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A close-up of creamy sausage rigatoni pasta served on a white plate with fresh parsley and parmesan cheese

Creamy Sausage Rigatoni

Linda
This Creamy Sausage Rigatoni is a rich, comforting pasta dish made with perfectly cooked rigatoni, flavorful Italian sausage, and a silky tomato-parmesan cream sauce. It’s quick enough for a weeknight dinner yet indulgent enough for a cozy date night at home
Prep Time 10 minutes
Cook Time 19 minutes
Total Time 30 minutes
Course Dinner
Cuisine Italian, American
Calories 610 kcal

Ingredients
  

  • Rigatoni pasta – The ridges and tube shape are ideal for soaking up that creamy sauce.
  • Italian sausage – Spicy or mild it infuses the dish with deep, meaty flavor.
  • Heavy cream – Adds richness and silkiness to the sauce.
  • Parmesan cheese – Brings in sharpness and depth.
  • Onion – Sweetness and body for the sauce.
  • Garlic – Because no pasta is complete without it.
  • Tomato paste – A hint of umami that deepens the flavor profile.
  • Olive oil – For sautéing.
  • Salt and black pepper – To taste.
  • Crushed red pepper flakes optional – For a kick of heat.
  • Fresh basil or parsley – Brightens everything up at the end.

Instructions
 

  • Bring a large pot of salted water to a boil. Cook the rigatoni until just al dente. Reserve ½ cup of pasta water before draining.
  • In a large skillet, heat olive oil over medium heat. Add sausage and cook, breaking it apart with a spoon, until browned and fully cooked. Remove and set aside.
  • In the same skillet, sauté diced onions until soft, about 3 minutes. Add garlic and cook for 30 seconds.
  • Stir in tomato paste and let it caramelize for 1–2 minutes.
  • Pour in the heavy cream and stir well, scraping the pan to deglaze all the flavorful bits. Simmer for 2–3 minutes.
  • Add grated parmesan cheese and stir until melted and the sauce thickens slightly.
  • Return cooked sausage to the pan. Add rigatoni and toss to coat in the creamy sauce. Use pasta water to loosen the sauce as needed.
  • Season with salt, pepper, and red pepper flakes to taste.
  • Garnish with chopped parsley and additional parmesan. Serve hot and enjoy your Creamy Sausage Rigatoni!
Keyword Creamy Sausage Rigatoni, pasta with sausage and cream sauce, sausage rigatoni recipe, easy creamy pasta