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At least six people have died and 25 have been hospitalized amid a listeria outbreak that's spread to 18 states. The outbreak is believed to be tied to prepared pasta meals from Nate's Fine Foods, according to the U.S. Centers for Disease Control and Prevention. The recalls, which started in June, affect dozens of products, including pasta salads, scampi linguini bowls, trays of Alfredo, beef meatballs and marinara and more. Several popular nationwide chains have had to issue recalls for products on their shelves, including Kroger, Albertsons, Walmart, Trader Joe's and more. The investigation into the outbreak is ongoing. The outbreak was also first announced in June. Listeria is a type of bacteria that can be deadly if consumed by certain groups, such as elderly, immunocompromised and pregnant people. Here’s what to know about the recall and outbreak. Which Products Have Been Recalled Due to the Listeria Outbreak? According to the U.S. Food and Drug Administration, the following products are affected by the outbreak or recall and should not be consumed: Sprouts Farmers Market Smoked Mozzarella Pasta Salad — product use by dates 10/10/25 — 10/29/25 (Sprouts Farmers Market recall) Giant Eagle smoked mozzarella pasta salad — expiration dates 9/30/25 through 10/7/25 (Giant Eagle recall) Kroger stores recalled deli bowtie and penne pasta salads — sold on AUG 29 2025 thru OCT 2 2025 (Kroger recall) Scott & Jon’s Shrimp Scampi with Linguini Bowls 9.6-oz — best if used by dates of 3/12/2027, 3/13/2027, 3/17/2027, 3/21/2027 (Demers Food Group Recall) Trader Joe’s Cajun Style Blackened Chicken Breast Fettucine Alfredo 16-oz plastic tray packages with “best if used by” dates of 9/20/2025, 9/24/2025, 9/27/2025, 9/28/2025, 10/01/2025, 10/03/2025, 10/05/2025, 10/08/2025, or 10/10/2025 (USDA FSIS public health alert) Albertsons stores recalled store-made deli pasta salads — sell thru dates from SEP 8 2025 to OCT 4 25 (Albertsons recall) Marketside Linguine with Beef Meatballs & Marinara Sauce 12-oz. — best if used by dates of SEP 22, 2025; SEP 24, 2025; SEP 25, 2025; SEP 29, 2025; SEP 30, 2025; and OCT 01, 2025 (USDA FSIS public health alert) Marketside Grilled Chicken Alfredo with Fettuccine 12.3-oz — best-by date of June 26, 2025, or prior; and 32.8-oz — best-by date of June 27, 2025, or prior (FreshRealm recall) Home Chef Chicken Fettuccine Alfredo 12.5-oz — best-by date of June 19, 2025, or prior (FreshRealm recall) Where Has the Listeria Outbreak Spread? Listeria cases in the outbreak have been reported in the following states: California Florida Hawaii Illinois Indiana Louisiana Michigan Minnesota Missouri North Carolina Nevada North Carolina Ohio South Carolina Texas Utah Virginia Washington What Is Listeria? Listeria is a bacteria found in water, soil and animal feces, according to Mayo Clinic. Listeria can contaminate different types of foods and survive refrigeration. An infection caused by ingesting listeria is called listeriosis. It is especially dangerous for older, immunocompromised or pregnant women. Listeria infection is a leading cause of death from food-borne illness in the U.S. Symptoms of listeria infection, according to the CDC, can include vomiting, fever, headache, muscle aches, neck stiffness, fatigue, confusion, loss of balance and seizures. Pregnant women infected with listeria may experience milder symptoms of fever, muscle aches and tiredness, but an infection can also lead to pregnancy loss, premature birth or a life-threatening infection in a newborn. Symptoms typically begin within two weeks after eating food contaminated with listeria, but symptoms sometimes start as early as the same day or as late as 10 weeks afterward. What to Do If You Purchased Affected Products Consumers who purchased the recalled products are urged not to eat them. Instead, they should discard the products — including those in their freezers — or return them to the place of purchase.