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U.S. Expands Pasta Recalls as Listeria Outbreak Reaches 20 Cases and 4 Deaths

Genomic testing ties the strain to a pre-cooked pasta ingredient used in FreshRealm-made meals, prompting broader recalls at major grocers.

Photo: Jessica McGowan (Getty)
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Overview

  • CDC reports 20 confirmed illnesses across 15 states with 19 hospitalizations and 4 deaths, including a pregnancy-associated fetal loss.
  • FDA and CDC posted new notices on September 30 adding Trader Joe’s Cajun Style Blackened Chicken Breast Fettuccine Alfredo and 11 Albertsons bowtie pasta salads to earlier recalls.
  • FSIS first detected the outbreak strain in a FreshRealm chicken alfredo sample in March 2025, and FreshRealm’s pasta ingredient later tested positive for Listeria matching the clinical strain by whole-genome sequencing.
  • Supply-chain traceback identifies Nate’s Fine Foods as a supplier to FreshRealm, and retailers including Walmart, Kroger, Trader Joe’s, and Albertsons have pulled affected ready-to-eat meals.
  • Officials warn more cases may surface due to reporting delays and advise consumers to discard recalled items and thoroughly clean refrigerators and surfaces, noting Listeria can persist in cold, wet environments.