Creamy Italian Sausage Rigatoni

Featured in Delicious Main Course Recipes for Every Occasion.

Al dente rigatoni pairs perfectly with a silky sauce packed with tomato and fresh herbs like basil and oregano. Warm Italian sausage fills every forkful and rich cream and Parmesan pull it all together. Let that sauce bubble for a big flavor punch, then toss it gently with the pasta so every bite is coated. Sprinkle in some chili flakes for a little kick and finish with more Parmesan on top. This is cozy, satisfying, and just right for when you want a taste of a classic Italian spot right at your table.

Home Delicious Recipes
Updated on Mon, 16 Jun 2025 19:44:16 GMT
A bowl of pasta with meat and veggies tucked in. Pin it
A bowl of pasta with meat and veggies tucked in. | homedeliciousrecipes.com

There's nothing that beats a bowl of creamy Italian sausage rigatoni for that cozy, gotta-have-comfort kind of meal. Every piece catches the silky tomato-cream combo, all boosted by bold sausage and lots of fresh herbs. It's my favorite choice for easy weeknights or whenever I want a dish that feels like a warm hug and tastes like a party.

The first time I made this rigatoni was on a gray, drizzly day and I was shocked at how quick the whole place started to smell amazing. Now it’s our go-to when we want something extra comforting.

Tasty Ingredients

  • Rigatoni pasta: tubes that soak up every bit of creamy sauce, try a good quality one for perfect texture
  • Parmesan cheese: gives salty, nutty punch, grate it yourself for meltiness and a creamy boost
  • Heavy cream: brings that luxurious creamy finish, whole-fat is key for richness
  • Salt and black pepper: use these to pull everything together, kosher salt and fresh pepper are great
  • Red chili flakes: for a dash of heat and pep
  • Fresh oregano or dried: adds savory earthy notes, look for vibrant leaves if using fresh
  • Fresh basil or dried: brings freshness—fresh bright leaves are perfect, but dried works too if it’s still fragrant
  • Whole or crushed tomatoes: gives tang and body, use San Marzano for extra special sauce
  • Garlic cloves: the big flavor punch, pick big and firm ones
  • Large onion: lays down a sweet and savory foundation, choose heavy, shiny ones for best flavor
  • Extra-virgin olive oil: amps up the aroma, pick a grassy-scented, cold-pressed bottle
  • Italian sausage: main flavor hero, sweet or spicy both work—get high-meat sausage from a quality shop

Easy Step Guide

Dish it Up:
Spoon into bowls and shower with Parmesan and maybe more basil. Dig in while it’s super creamy—don’t wait!
Mash It All Together:
Add the just-cooked pasta and mix everything so sauce hugs every bit. Let it bubble a few extra minutes if you want it even thicker and cozier.
Ladle in Cream and Cheese:
Pour in cream, add Parmesan, and let it all cook gently for about seven minutes. Stir things together and taste—add more salt or pepper if needed.
Whip Up the Sauce:
Add tomatoes (purée first if they're whole for a smoother sauce), plus basil, oregano, chili flakes, salt, and pepper. Bring it up to simmer, then lower the heat for about seven minutes so flavors blend.
Get the Pasta Ready:
Cook up rigatoni in boiling salted water as the box says (usually around ten minutes). Drain and keep handy.
Brown That Sausage:
Add sausage to the onion mix, breaking into bits as it cooks. Keep going until it's deep golden and smells meaty—about eight minutes.
Sizzle Onion and Garlic:
Sauté onion in olive oil over medium until soft and see-through (eight minutes), stirring now and then. Stir in garlic for a minute till that classic smell takes over and garlic softens.
A bowl of pasta with meat and vegetables. Pin it
A bowl of pasta with meat and vegetables. | homedeliciousrecipes.com

The melty Parmesan in the sauce is always a highlight—so smooth! When I made this the first time, my family was quiet for the first bites, then everyone just started grinning. Nothing beats seeing everyone around the table so happy.

How to Store Leftovers

Let everything cool off before sealing in containers. It’ll keep in the fridge for four days no sweat. To reheat, warm gently on the stove, splash in some cream or milk if it looks thick. For long-term storage, freeze portions and let thaw overnight in the fridge before reheating.

Easy Ingredient Swaps

No sausage? Ground turkey or even plant-based options will work. Out of rigatoni? Penne or ziti do the job just fine. Try tossing in baby spinach near the end for extra green. If you don’t have Parmesan, go for Pecorino or Grana Padano for that same cheesy depth.

Ways to Serve

Pair it with a green salad and garlicky bread if you want the full Italian vibe. A strong, rich red wine takes this dinner up a notch. I like piling up the pasta and letting everyone sprinkle on their favorite cheese right at the table.

A bowl of pasta with meat and tomatoes. Pin it
A bowl of pasta with meat and tomatoes. | homedeliciousrecipes.com

Homestyle Spot

This dish feels homey and festive, inspired by Italian-American comfort but rooted in Italian Sunday pasta traditions. The bright tomato-herb flavors remind me of southern Italy, while the creamy sausage side feels perfect for celebrating.

Frequently Asked Questions

→ What if my sauce turns out too thick?

If it thickens up too much, just add a splash of that saved pasta water and stir until you get it as loose as you like.

→ Should I grab fresh or dry herbs?

Fresh basil and oregano taste brighter for sure, but you can use dried—just go easy since they're stronger than fresh.

→ Which kind of Italian sausage works best?

You can use sweet or spicy Italian sausage, it's up to what you like! Just pick a good quality kind for the best flavor.

→ Can I make this ahead of time?

You can put the sauce together early, but don't mix in the pasta until it's time to eat. That way, the noodles won't soak up all the sauce and get mushy.

→ What's the best way to store leftovers?

Let any extras cool, pop them in a sealed box, and keep in the fridge for up to three days. When you're ready, heat it back up on the stove or zap it in the microwave.

→ Can I swap out rigatoni for something else?

Yep! Try penne, ziti, or any chunky pasta. They'll all hold onto that creamy sauce just fine.

Creamy Italian Sausage Rigatoni

Creamy tomato sauce hugs rigatoni with plenty of Italian sausage and a hit of Parmesan for an easy, tasty dinner.

Prep Time
15 Minutes
Cook Time
35 Minutes
Total Time
50 Minutes

Category: Main Dishes

Difficulty: Intermediate

Cuisine: Italian

Yield: 6 Servings (Feeds 6 people)

Dietary: ~

Ingredients

→ Main Ingredients

01 450 grams rigatoni pasta
02 150 grams grated Parmesan cheese
03 360 millilitres heavy cream
04 5 millilitres ground black pepper
05 10 millilitres salt
06 5 millilitres red chili flakes
07 60 millilitres fresh oregano, chopped (or 15 millilitres dried oregano)
08 60 millilitres fresh basil, chopped (or 15 millilitres dried basil)
09 2 cans (795 grams each) whole or crushed tomatoes
10 4 garlic cloves, finely minced
11 1 large onion, diced
12 30 millilitres extra-virgin olive oil
13 680 grams Italian sausage, casings off

Instructions

Step 01

Spoon out the pasta onto plates or into bowls. Sprinkle with the rest of the Parmesan and maybe some extra basil if you've got it. Enjoy while hot.

Step 02

Toss your drained rigatoni right into the sauce. Stir everything around so the noodles are all covered. If you like a thicker sauce, let it bubble away for another 10 minutes.

Step 03

Pour in the cream and toss in about 100 grams of Parmesan. Keep it on a medium-low heat for about 5 to 7 minutes, giving it a good stir now and then. Check the flavor and tweak any seasonings.

Step 04

Dump your tomatoes into the sausage and onion pot. If you've got whole tomatoes, blend them smooth first. Fold in oregano, basil, chili flakes, some salt, and a bit of pepper. Crank up the heat until it bubbles, then lower and let it simmer for around 5 to 7 minutes.

Step 05

Fill a big saucepan with water, salt it well, then set it to boil. When it rolls, put in the rigatoni. Cook about 9 to 11 minutes so it's just firm. Pour into a colander to drain and leave it aside.

Step 06

Drop the sausage pieces into your pot. Break them up with your spoon as they cook. Let it sizzle until it's really browned and cooked through, about 7 or 8 minutes.

Step 07

Warm your olive oil in a big pot on medium. Toss in the chopped onion, and let it cook until it softens and looks clear, around 7 or 8 minutes. Stir in the minced garlic next; let it cook for a minute to get fragrant.

Notes

  1. Get the tastiest outcome by grabbing high-quality Italian sausage and grating your own Parmesan.
  2. Let your sauce reduce a bit longer—up to 10 extra minutes—if you want it extra rich.

Tools You'll Need

  • Big heavy pot
  • Saucepan to boil pasta
  • Colander
  • Wooden spoon
  • Chef’s knife

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Has dairy
  • Has gluten

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 815
  • Total Fat: 46 g
  • Total Carbohydrate: 72 g
  • Protein: 32 g