Creamy Sausage Rigatoni Pasta

Featured in Filling Main Courses.

Tender rigatoni pairs with savory Italian sausage, simmered in a rich tomato-cream sauce with onions, garlic, and parmesan for layers of flavor. This quick 30-minute classic brings hearty comfort to the table, delivering a creamy, savory taste with a hint of spice from red pepper flakes and freshness from chopped basil. Serve hot and garnish generously with parmesan and basil leaves. Ideal for a satisfying weeknight meal, enjoy it alongside crusty garlic bread or a crisp salad for a comforting, restaurant-style experience at home.

Clare Greco
Updated on Thu, 29 May 2025 02:49:38 GMT
A bowl of pasta with meat and vegetables. Pin it
A bowl of pasta with meat and vegetables. | recipesim.com

Creamy Sausage Rigatoni delivers comfort in a bowl with its tender rigatoni, hearty Italian sausage, and a velvety tomato cream sauce that clings to every bite. When you crave an easy but indulgent pasta night that feels special without fuss, this dish is the answer. It comes together quickly using basic pantry staples and still tastes like you are dining at your favorite Italian restaurant.

The first time I served this dish, my family was shocked it took just half an hour. Now it is our go-to treat on chilly evenings when we need something cozy but not complicated.

Ingredients

  • Rigatoni pasta: gives the right tubular shape to hold the sauce choose a brand with a slightly rough surface for best texture
  • Salt for boiling water: helps flavor the pasta from within use coarse sea salt
  • Olive oil: for sautéing enhances the richness opt for extra virgin for more flavor
  • Italian sausage: the star of the show brings savory depth always remove casings for the best crumble
  • Onion: adds sweetness and body to the sauce look for fresh firm bulbs
  • Garlic: gives a punch of savoriness mince fresh cloves for the fullest flavor
  • Red pepper flakes: optional for gentle spice use sparingly if you are sensitive to heat
  • Tomato sauce: creates the saucy base pick a smooth unseasoned variety that is not too acidic
  • Heavy cream: delivers that signature creamy finish always use fresh cream for richness
  • Parmesan cheese: melts into the sauce for salty depth grate your own for best results
  • Black pepper: for gentle heat use freshly ground for maximum aroma
  • Salt: to fine tune flavors taste as you go
  • Italian seasoning: brings in fragrant herbs check the ingredients for quality herbs
  • Fresh basil: for brightness and a final pop of color buy vibrant green leaves and avoid any wilted ones

Step-by-Step Instructions

Cook the Pasta:
Bring a large pot of salted water to a boil and add rigatoni. Stir well and cook until just al dente, which means the pasta is tender with a bit of bite. Make sure to reserve some of the starchy pasta water. Drain and set the pasta aside to avoid overcooking.
Brown the Sausage:
In a large skillet, heat olive oil over medium heat until shimmering. Add Italian sausage pieces and break them apart with a spoon. Let them brown deeply and cook fully through, about five to seven minutes. Stir occasionally so every bit gets color and flavor.
Sauté Aromatics:
Once the sausage is browned, add finely chopped onion to the skillet. Cook gently until the onion turns translucent and soft, releasing sweetness into the pan. Stir in minced garlic and optional red pepper flakes, cooking just until the garlic smells fragrant but not burned.
Build the Sauce:
Pour in tomato sauce and let it simmer briefly, picking up all the caramelized bits from the pan. Lower the heat and add heavy cream, allowing the mixture to thicken and turn a warm pink color. Stir in freshly grated parmesan cheese, black pepper, salt, and Italian seasoning so the sauce becomes glossy and rich.
Combine and Finish:
Toss the cooked rigatoni right into the skillet of sauce and sausage, stirring to coat every piece thoroughly. Add a splash or two of reserved pasta water as needed for a silky, clingy sauce. Scatter in chopped fresh basil, then let everything simmer together for a minute so the flavors meld.
Serve and Garnish:
Plate the pasta hot, topping with extra parmesan cheese and leaves of basil. Serve promptly with warm garlic bread or a crisp green salad for balance.
A bowl of pasta with meatballs and cheese. Pin it
A bowl of pasta with meatballs and cheese. | recipesim.com

The fresh basil right at the end is my favorite part. One taste transports me straight to summer even in the middle of winter. The way my kids rush to the table for seconds always makes this dish feel extra special.

Storage Tips

Leftovers keep well in an airtight container in the fridge for up to three days. When reheating, add a splash of milk or cream to restore the sauce’s silkiness. Avoid repeated reheating to keep the pasta’s texture at its best.

Ingredient Substitutions

Try penne or ziti if you do not have rigatoni. For a lighter version, use half-and-half instead of heavy cream and turkey sausage in place of pork. You can skip the red pepper flakes for a milder taste or experiment with other fresh herbs such as parsley for garnish.

Serving Suggestions

Serve Creamy Sausage Rigatoni with a crisp Caesar salad or a platter of roast broccoli to cut through the richness. Warm focaccia or garlic bread makes sure no sauce goes to waste. For a festive touch, add a glass of chilled white wine like Pinot Grigio.

A plate of pasta with meatballs. Pin it
A plate of pasta with meatballs. | recipesim.com

Cultural Context

Rich tomato and cream sauces are classics in Italian-American cooking and this pasta fits right in with the cozy genre. Though not traditional in Italy, the familiar flavor combo reflects the creativity of home cooks blending Old World comfort with American pantry finds.

Frequently Asked Questions

→ Can I use a different type of pasta?

Yes, penne or ziti work well as alternatives, but rigatoni holds the creamy sauce especially nicely.

→ How can I make this dish spicy?

Use spicy Italian sausage and add extra red pepper flakes according to your preferred heat level.

→ Can I substitute the heavy cream?

Half-and-half or whole milk can be used, though the sauce may be slightly less rich and thick.

→ What wine pairs well with this meal?

A medium-bodied red like Chianti or Sangiovese balances the creamy, savory flavors beautifully.

→ Is it possible to prepare this ahead of time?

The sauce can be made in advance. Combine with pasta just before serving for best texture and taste.

→ How should leftovers be stored?

Refrigerate in an airtight container for up to 3 days. Reheat gently, adding a splash of milk if needed.

Creamy Sausage Rigatoni Pasta

Hearty rigatoni with Italian sausage in a creamy tomato sauce, ideal for weeknight comfort and family meals.

Prep Time
10 Minutes
Cook Time
20 Minutes
Total Time
30 Minutes

Category: Main Dishes

Difficulty: Easy

Cuisine: Italian

Yield: 4 Servings (Serves 4 portions)

Dietary: ~

Ingredients

→ Pasta

01 340g rigatoni
02 1 tsp salt (for boiling water)

→ Sauce

03 1 tbsp olive oil
04 450g Italian sausage, mild or spicy, casings removed
05 ½ onion, finely chopped
06 3 cloves garlic, minced
07 1 tsp red pepper flakes (optional)
08 240ml tomato sauce
09 240ml heavy cream
10 50g grated parmesan cheese
11 ½ tsp ground black pepper
12 ½ tsp salt, adjust to taste
13 1 tsp Italian seasoning
14 15g fresh basil, chopped (plus extra for garnish)

Instructions

Step 01

Bring a large pot of salted water to a boil. Add rigatoni and cook until al dente according to package timing.

Step 02

Reserve 120ml pasta water before draining the rigatoni. Drain thoroughly and set pasta aside.

Step 03

Heat olive oil in a large skillet over medium heat. Add sausage and break into crumbles, cooking for 5-7 minutes until golden and cooked through.

Step 04

Add chopped onion to the skillet and sauté until softened. Stir in minced garlic and red pepper flakes, cooking for 30 seconds until aromatic.

Step 05

Stir in tomato sauce and simmer for 2 minutes. Lower heat, then add heavy cream, parmesan, salt, black pepper, and Italian seasoning. Mix until combined.

Step 06

Return cooked rigatoni to the skillet. Toss gently to coat in sauce, adding reserved pasta water as needed to adjust consistency.

Step 07

Stir chopped basil into the pasta and heat through for 1-2 minutes.

Step 08

Transfer to plates, garnish with additional parmesan and basil. Serve hot, optionally accompanied by garlic bread or a side salad.

Notes

  1. For a lighter touch, substitute half the cream with whole milk or use turkey sausage.

Tools You'll Need

  • Large pot
  • Large skillet
  • Chef's knife
  • Colander
  • Wooden spoon

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains dairy (cream, parmesan cheese)
  • Contains gluten (pasta)

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 690
  • Total Fat: 38 g
  • Total Carbohydrate: 55 g
  • Protein: 31 g