Creamy Italian Sausage Rigatoni

Look, I’m not saying this pasta will solve all your problems, but it might solve your dinner problem for tonight, tomorrow’s lunch, and possibly your need to impress someone without actually trying that hard. This creamy Italian sausage rigatoni is the kind of recipe that makes you look like you know what you’re doing in the kitchen, when really you just browned some meat and boiled some noodles. But hey, we’ll keep that between us.

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Why This Creamy Italian Sausage Rigatoni Recipe is Awesome

First off, it’s a one-pot wonder after you cook the pasta. Less dishes = more time scrolling through your phone pretending you’re doing something productive. The sauce comes together faster than you can say “I should’ve meal prepped this week,” and it tastes like you slow-cooked something for hours.

The Italian sausage does most of the heavy lifting flavor-wise, so you’re basically just the supporting actor here. The sausage is the star, you’re just facilitating its greatness. Plus, the cream makes everything taste luxurious and restaurant-quality, which is exactly the vibe we’re going for when we’re eating in our pajamas at 8 PM on a Tuesday.

It’s also incredibly forgiving. Forgot to buy fresh basil? Whatever. Used penne instead of rigatoni? Still delicious. Accidentally added too much garlic? Congratulations, you’ve made it better. This recipe is basically impossible to screw up, and I say that as someone who once burned water (don’t ask).

Ingredients You’ll Need

  • 1 pound rigatoni (or whatever tube pasta you’ve got lurking in your pantry)
  • 1 pound Italian sausage, casings removed (spicy or mild—choose your own adventure)
  • 3 cloves garlic, minced (or 4, or 5—who’s counting?)
  • 1 cup heavy cream (the real stuff, not that half-and-half nonsense)
  • 1 can (14 oz) crushed tomatoes (or diced if that’s what you grabbed)
  • 1/2 cup chicken broth (or white wine if you’re feeling fancy)
  • 1 cup freshly grated Parmesan cheese (pre-shredded works too, no judgment)
  • 2 tablespoons tomato paste (for that extra umami punch)
  • 1 teaspoon Italian seasoning (or just raid your spice cabinet)
  • Salt and pepper to taste
  • Fresh basil for garnish (optional, but makes you look professional)
  • Red pepper flakes (if you like living dangerously)

Step-by-Step Instructions

1. Cook your pasta according to package directions. You know the drill—boiling water, salt it like the ocean, throw in the pasta, set a timer. Reserve about a cup of pasta water before draining. This is the secret weapon you’ll probably forget about but might need later.

2. While the pasta’s doing its thing, grab a large skillet or deep pan. Crank the heat to medium-high and toss in that Italian sausage. Break it up with a wooden spoon like you’re taking out your frustrations from the day. Cook until it’s browned and no longer pink, about 6-8 minutes.

3. Add the minced garlic to the sausage. Let it cook for about a minute until it smells absolutely incredible and your neighbors start getting jealous. Don’t let it burn though—burnt garlic is the enemy of good pasta.

4. Stir in the tomato paste and let it cook for another minute or two. This deepens the flavor and makes you feel like a real chef. Then pour in your crushed tomatoes and chicken broth. Give it a good stir and let it simmer for about 5 minutes.

5. Time to make it creamy. Lower the heat to medium and pour in that heavy cream. Stir it all together and watch the magic happen as everything becomes silky and gorgeous. Let it simmer gently for another 3-4 minutes.

6. Add the Italian seasoning, salt, and pepper. Taste it. Adjust it. This is your moment to shine. Toss in half the Parmesan cheese and stir until it’s melted and incorporated.

7. Add your cooked rigatoni to the sauce. Toss everything together like you’re in an Italian cooking show. If the sauce seems too thick, add some of that reserved pasta water a little at a time. The starch in the pasta water helps the sauce cling to the noodles—science is cool.

8. Serve it up with the remaining Parmesan, fresh basil, and red pepper flakes if you want a little kick. Congratulations, you just made dinner.

Common Mistakes to Avoid

Don’t drain your sausage completely. I know, I know, we’re all trying to be healthy. But a little bit of that rendered fat adds flavor to your sauce. Unless there’s like a swimming pool of grease in there, just leave some behind.

Not salting your pasta water enough is basically a crime against carbohydrates. Your pasta should taste good on its own, not like sad, flavorless tubes of regret.

Adding the cream while the heat is too high will make it break and get weird. Keep it at medium or lower. We’re going for creamy, not curdled.

Forgetting to taste as you go is rookie behavior. Your taste buds are your best tool. Use them. That salt shaker isn’t just decorative.

Alternatives & Substitutions

No heavy cream? Use half-and-half mixed with a tablespoon of flour to thicken it up. It’s not quite the same, but it’ll work in a pinch. You could also use full-fat coconut cream if you’re dairy-free, though the flavor will be slightly different (and slightly tropical, IMO).

Ground beef or turkey can replace the Italian sausage if you’re not a sausage person (though, are you okay?). Just add extra Italian seasoning and maybe some fennel seeds to fake that sausage vibe.

Swap the rigatoni for penne, ziti, or even shells. Basically any pasta that has nooks and crannies for the sauce to hide in will work. I wouldn’t recommend angel hair unless you hate yourself.

Vegetarians can skip the meat entirely and load up on mushrooms, spinach, and sun-dried tomatoes instead. Add some white beans for protein and you’ve got yourself a solid meatless Monday situation.

Final Thoughts

This creamy Italian sausage rigatoni is the kind of recipe you’ll make over and over again because it’s just that easy and just that good. It’s comfort food at its finest—rich, satisfying, and absolutely zero fuss. Plus, leftovers taste even better the next day once all those flavors have had time to get to know each other.

So grab a fork, pour yourself something to drink, and dig in. You’ve earned it. And if anyone asks how you made something so delicious, just smile mysteriously and say it’s an old family recipe. We won’t tell.

FAQ (Frequently Asked Questions)

Can I make this ahead of time? Absolutely! The sauce actually gets better after sitting in the fridge overnight. Just store the pasta and sauce separately if you can, then reheat and combine when you’re ready to eat. Add a splash of cream or pasta water when reheating to loosen things up.

How long will this keep in the fridge? You’ve got about 3-4 days before things start getting sketchy. Store it in an airtight container and reheat portions as needed. FYI, it also freezes pretty well for up to 3 months if you want to be one of those organized people.

Can I use pre-cooked sausage? Sure, but you’ll miss out on all that flavorful fond (the brown bits) that develop when you cook raw sausage. If you’re using pre-cooked, just slice it up, brown it a bit for color, and proceed with the recipe. It’ll still be good, just not quite as rich.

What should I serve with this? Honestly? Nothing. It’s already pretty complete. But if you must, a simple green salad with vinaigrette or some garlic bread for sauce-sopping purposes wouldn’t hurt. A glass of red wine wouldn’t either, but that’s more for you than the pasta.

Creamy Italian Sausage Rigatoni

Recipe by Rosie DavisCourse: Pasta, Main Course, DinnerCuisine: Italian, Italian-AmericanDifficulty: Easy
Servings

6

servings
Prep time

10

minutes
Cooking time

20

minutes
Calories

580

kcal
Total time

30

minutes

Ingredients

  • 1 pound rigatoni

  • 1 pound Italian sausage, casings removed

  • 3 cloves garlic, minced

  • 1 cup heavy cream

  • 1 can (14 oz) crushed tomatoes

  • 1/2 cup chicken broth

  • 1 cup freshly grated Parmesan cheese

  • 2 tablespoons tomato paste

  • 1 teaspoon Italian seasoning

  • Salt and pepper to taste

  • Fresh basil for garnish (optional)

  • Red pepper flakes (optional)

Directions

  • Cook rigatoni according to package directions. Reserve 1 cup pasta water before draining.
  • In a large skillet over medium-high heat, cook Italian sausage, breaking it up with a wooden spoon, until browned and cooked through (6-8 minutes).
  • Add minced garlic and cook for 1 minute until fragrant.
  • Stir in tomato paste and cook for 2 minutes. Add crushed tomatoes and chicken broth. Simmer for 5 minutes.
  • Reduce heat to medium. Pour in heavy cream and stir to combine. Simmer gently for 3-4 minutes.
  • Add Italian seasoning, salt, and pepper to taste. Stir in half the Parmesan cheese until melted.
  • Add cooked rigatoni to the sauce and toss to combine. Add reserved pasta water as needed to reach desired consistency.
  • Serve topped with remaining Parmesan, fresh basil, and red pepper flakes if desired.

Notes

  • Don’t skip salting your pasta water generously – it’s your only chance to season the pasta itself and makes a huge difference in the final dish.
  • Reserve pasta water before draining – the starchy water helps the sauce cling to the pasta and can save a too-thick sauce.
  • Add cream on medium or lower heat – high heat can cause the cream to break and curdle, so keep it gentle for a silky smooth sauce.
Rosie Davis
Rosie Davis
Articles: 127

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