Creamy Italian Sausage Rigatoni

Creamy Italian Sausage Rigatoni is a comforting, hearty pasta dish that’s perfect for weeknight dinners or special occasions. Juicy Italian sausage, tender rigatoni, and a rich, creamy tomato sauce come together to create a dish that’s indulgent yet simple to prepare. With bold flavors and a satisfying texture, this pasta is sure to become a family favorite.
Why You’ll Love This Recipe
This recipe combines savory Italian sausage with a creamy, flavorful sauce that clings to every piece of rigatoni. The balance of herbs, spices, and a touch of garlic makes every bite comforting and indulgent. It’s a complete meal in one dish—rich, satisfying, and packed with flavor—perfect for busy weeknights or when entertaining guests.
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Nutritional Information

Creamy Italian Sausage Rigatoni is hearty and satisfying. With protein from the sausage and carbohydrates from the pasta, it provides energy and satiety, while the creamy sauce delivers indulgent flavor. Each serving typically contains:
- Calories: ~450–550
- Protein: 20–25g
- Fat: 20–25g
- Carbohydrates: 45–50g
Time Breakdown
Despite its rich flavors, this dish comes together quickly, making it practical for weeknight meals without compromising on taste.
- Prep Time: 10 minutes
- Cook Time: 20–25 minutes
- Total Time: ~30–35 minutes
Ingredients You’ll Need
The magic of this dish lies in simple, flavorful ingredients. Italian sausage provides savory depth, rigatoni gives the perfect texture for holding the creamy sauce, and Parmesan adds richness. Aromatics like garlic and onion, along with Italian herbs, tie everything together into a comforting, satisfying pasta.
- 12 oz rigatoni pasta
- 1 lb Italian sausage (mild or spicy, casings removed)
- 1 small onion, diced
- 3 garlic cloves, minced
- 1 cup heavy cream or half-and-half
- 1 cup marinara or tomato sauce
- ½ cup grated Parmesan cheese
- 1 tsp Italian seasoning
- 2 tbsp olive oil
- Salt and pepper to taste
- Fresh basil or parsley for garnish
- Optional: red pepper flakes for extra heat.
Condensed Grocery Checklist
Shopping for this dish is straightforward. With pasta, sausage, aromatics, cream, tomato sauce, and a few seasonings, you can assemble this meal quickly. This concise grocery list makes prep easy and stress-free.
- Rigatoni pasta
- Italian sausage
- Onion, garlic
- Heavy cream and tomato sauce
- Parmesan cheese
- Olive oil
- Italian seasoning, salt, pepper
- Fresh basil or parsley
How to Make – Step by Step

Though it tastes indulgent, this recipe is easy to follow. From cooking the pasta to browning the sausage and making the creamy sauce, each step is straightforward. Following the instructions ensures tender rigatoni coated in a flavorful, silky sauce with perfectly cooked sausage in every bite.
- Cook the pasta:
- Boil rigatoni according to package instructions. Drain and set aside.
- Cook the sausage:
- In a large skillet, heat olive oil and cook sausage until browned. Remove and set aside.
- Sauté aromatics:
- In the same skillet, sauté onion and garlic until softened and fragrant.
- Make the sauce:
- Add tomato sauce, heavy cream, Parmesan, Italian seasoning, salt, and pepper. Simmer for 3–5 minutes until slightly thickened.
- Combine pasta and sausage:
- Return sausage to the skillet and add cooked rigatoni. Toss to coat in the creamy sauce.
- Serve:
- Garnish with fresh basil or parsley and extra Parmesan if desired. Serve hot.
Ingredient Swaps & Variations
This recipe is versatile and customizable. You can swap rigatoni for penne or ziti, use turkey or chicken sausage for a lighter version, or add vegetables like spinach, mushrooms, or bell peppers. These small changes let you personalize the dish while keeping the creamy, comforting essence intact.
- Substitute penne or ziti if rigatoni isn’t available.
- Use turkey or chicken sausage for a lighter version.
- Swap heavy cream for half-and-half or a blend of milk and cream for a lighter sauce.
- Add sautéed spinach, mushrooms, or bell peppers for extra vegetables.
Serving Suggestions
Creamy Italian Sausage Rigatoni pairs beautifully with a variety of sides. Serve it alongside garlic bread, a crisp green salad, or roasted vegetables for a complete meal. Garnishing with extra Parmesan and fresh herbs gives it a restaurant-quality finish and makes it perfect for family dinners or casual entertaining.
- Serve alongside garlic bread or a fresh green salad.
- Pair with roasted vegetables or a simple antipasto platter.
- Perfect for dinner parties or casual family dinners alike.
- Garnish with extra Parmesan and fresh herbs for a restaurant-style touch.
Storing Tips
Leftovers store well in the refrigerator for up to three days. Reheat gently on the stovetop or in the microwave, adding a splash of cream or milk if the sauce has thickened. Proper storage ensures the pasta remains creamy and flavorful, making it ideal for meal prep or next-day meals.
- Store leftovers in an airtight container in the refrigerator for up to 3 days.
- Reheat gently on the stovetop or in the microwave, adding a splash of cream or milk to loosen the sauce.
- Pasta may absorb some sauce overnight, so reheat with care to maintain creaminess.
Chef’s Special Tips

Small chef’s touches can elevate this dish. Browning the sausage thoroughly enhances flavor, and cooking pasta al dente ensures it holds up in the creamy sauce. Gradually adding Parmesan prevents curdling, and fresh herbs like basil or parsley add brightness and a polished presentation.
- Browning the sausage well adds depth of flavor to the sauce.
- Don’t overcook the pasta; al dente rigatoni holds up best in the creamy sauce.
- Stir in Parmesan gradually to prevent the sauce from curdling.
- Fresh herbs like basil or parsley elevate flavor and presentation.
Conclusion
Creamy Italian Sausage Rigatoni is a rich, comforting pasta dish that’s easy to make and full of flavor. With tender rigatoni, savory sausage, and a luscious creamy tomato sauce, it’s perfect for weeknight dinners or special occasions. Quick, satisfying, and endlessly delicious, it’s a recipe you’ll want to make again and again.
