Creamy Sausage Rigatoni Pasta

Featured in Delicious Main Course Recipes for Every Occasion.

Rigatoni gets nice and soft, then it’s tossed with sausage and a lush tomato cream combo, plus garlic, onion, and loads of parmesan for tasty layers. You’ll have this on the table quick, about half an hour, and it’s pure comfort food—creamy, bold, a tiny bit spicy from some crushed peppers, then freshened up with basil. Scoop it up super hot, throw parmesan and basil on top, and dig in. Awesome for busy evenings—just add salad or crusty bread for a chill restaurant vibe at home.

Haya
Updated on Fri, 30 May 2025 16:34:40 GMT
A bowl of pasta with meat and vegetables. Pin it
A bowl of pasta with meat and vegetables. | recipeown.com

Creamy Sausage Rigatoni is your go-to for those nights when you want something cozy but can’t deal with a bunch of fuss. Big pieces of rigatoni soak up a creamy tomato sauce, and the sausage gives every forkful some oomph. You only need basic stuff from your kitchen to pull this off, but it’s still got that “eating out” vibe at home.

The first time I made this, my family couldn’t believe I wasn’t in the kitchen all night. Now, if the weather’s chilly and we want something warming fast, this is always our top pick.

Tasty Ingredients

  • Fresh basil: adds color and brightness look for lush green leaves and avoid the sad wilted ones
  • Italian seasoning: gives that herby aroma peek at the ingredients for the best blend
  • Salt: for balancing the flavors just keep sampling and adjust as needed
  • Black pepper: gives soft warmth grind it fresh if you can
  • Parmesan cheese: salty and savory finish it yourself by grating straight from the block
  • Heavy cream: makes it crazy smooth fresh cream brings all the richness you want
  • Tomato sauce: saucy backbone go for a silky kind with minimal tang
  • Red pepper flakes: brings a bit of fire totally optional if you’re not into heat
  • Garlic: for a savory punch chop it up fresh for the biggest flavor kick
  • Onion: sweetens up the sauce use a firm bulb for the best texture
  • Italian sausage: packs all that bold flavor pull off the casing so it can crumble up nicely
  • Olive oil: brings everything together and adds a tasty base extra virgin amps it up
  • Salt for pasta water: brings out the flavor in the noodles chunky sea salt is your friend here
  • Rigatoni pasta: holds sauce like a champ pick one with a coarse surface so sauce sticks

Step-by-Step Instructions

Serve and Garnish:
Ladle it out while it’s still piping hot, toss on more parmesan and a couple basil leaves. Hand it over with some garlic bread or leafy salad for a fresh bite.
Combine and Finish:
Now mix in the pasta straight into your sauce and sausage. Splash in that starchy water if things look tight. Mix in the chopped basil and let it all hang out on low heat for a minute so the flavors do their thing.
Build the Sauce:
Pour in the tomato sauce and let it catch all the tasty bits off the bottom. Drop the heat, stir in the cream to get a pinky, thick sauce, then melt in parmesan, along with salt, pepper, and Italian seasoning so it turns nice and glossy.
Sauté Aromatics:
Once the meat’s browned, throw in diced onion and cook ‘til it’s clear and soft. Then add chopped garlic and red pepper flakes (if you’re using them) and stir for another minute so everything is smelling great.
Brown the Sausage:
Warm up olive oil on medium, then chunk in the sausage and break it up. Let it get some color—about five to seven minutes—and stir it up so every bit gets those crispy edges.
Cook the Pasta:
Boil a big pot of salted water, tip in your rigatoni, and give it a good stir. Cook ‘til it’s just got a little bite left. Scoop out a bit of pasta water, then drain and set the noodles aside so they don’t go mushy.
A bowl of pasta with meatballs and cheese. Pin it
A bowl of pasta with meatballs and cheese. | recipeown.com

Tossing in a handful of bright basil at the end is honestly my best move. It’s like an instant mood boost, no matter how gloomy it is outside. And honestly, nothing beats watching everyone scramble back for seconds.

Saving Leftovers

Pop what’s left in a container with a tight lid and stick it in the fridge—good for three days. When you reheat it, splash in a bit of extra milk or cream to keep the sauce glossy and smooth. Try not to zap it over and over so the noodles stay just right.

Switch Ups

If you don’t have rigatoni, swap in penne or ziti. Craving something lighter? Use turkey sausage or half-and-half instead of the full cream. You can leave out the red pepper flakes for less heat or swap in a little parsley as a fresh topper.

Best Ways to Enjoy

Pair this pasta with a crisp Caesar or a plate of roasted broccoli to cut the richness. Fresh garlic bread or focaccia helps soak up anything left in your bowl. And if you’re feeling fancy, pour a glass of chilled white wine—Pinot Grigio is always a win.

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

Why It’s Familiar

Thick, creamy tomato sauces totally fit the Italian-American comfort food style. Home cooks here have always played around with old-school flavors and whatever’s in the cupboard. That’s exactly what’s going on in this tasty pasta bowl.

Frequently Asked Questions

→ Can I use a different type of pasta?

Totally—you can go with penne or ziti if that's what you have. Rigatoni just grabs all that creamy sauce best.

→ How can I make this dish spicy?

Swap in spicy sausage and bump up those red pepper flakes till you get the heat you want.

→ Can I substitute the heavy cream?

Swapping in half-and-half or milk works, but you’ll get a lighter, thinner sauce than with straight cream.

→ What wine pairs well with this meal?

Try a lively Italian red like Sangiovese or Chianti—they balance out the creamy and punchy flavors really nicely.

→ Is it possible to prepare this ahead of time?

You can whip up the sauce earlier in the day. Mix it with your pasta when you're ready so it stays fresh and saucy.

→ How should leftovers be stored?

Pop leftovers in a container in the fridge for three days or so. Warm them up slow and add a splash of milk if it needs loosening up.

Creamy Sausage Rigatoni Pasta

Big bowl of rigatoni tossed with sausage and smooth tomato sauce—just the thing for relaxing nights or family get-togethers.

Prep Time
10 Minutes
Cook Time
20 Minutes
Total Time
30 Minutes
By: Haya

Category: Main Dishes

Difficulty: Easy

Cuisine: Italian

Yield: 4 Servings (Good for 4 people)

Dietary: ~

Ingredients

→ Sauce

01 1 tbsp olive oil
02 450g mild or spicy Italian sausage, take off the casing
03 ½ onion, chopped up nice and small
04 3 cloves garlic, smashed and chopped
05 1 tsp Italian seasoning
06 ½ tsp salt, add more if you like
07 ½ tsp black pepper, ground
08 1 tsp red pepper flakes, totally optional
09 240ml tomato sauce
10 15g fresh basil, chopped up (save some for topping)
11 240ml heavy cream
12 50g parmesan, grated

→ Pasta

13 1 tsp salt for your boiling water
14 340g rigatoni

Instructions

Step 01

Dish it up, put a bit more basil and parmesan on top. Eat right away—garlic bread or salad go awesome with it.

Step 02

Toss in the chopped basil and let everything warm up for another minute or two.

Step 03

Dump your pasta into the big pan, stir so it’s all covered in sauce, splash in some saved pasta water if it needs to get saucier.

Step 04

Pour the tomato sauce in, let it bubble for a couple minutes, turn the heat down, and add the cream, parmesan, salt, pepper, and Italian seasoning. Mix till it looks creamy.

Step 05

Throw in the onion and let it get soft. Drop in garlic and chili flakes, then cook until it all smells good, about half a minute.

Step 06

Get the oil hot in a big pan over medium. Add the sausage and smash it into crumbles. Cook for 5 to 7 minutes till it’s brown and cooked right through.

Step 07

Before you drain, scoop out around 120ml of pasta water and hold onto it. Drain the pasta well and keep it aside.

Step 08

Fill a big pot with water, throw in some salt, and bring it to a boil. Add the rigatoni and cook till it’s just the way you like it—check the box for timing.

Notes

  1. If you want things lighter, swap in some milk for half the cream or try using turkey sausage instead.

Tools You'll Need

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

Allergy Information

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