I find it's usually highly processed and high in fat. However, I used Field Roast italian sausage in a recipe this weekend and it's pretty good. Still rather high in fat (38% calories from fat), but basically just ground wheat gluten, veggies and spices with no strange food additives. My sister ate some of my pasta and didn't realize the sausage was meatless until I told her. I'll buy it again, and I'll try the other flavors, too.