Trader Joe’s Hot Italian Sausage Made with Pork starts with pork raised with no antibiotics ever and with no added hormones. This pork is also officially “crate free,” which means the animals were not restrained in gestation or farrowing crates. Our Hot Italian Sausage is also considered “all natural,” which means it’s been minimally processed with no artificial ingredients. With all these wonderful attributes in mind, you’ll be glad to grill or pan fry these links to enjoy on a bun. And, their Italian spice blend (which includes red pepper for some spicy heat), lends flavor that really kicks when simmered in your tomato pasta sauces.