’ll need a small, 1.8 to 2.0 lb, Pork Tenderloin Fillet.

TIP: Do not confuse a Pork loin Roast with Pork Tenderloin! They are two different beasts! 

TIP 2: Start your water to boil so that your pasta and sauce will be done at the same time.

Rinse and pat dry the Pork Tenderloin.

Pork Tenderloin on a yellow cutting board ready for slicing

Using a sharp knife… (Those are getting hard to come by in my kitchen. I’m about ready to start calling for Edward Scissor Hands!)…cut the Pork Tenderloin (or massage it with your dull bladed knife like I did) into thin slices about 1/4 thick.

This will create your “Pork Medallions”. 

Sliced Pork Tenderloin into medallions

Season with Garlic Salt, Pepper, and Italian Seasonings.

Flip ’em over and do the same on the other side.

Seasoned pork medallions

In a large skillet, over high heat, place 2 Tablespoons of Olive Oil.

Once Oil is hot add the Pork Medallions one at a time.

Frying pork medallions in a fry pan

Cook until edges have a nice sear on them, like your skin in the summer time… when your floating in the pool and forget what “reflection” does to your blinding white skin!

The only difference is the Medallions will be golden brown…you’ll be bright red and extra crispy! Lol

Fried Pork Medallions

Remove the medallions from the skillet. Cover with Foil to keep warm. Leave the juices in the pan, and set the pork medallions aside.

In the same skillet, over MEDIUM heat add 2 teaspoons minced garlic, 1/2 cup sliced onions, and 3 heaping Tablespoons of Sun Dried Tomatoes with oil.

Garlic, onions, and dried tomatoes in a skillet

Cook until tender.

Add 2 Cups sliced fresh mushrooms. Sautee until tender.

sauteed mushrooms with garlic, and sun dried tomatoes

Add 1 cup of white cooking wine.

Allow mixture to simmer for 5–10 minutes over medium-low heat.

Addition of cooking wine to mushrooms and garlic

Add 1 cup of heavy whipping cream, and 1/3 cup grated Parmesan Cheese!

“Come to Momma honey!” Seriously can we just pause for a minute and talk about the EXPLOSION of flavors going on in this sauce!!

The mushrooms, garlic, and sun-dried tomatoes were not enough. I went and added wine and Parmesan Cheese!

SHUT THE FRONT DOOR! Crazy I know!!! The flavor of this creamy sauce will knock your sock off! But WAIT! It’s about to get even better….

Adding cream, Parmesan cheese, to create the sauce for pasta dish

Stir the sauce continually over medium heat until cheese is melted and sauce is smooth and creamy.

delicious parmesan mushroom sauce for pasta

Honestly you could just lap this sauce up right now and call it good!

DON’T! You want to keep going.

Add your pasta to your boiling water.

Pot with boiling water and pasta for dish

Cook until …wait for it…my favorite word…”Al Dente”!  Okay…fine…till it’s just about cooked…but not totally cooked.

Okay back to the sauce that is simmering away on the stove. Add One big heaping handful of fresh baby spinach. (Yep…that’s the measurement! Don’t like spinach…leave it out. Love it…add a little more. This is a pretty forgiving dish.) 

Fresh spinach leaves added to creamy garlic sauce

Place half the pork medallions on top of the spinach.

Pour any juices from the plate back into your skillet. Cover with lid and cook for 7 minutes.

Add cooked pork medallions back into skillet

Remove lid and gently stir ingredients together.

Stir sauce and cooked pork medallions together for pasta sauce

Remove al dente Pasta from the pan and drain.

Now I know what you are thinking! You’re thinking “What kind of pasta is that?”  I’ll tell you what kind of Pasta that is! It’s the kind where you were cleaning out the pantry and combined Angle Hair with Fettuccine. Any Questions? I didn’t think so!

You don’t have to be as “cool” as I am. You can use only one kind of pasta. Just remember…you won’t be as cool as me! Lol

Tossing al dente pasta in with the sauce

Add your Al dente Pasta directly into the pan with the sauce and Tenderloin Medallions. Stir until well combined. Cover and cook an additional 5 minutes.

TIP: This will allow your pasta to absorb some of that lip licking sauce!

pasta, pork medallions, and cream sauce together

Remove Pasta from Stove and place on a serving platter. Sprinkle with Parmesan Cheese.

If you want a pretty presentation…place remaining Medallions down the center of the pasta. You don’t have to though…you can just lay them on top of the pasta and sauce.

Pork Medallions on top of cooked pasta

I love how beautifully this dish presents!

This is a dish that could be served at a dinner party or a weeknight family dinner.

Pork Medallions with Creamy Garlic Mushrooms sauce

The Pork is tender and juicy. The pasta cooked to perfection, smothered in that amazing Garlic Spinach Cream Sauce.

It’s the Mother Load of Flavor on one dynamic plate!

I promise this dish will not disappoint and have you going back for seconds and thirds!

If you liked this recipe, you might also enjoy these other Pasta Recipes

Remember to follow me on Pinterest, Instagram, Twitter, and Facebook. If you haven’t joined my “Best Of Your Nest” Group Page on Facebook Please do! It’s my favorite new place to hang out. My foodie friends and I share our latest and greatest recipe and craft ideas. It’s a fun place to be!

Happy Nesting!

Norine's Nest Signature
Yield: 6 servings

Pork Tenderloin Medallions With Creamy Garlic Spinach Sauce & Pasta

Pork Tenderloin Medallions with Pasta in a cream sauce.

A Rich Creamy Deeply Flavored Garlic Spinach Sauce with Fettuccine and Juicy Pork Tenderloin Medallions. It's the perfect dinner dish for the Pasta Lovers in your family.

Prep Time 15 minutes
Cook Time 30 minutes
Total Time 45 minutes


  • 1.8 - 2.0 lb pork tenderloin fillet
  • Garlic Salt, Pepper, and Italian Seasonings to taste
  • 2 Tablespoons Olive Oil
  • 2 teaspoons minced garlic
  • 1/2 cup sliced onions
  • 3 Tablespoons Sun Dried Tomato's with oil
  • 2 cups sliced mushrooms
  • 1 cup white cooking wine
  • 1 cup heavy whipping cream
  • 1/3 cup Grated Parmesan Cheese
  • 1 cup Fresh Baby Spinach (or a good handful)
  • Additional Grated Parmesan Cheese for Garnish
  • 4 - 5 cups cooked, al dente, Fetuccine or Pasta of your choice


  1. With a Sharp Knife, Slice Pork Tenderloin into Medallions 1/4 inch thick.
  2. Season both sides of each Pork Tenderloin Medallion with Garlic Salt, Pepper, and Italian Seasonings.
  3. In a large skillet, over high heat, add 2 Tablespoons Olive Oil.
  4. When Oil is Hot, carefully place each Medallion and sear until Meat is golden brown. About 5-7 minutes. Turn Medallion over and cook the other side.
  5. Begin preparing your al dente pasta.
  6. Remove Medallions from Skillet, cover, and set aside. Leave remaining liquids in skillet.
  7. Reduce the heat to medium.
  8. Add Garlic, Onion, and Sun Dried Tomatoes. Sautee until tender.
  9. Add 2 Cups of Mushrooms. Cook until tender.
  10. Add 1 cup of White Cooking Wine. Cover skillet and cook over medium-low heat for 5 minutes.
  11. Add 1 cup heavy whipping cream, 1/3 cup grated fresh Parmesan Cheese. Stir over low heat until ingredients combine to make a smooth creamy sauce.
  12. Add one handful or one cup of fresh baby spinach, lay on top of the sauce. Lay half the cooked Pork Tenderloin Medallions on top of the baby spinach and pour in any juices that have collected on the plate. Cover Skillet with lid and cook on low for 7 minutes.
  13. Remove lid and gently stir the steamed spinach and Pork Medallions into the creamy garlic sauce.
  14. Add al dente, drained pasta into the spinach garlic sauce. Cover and let cook over low heat for an additional 5-7 minutes.
  15. Remove lid, place pasta and sauce on serving platter. Add remaining Pork Tenderloin Medallions.
  16. Garnish with additional Parmesan Cheese.
  17. Serve Immediately.

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Nutrition Information:


6 servings

Serving Size:

1 1/2 cups

Amount Per Serving: Calories: 1330Total Fat: 38gSaturated Fat: 15gTrans Fat: 1gUnsaturated Fat: 18gCholesterol: 249mgSodium: 358mgCarbohydrates: 135gFiber: 10gSugar: 6gProtein: 99g

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Friday 24th of July 2020

I just LOVE the way you write your recipe! So fun and makes me lick my lips in anticipation. Am going to base tomorrows dinner roughly around this, though since I went to the store before seeing this, am going to have to make a lot of adjustments!Will keep you posted.Thanx!


Friday 24th of July 2020

@[email protected], What could be better than being different then the "others out there"? I, also, am a writer/artist/teacher and I know all about that sneaky demon Doubt. Forget about that liar! You're WONDERFUL!!! Now we just have to see if you appreciate what I'm about to do to your recipe! Teehee!! :D

[email protected]

Friday 24th of July 2020

Hi Sandy! Thank you so much for this sweet compliment! It really does mean the world to me. I think all writers doubt themselves from time to time and I know my style is so much different from others out there. I love that you are going to make this recipe your own! Enjoy! Please come back again. Have a Great weekend. Happy Nesting! Norine


Thursday 21st of November 2019

I had some leftover oven roasted pork tenderloin and didn't know what to do with it so I made this sauce!! It was delicious - thank you for inspiring my dinner tonight! Though, I know it would have been better had I cooked the meat in the skillet and used that to make the sauce from .... next time :)

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Thursday 21st of November 2019

Hi Kelsey! I love that you just made the sauce and used your left over pork tenderloin! Genius and great way to make over a dish! Thanks so much for sharing. I bet it was wonderful! Thanks so much for stopping by and visiting with me. Hope you have a GREAT Thanksgiving! Happy Nesting! Norine

John Downy

Saturday 23rd of February 2019

You show a picture of a Pork Loin Roast. NOT a Pork Tenderloin.

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Sunday 24th of February 2019

Hi John! Actually John...what I show is a picture of a PORK TENDERLOIN! Just so you can be better informed...Pork tenderloin is long, round, and thin, while pork loin is a flat, rectangular cut of meat that is much wider, often used for boneless pork chops and roasts. The meat pictured in the photo was in fact long, round, and thin. It was less than 2 inches across and an inch and a half high. The photo is a close up! I can see why you would think it might be a Pork Loin Roast, however, I can assure you, that it is in fact a Pork Tenderloin! I purchased it in a small package that weighed about 1 pound. I don't know of too many 1 pound Pork Loin Roasts. My father was a butcher, I grew up on a pig farm, so I do, in fact, know this cut of meat. I would NEVER take a photo of one thing and profess it to be another. Thank you for stopping by. I hope you now better understand the difference between a Pork Loin Roast and a Pork Tenderloin! ~Norine

Marie Lawton

Tuesday 6th of February 2018

Your tip stating “TIP: Do not confuse a Pork Tenderloin Roast with Pork Tenderloin! They are two different beasts! ” totally confused me. The pork tenderloins I know are skinny fillets and the thicker ones are called pork loins. Are you using pork loins or pork tenderloins? I love and buy both a Costco and actually have both in my freezer and am ready to cook ??‍?. Thank you for taking the time to respond and more importantly thank you for your fabulous recipes. Blessings.

[email protected]

Tuesday 6th of February 2018

Hi Marie! Thank you for asking this question. Yes! I made an error in my "helpful" tip which makes it completely "unhelpful" and confusing. You are right...I was referring to "not confusing a Pork Loin Roast with Pork Tenderloins". (Ugh!) I promise I proof read about 10 times before publishing my posts. Sometimes my brain just goes out for a little "walk about". (One of these days it may not return! lol) I buy both at Costco too and I'm surprised how many people do not even know what Pork Tenderloins are? They are so fabulous! Truly one of my favorite cuts of meat. They are delicious in this recipe. Thank you for stopping by and THANK YOU for pointing out this mistake so I can fix it! I sure do appreciate it. Hope you have a wonderful day and many blessing to you too! Happy Nesting! ~Norine

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