Listeria Illnesses: California 2, Florida 1, Illinois 1, Indiana 1, Louisiana 2, Michigan 2, Minnesota 1, Missouri 1, Nevada 1, North Carolina 1, Ohio 1, South Carolina 1, Texas 3 and Utah 1.
Listeria Hospitalized: 19 of 20.
Listeria Deaths: Illinois, Michigan, Texas, and Utah. One pregnancy-associated illness resulted in a fetal loss.
Since the last update on June 18, 2025, a total of 3 new illnesses from 2 states have been reported, with 1 additional death reported from Utah. As of September 25, 2025, a total of 20 people infected with the outbreak strain of Listeria have been reported from 15 states. Sick people’s samples were collected on dates ranging from August 1, 2024, to September 11, 2025. Of 20 people with information available, 19 have been hospitalized and 4 deaths have been reported. One each from Illinois, Michigan, Texas, and Utah. One pregnancy-associated illness resulted in a fetal loss.
Epidemiologic, laboratory, and traceback data show that certain meals produced by FreshRealm are contaminated with Listeria monocytogenes and are making people sick. Pasta from Nate’s Fine Foods was an ingredient in FreshRealm beef meatball marinara linguine meals. This pasta tested positive for Listeria and whole genome sequencing is pending to see if it is the same strain that is making people sick. The investigation is ongoing to determine the source of contamination and whether additional products are linked to the outbreak.
FreshRealm tested a beef meatball linguine marinara meal. This meal tested positive for the same strain of Listeria making people sick in this outbreak. These products were not distributed for sale to consumers. FreshRealm also tested the ingredients used in the meals. Pasta used in the meal tested positive for Listeria. Whole genome sequencing results show the Listeria in the pasta is the same strain making people sick. Companies that used certain lots of affected pasta are working to recall food and meals that contain these pastas.
August 1, 2024, to September 11, 2025. Of 20 people with information available, 19 have been hospitalized and 4 deaths have been reported. One each from Illinois, Michigan, Texas, and Utah. One pregnancy-associated illness resulted in a fetal loss.