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Creamy Italian Sausage Rigatoni

Creamy Italian Sausage Rigatoni
60 min Total Time
6 Servings Yields
Easy Level
Moderate Cost
425 Calories

When it comes to decadent pasta dishes, this Creamy Italian Sausage Rigatoni will have you singing "That’s Amore!" after just one bite!


Prepare yourself; once you start serving this Creamy Italian Sausage Rigatoni, there’s no going back!

Ingredients

6 SERVINGS
  • 1 pound Italian sausage (casings removed)
  • 1 pound rigatoni pasta
  • 1 medium onion, diced
  • 3 cloves garlic, minced
  • 1 can (14 oz) crushed tomatoes
  • 1 cup heavy cream
  • 1 teaspoon Italian seasoning
  • Salt and pepper to taste
  • 1/2 cup grated Parmesan cheese
  • Fresh basil for garnish

Instructions

1

In a large skillet over medium heat, cook the Italian sausage until browned. Drain excess fat.

2

Add the diced onion and garlic to the skillet, sautéing until the onion is translucent.

3

Stir in the crushed tomatoes and Italian seasoning. Let simmer for 10 minutes.

4

In a pot of salted boiling water, cook rigatoni according to package instructions. Reserve 1 cup of pasta water before draining.

5

Reduce heat to low and stir in the heavy cream and Parmesan cheese into the skillet with sausage mixture. Mix well.

6

Add the cooked rigatoni to the sauce, combining until fully coated, adding reserved pasta water if necessary. Season with salt and pepper.

7

Serve hot, garnished with fresh basil.

Kitchen Essentials

  • Large skillet
  • Pot for boiling pasta
  • Wooden spoon for stirring

Chef's Notes

For extra flavor, use spicy Italian sausage.

Feel free to add vegetables like spinach or bell peppers for added nutrition.

Troubleshooting

If the sauce is too thick, add more pasta water gradually.
If the pasta is too salty, balance it with a squeeze of lemon juice.

Variations

Add mushrooms for extra texture.
Replace sausage with ground turkey or chicken for a lighter dish.

Healthy Swaps

Substitute heavy cream with half-and-half or milk for a lighter version.
Use whole wheat rigatoni for added fiber.

Serving Suggestions

Nutrition

425
Calories
28g
Protein
42g
Carbs
16g
Fat

Suitable Diets

Low-carb
Can be made gluten-free if using gluten-free pasta

Presentation Ideas

Sprinkle with extra Parmesan cheese before serving.
Add a drizzle of olive oil for added richness.

Storage & Conservation

Store leftovers in an airtight container in the fridge for up to 3 days.
Reheat gently on the stove to prevent the cream from separating.

Leftover Ideas

Make a pasta bake by adding breadcrumbs and baking until golden.
Transform into a creamy soup by adding broth and reheating.

Mistakes to Avoid

Not draining the sausage fat can lead to a greasy sauce.
Overcooking the pasta can make it mushy.

Common Questions

Can I use a different type of pasta?

Yes, any pasta shape you prefer can work!

How can I make this dish dairy-free?

Substitute heavy cream with coconut cream and omit Parmesan.

Can I freeze leftovers?

Yes, just store in airtight containers and consume within 3 months.

What herbs can I add for more flavor?

Consider adding oregano or fresh parsley.

How do I know the sausage is fully cooked?

The internal temperature should reach 160°F (71°C).

Is this recipe spicy?

It's mild, but you can use hot sausage for more heat.

Can I add cheese to the sauce?

Absolutely! Mozzarella or ricotta complements this dish well.

Reviews

Sarah M
Jan 31, 2026
Absolutely loved it! Perfect for family dinners.
John D
Jan 24, 2026
So creamy and delicious, will definitely make again.
Emily R
Jan 27, 2026
My kids devoured this! A new favorite in our home.
Michael S
Feb 9, 2026
Tasty, but I found it a bit rich for my taste.
Danielle T
Jan 30, 2026
Gave it a twist with some spinach, turned out great!
Laura C
Jan 14, 2026
A comforting dish! Perfect for chilly evenings.
Chris P
Jan 19, 2026
Made it for my wife’s birthday—hit it out of the park!
Lisa K
Jan 31, 2026
Really flavorful, but my sauce was a little too thick.
Brian J
Jan 28, 2026
Easy to make and tastes restaurant quality!
Jessica H
Jan 18, 2026
It was okay, needed a bit more seasoning for my liking.
Tom N
Feb 6, 2026
The best pasta dish I've ever cooked at home!
Sandra B
Feb 7, 2026
I’m now the family chef after making this one!
Robert A
Feb 11, 2026
Pretty good, but next time I’ll add more cheese.
Michelle F
Jan 16, 2026
Creamy perfection! I could eat this every day.
Kevin R
Feb 1, 2026
So delicious, everyone should try it at least once.
Anna E
Jan 25, 2026
Very tasty! But I was expecting a bit more kick.
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