A deadly and worsening Listeria outbreak connected to prepared pasta meals sold at grocery chains across the nation has resulted in significant casualties, with federal health officials confirming six deaths and 25 hospitalizations among the 27 reported illnesses. The Listeria outbreak precooked pasta recall has been particularly tragic, with one of the affected cases involving a pregnant mother who suffered a fetal loss due to the infection. Cases of listeriosis have been reported across 18 states, spanning from California to Virginia, highlighting the extensive reach of the contaminated products.
The outbreak initially started in June, prompting the recall of several brands of ready-to-eat chicken fettuccine Alfredo meals manufactured by FreshRealm Inc. and sold under major retail brands like Home Chef and Marketside. This initial action was later amplified when testing of pasta samples confirmed the presence of the same Listeria strain detected in the recalled Alfredo meal, leading to a broader investigation. The Food and Drug Administration (FDA) has confirmed that the source of the contamination traced back to a shared pasta supplier, Nate’s Fine Foods, which supplies precooked pasta and grains to various wholesale food service and restaurant industries.
The Domino Effect of Widespread Pasta Recalls
The discovery of the pervasive Listeria strain triggered a domino effect of nationwide recalls spanning several months and involving numerous popular grocery products. Following the initial concerns in June, mid-September saw FreshRealm’s pasta samples test positive for Listeria monocytogenes, which subsequently led to the recall of products with specific use-by dates, including Marketside Linguine With Beef Meatballs & Marinara Sauce (sold at Walmart) and Trader Joe’s Cajun Style Blackened Chicken Breast Fettuccine Alfredo. Nate’s Fine Foods then expanded its own recall to include other batches of precooked pasta—such as fettuccine, linguine, and farfalle (bowtie)—after a linguine sample tested positive.
This was followed by early October recalls involving several more pre-made pasta salads and heat-and-eat noodle dishes distributed at major retailers including Albertsons, Kroger, Giant Eagle, and Sprouts locations across the country. The outbreak’s extensive timeline means that many of the recalled products with use-by dates earlier than October 10 are more likely to be in customers’ refrigerators and freezers than on store shelves. Consumers who may possess any of these recalled products are strongly urged by health officials to immediately throw them away and thoroughly clean all refrigerators, containers, and surfaces that may have come into contact with the food.
The FDA continues to work with the supplier to determine if additional recalls are necessary to ensure public safety, an ongoing process vital to containing the threat. For a comprehensive list of all affected products and use-by dates, consumers should refer to the Food and Drug Administration’s official recall page.
Listeriosis Risk and Cumulative Outbreaks
Listeria infection, or listeriosis, presents the greatest threat to specific vulnerable groups: pregnant people and newborns, adults over 65, and individuals with weakened immune systems. While pregnant people may experience only mild, flu-like symptoms, the infection can be severe, potentially causing miscarriages, premature delivery, or life-threatening infection of the newborn. Symptoms of listeriosis—which include fever, muscle aches, gastrointestinal issues, and sometimes stiff neck or confusion—typically manifest within two weeks of consuming contaminated food, though the onset can range from the same day up to 10 weeks later.
The difficulty in confirming the true scope of any listeria outbreak is compounded by the fact that many healthy individuals recover without seeking medical care. Furthermore, for those who do seek medical attention, it generally takes three to four weeks for health officials to conclusively link their illness to a specific outbreak strain. The Centers for Disease Control and Prevention (CDC) advises consumers experiencing any symptoms of listeriosis to immediately contact their health care provider for care.
The United States has faced a number of listeria outbreaks in the recent past, demonstrating the persistent nature of this foodborne pathogen. A 2024 outbreak tied to deli meat, for instance, resulted in ten deaths and dozens of hospitalizations nationwide, with authorities pointing to inadequate sanitation practices at a production facility. These incidents underscore the critical importance of stringent food safety protocols within the supply chain, a topic often addressed in detail by the Centers for Disease Control and Prevention.
The Persistent Threat and Public Health Response
The recurring nature of listeria outbreaks, including those linked to deli meat and even previously to frozen shakes and baked goods sold at major retailers, highlights the significant public health challenge posed by this pathogen. In one tragic 2018 outbreak linked to frozen shakes, 14 people died across 21 states before it was declared over. The persistence of Listeria monocytogenes in the food supply chain demands continuous vigilance from both regulators and producers.
To enhance public protection, agencies often rely on genetic testing to connect seemingly isolated cases across different states and products, a forensic approach that is critical to identifying the common source. Consumers play an essential role in preventing further illness by checking their homes for recalled products and following cleaning instructions, as the Listeria bacteria can easily spread to other food items and surfaces within a refrigerator.
The Food and Safety Education guidelines offered by the U.S. Department of Agriculture (USDA) provide essential guidance on safe food handling and storage to minimize contamination risks. Consumers are also encouraged to report any adverse health effects believed to be linked to food consumption to the FDA online reporting system.

