Creamy Italian Sausage Rigatoni Recipe
If you’re in the mood for the ultimate cozy, soul-satisfying pasta night, look no further than Creamy Italian Sausage Rigatoni. This dish brings together robust Italian sausage, a lush tomato-cream sauce, and al dente rigatoni for a meal that is as luscious as it is comforting. The touch of fresh herbs and the creaminess of Parmesan elevate every bite, making this a dinner that wins rave reviews every single time. Whether you’re inviting friends over for a casual dinner or just craving something hearty for Sunday night, Creamy Italian Sausage Rigatoni is the kind of recipe you’ll want to return to again and again.

Ingredients You’ll Need
The beauty of this dish lies in the harmony of simple, high-impact ingredients. Each one adds its own personality: color from the basil, richness from the sausage, and that dreamy creaminess from the Parmesan and heavy cream. Let’s look at the essentials for making Creamy Italian Sausage Rigatoni a smashing success:
- Extra-Virgin Olive Oil: A flavorful foundation for sautéing the onions, imparting lovely richness.
- Onion (diced): Adds sweetness and depth to the sauce as it softens and caramelizes.
- Garlic Cloves (minced): The classic aroma, giving your sauce a bold, savory backbone.
- Italian Sausage: Use spicy or mild sausage to match your mood—every bite is packed with flavor.
- Whole or Crushed Tomatoes: The heart of the sauce—crushed for a rustic texture or blended for smoothness.
- Fresh Basil: This aromatic herb keeps the sauce tasting fresh and bright, a true Italian touch.
- Fresh Oregano: Earthy, peppery, and beautifully savory—this herb anchors the sauce.
- Red Chili Flakes: A gentle, warming heat, adjustable for your personal spice level.
- Salt: Essential for drawing out and balancing all the other flavors.
- Pepper: Gives the sauce a gentle kick and rounds out the seasoning.
- Heavy Cream: This is where the luxuriously creamy texture comes from—pure decadence.
- Grated Parmesan Cheese: For nuttiness and extra creaminess, plus that classic salty finish.
- Rigatoni Pasta: Its big tubes soak up tons of sauce and hold up beautifully for a hearty meal.
How to Make Creamy Italian Sausage Rigatoni
Step 1: Sauté the Sausage and Vegetables
Start by heating a large pot over medium heat and swirling in your extra-virgin olive oil. Once it’s shimmering, in go the diced onions—let them cook slowly, softening and releasing their natural sweetness, about 7-8 minutes. Next, add minced garlic and your Italian sausage. Break up the sausage as it browns and mingles with the onions and garlic; the aroma will have everyone rushing to the kitchen! After another 7-8 minutes, you’ll have a golden, fragrant mixture ready for the next step.
Step 2: Cook the Rigatoni
While the sausage and veggies are working their magic, bring a separate large pot of salted water to a boil. Add the rigatoni and cook according to the package instructions—usually 9-11 minutes for that perfect al dente bite. Remember, the pasta will keep cooking once mixed with the sauce, so don’t overdo it!
Step 3: Prepare the Herby Tomato Sauce
Once the sausage is browned and onions are tender, add your canned tomatoes right into the pot. If you prefer a smoother sauce, blend whole tomatoes until silky before pouring in. Stir in the chopped basil, oregano, red chili flakes, salt, and pepper. Let everything come to a gentle boil, then reduce the heat and let the flavors meld together while it simmers for 5-7 minutes.
Step 4: Transform It into Creamy Italian Sausage Rigatoni
Now comes the part that makes this dish truly irresistible: pour in the heavy cream and stir in 1 cup of Parmesan cheese. The sauce will turn a gorgeous rosy color, thickening slightly and coating the sausage in velvet. Let it simmer another 5-7 minutes, then taste and adjust with more salt, pepper, or chili flakes if you like a little extra zing. This creamy base is what makes Creamy Italian Sausage Rigatoni next-level delicious.
Step 5: Bring It All Together
Drain your rigatoni and add it straight into the bubbling sauce. Give it all a gentle toss, making sure every tube is lovingly coated in the creamy, herby goodness. If you want a slightly thicker dish, let everything simmer together for up to 10 more minutes—the pasta will absorb even more flavor.
Step 6: Serve and Savor
Spoon the creamy sausage rigatoni into bowls, finishing each serving with a generous sprinkle of the remaining Parmesan cheese and a scattering of fresh basil. Creamy Italian Sausage Rigatoni is best enjoyed piping hot, surrounded by people ready to dig in and share second helpings!
How to Serve Creamy Italian Sausage Rigatoni

Garnishes
Don’t underestimate the power of a good garnish! For Creamy Italian Sausage Rigatoni, a shower of freshly grated Parmesan and ribbons of basil really wake up the flavors. A drizzle of peppery olive oil or a pinch of chili flakes can add a little drama and restaurant-style flair too.
Side Dishes
Every creamy, saucy bite craves something crisp or fresh on the side. I love serving this rigatoni with a big tossed salad—think arugula, cherry tomatoes, and a tangy balsamic vinaigrette. A loaf of crusty Italian bread is perfect for swiping up every last drop of sauce. Garlic bread is another classic option, because who can resist extra garlic with pasta?
Creative Ways to Present
For a family-style feast, pile the rigatoni high on a big serving platter and let everyone dig in. Hosting a dinner party? Serve Creamy Italian Sausage Rigatoni in individual pasta bowls for a chic bistro feel, with little side bowls of extra cheese and chili flakes for garnish. Want a fun twist? Scoop the pasta into small ramekins and broil with extra Parmesan until bubbly and golden.
Make Ahead and Storage
Storing Leftovers
If you find yourself with leftovers of Creamy Italian Sausage Rigatoni (lucky you!), simply let the pasta cool to room temperature, then store it in an airtight container in the refrigerator. It will keep well for up to three days, and the flavors actually meld and intensify as it sits. Don’t forget to scrape up all that extra sauce!
Freezing
This rigatoni holds up well in the freezer too. Allow the pasta to cool completely before transferring to a freezer-safe container or zip-top bag. It’s best to portion it out so you can defrost just what you need later. Frozen Creamy Italian Sausage Rigatoni will stay fresh for up to two months.
Reheating
To reheat, just pop the leftovers into a saucepan over low heat with a splash of milk or cream to loosen the sauce. Heat gently, stirring often, until hot throughout. The microwave works too—cover your bowl with a damp paper towel and reheat in short bursts, stirring in between. If you’ve frozen your pasta, thaw it overnight in the fridge before reheating for best results.
FAQs
Can I use a different type of pasta?
Definitely! While rigatoni’s shape is perfect for catching all that luscious sauce, penne, ziti, or even fusilli make great substitutes. Just make sure to cook any alternative pasta shapes to al dente for the best bite.
Is it possible to make Creamy Italian Sausage Rigatoni gluten-free?
Yes! Simply swap out traditional rigatoni for your favorite gluten-free pasta. Most major brands offer hearty tube-shaped varieties that work beautifully with this creamy, chunky sauce.
What kind of Italian sausage is best for this recipe?
Both sweet and spicy Italian sausage taste amazing, so it really comes down to your preference. If you like it extra flavorful, go for hot sausage. For a more subtle dish, choose mild. Just make sure it’s uncooked and in bulk, so you can crumble and brown it easily.
Can I use half-and-half instead of heavy cream?
You can, but the sauce won’t be quite as rich and creamy. For a lighter version, half-and-half works in a pinch, though you might want to reduce it slightly to prevent the sauce from thinning out too much.
How do I get my sauce really smooth?
If you love a silky, velvety sauce, blend your canned tomatoes before adding them to the pot. An immersion blender is also handy for a quick blitz while everything’s simmering—just be careful of hot splatters!
Final Thoughts
There’s something truly magical about Creamy Italian Sausage Rigatoni: it’s easy enough for weeknights yet special enough for a dinner party, and absolutely brimming with comfort and flavor. If you’re looking for a meal that will have everyone asking for seconds, give this recipe a try—your dinner table will thank you!
PrintCreamy Italian Sausage Rigatoni Recipe
Indulge in a rich and flavorful dish with this Creamy Italian Sausage Rigatoni recipe. The combination of hearty Italian sausage, aromatic herbs, tangy tomatoes, and creamy sauce creates a satisfying meal that is perfect for a cozy night in.
- Prep Time: 15 minutes
- Cook Time: 35 minutes
- Total Time: 50 minutes
- Yield: 6 servings 1x
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
- Diet: None
Ingredients
Main Ingredients:
- 2 Tablespoons Extra-Virgin Olive Oil
- 1 large Onion, diced
- 4 Garlic Cloves, minced
- 1 1/2 lbs. Italian Sausage (may use 1 lb. if you want less sausage)
- (2) 28-ounce cans Whole or Crushed Tomatoes
Seasonings:
- 1/4 cup Fresh Basil, chopped (or 1 Tablespoon dried basil)
- 1/4 cup Fresh Oregano, chopped (or 1 Tablespoon dried oregano)
- 1 teaspoon Red Chili Flakes
- 2 teaspoons Salt
- 1 teaspoon Pepper
Sauce and Pasta:
- 1 1/2 cups Heavy Cream
- 1 1/2 cups Grated Parmesan Cheese
- 1 lb. Rigatoni Pasta
Instructions
- Cook the Sausage and Vegetables: Heat a large pot over medium heat. Add the olive oil, then add the diced onion and cook for 7-8 minutes until softened. Add the minced garlic and Italian sausage, cooking for an additional 7-8 minutes until the sausage begins to brown.
- Cook the Pasta: While the sausage is cooking, fill a separate large pot with water and bring it to a boil over high heat. Add a generous amount of salt to the water and then add the rigatoni. Cook the pasta according to package instructions, usually around 9-11 minutes for al dente.
- Prepare the Sauce: Add the canned tomatoes to the sausage mixture. If using whole tomatoes, blend them in a blender until smooth. Stir in the fresh basil, oregano, red pepper flakes, salt, and pepper. Let the mixture come to a boil, then reduce the heat to let it simmer for 5-7 minutes.
- Make It Creamy: Add the heavy cream and 1 cup of Parmesan cheese to the sauce. Stir well and let the sauce simmer on medium-low heat for 5-7 minutes. Taste and adjust seasonings as needed.
- Combine Pasta and Sauce: Drain the rigatoni and add it to the sauce, stirring to coat the pasta. If you prefer a less saucy dish, let the sauce simmer for an additional 10 minutes to reduce.
- Serve: Plate the pasta and garnish with the remaining 1/2 cup of Parmesan cheese and fresh basil. Serve immediately and enjoy!
Nutrition
- Serving Size: 1 serving
- Calories: 760
- Sugar: 8g
- Sodium: 1180mg
- Fat: 45g
- Saturated Fat: 21g
- Unsaturated Fat: 18g
- Trans Fat: 1g
- Carbohydrates: 58g
- Fiber: 5g
- Protein: 30g
- Cholesterol: 115mg
Keywords: Creamy Italian Sausage Rigatoni, Pasta Recipe, Italian Sausage Pasta, Creamy Pasta Dish