Creamy Italian Sausage Rigatoni is a rich, hearty pasta dish featuring tender rigatoni noodles tossed in a velvety tomato-cream sauce with seasoned Italian sausage and Parmesan cheese.
12 oz rigatoni pasta
1 tbsp olive oil
1 lb Italian sausage (mild or spicy, casings removed)
1 small yellow onion, chopped
3–4 garlic cloves, minced
½ tsp red pepper flakes (optional)
1 tsp Italian seasoning
1 can (28 oz) crushed tomatoes
¾ cup heavy cream
½ cup grated Parmesan cheese
Salt and black pepper to taste
Fresh basil or parsley (optional, for garnish)
Cook rigatoni in salted water until al dente. Reserve ½ cup pasta water and drain.
In a large skillet, heat olive oil. Add sausage and cook until browned. Remove and set aside.
In same pan, sauté onion 3–4 minutes. Add garlic, pepper flakes, and Italian seasoning; cook 1 minute.
Stir in crushed tomatoes. Return sausage to pan and simmer 10 minutes.
Stir in heavy cream and simmer 2 more minutes. Season with salt and pepper.
Add cooked rigatoni and a splash of pasta water. Toss to coat.
Stir in Parmesan and garnish with fresh herbs if desired. Serve warm.
Use turkey sausage or plant-based sausage for variation.
Add spinach or mushrooms for more vegetables.
Store leftovers in fridge up to 4 days. Reheat gently with a splash of water or cream