Core Points - An ongoing listeria outbreak linked to prepared pasta meals has resulted in 27 infections and 6 deaths across 18 states as of October 30 [1][2][3] - The outbreak is associated with FreshRealm products, specifically chicken fettuccine alfredo and beef meatball linguine marinara meals, which tested positive for listeria monocytogenes [5][6][8] - Companies involved in the outbreak are recalling affected products, including various pasta salads and meals sold at major retailers [9][14] Summary by Category Outbreak Details - The outbreak has led to 27 reported cases of listeriosis, with 25 individuals hospitalized and 6 fatalities [1] - The states affected include Hawaii, Illinois, Michigan, Oregon, Texas, and Utah, with one case resulting in fetal loss [2] Investigation and Findings - The CDC, FDA, and FSIS are investigating the outbreak, which was first identified in March when listeria was found in a routine sample of FreshRealm chicken fettuccine alfredo [5] - Whole genome sequencing confirmed that the listeria strain found in the pasta matches the outbreak strain [8] Product Recalls - Nate's Fine Foods Inc. has expanded its recall of pre-cooked pasta products after a sample tested positive for listeria [9] - Affected products include various pasta salads and meals from retailers such as Sprouts Farmers Market, Kroger, and Trader Joe's [12][14]