Italian Sausage Manicotti- an easy recipe for manicotti stuffed with Italian sausage and cheese and covered with tomato sauce. This Italian favorite makes a great family meal.

Two Italian Sausage Manicotti on a plate.

 

There’s 4 types of cheese in this manicotti for maximum flavor. A container of chive and onion cream cheese adds not only flavor, but lots of richness. Ricotta cheese, cream cheese, mozzarella cheese, and Parmesan cheese combine to make this a wonderfully cheesy pasta dish. Since it is so rich and filling, 1 to 2 manicotti are plenty per person, especially if you serve it with garlic bread and a salad.

I love using sausage for this recipe because it is already seasoned and tastes so good.

Italian Sausage Manicotti cooked in a 9x13-inch baking dish

 

What to serve with Italian Sausage Manicotti:

Recipe Notes:

  • I use a jar of spaghetti sauce, but you could use a homemade sauce.
  • If you want to add in some vegetables, mix a box of frozen chopped spinach into the filling. Be sure to defrost it first and squeeze the excess water out.
  • Use either sweet or hot Italian sausage. If you use spicy sausage, you may want to cut down on the crushed red pepper flakes unless you want a lot of heat.
  • Can be assembled ahead of time and refrigerated until you are ready to bake it. Add 10 to 15 minutes to the cooking time.
  • If you can’t fit all the filling into the manicotti shells, place the excess on top of the manicotti or tuck it around the sides of the manicotti.
  • Leftovers will keep in the refrigerator for 3 to 5 days.

Italian Sausage Manicotti served on a white plate

Italian comfort food doesn’t get any better than this.

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Italian Sausage Manicotti

4.79 from 23 votes
Servings: 5
Italian Sausage Manicotti- an easy recipe for manicotti stuffed with Italian sausage and cheese and covered with tomato sauce. This Italian favorite makes a great family meal.
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Ingredients

  • 1 pound Italian sausage
  • 1/2 medium yellow or sweet onion,, diced
  • 3 garlic cloves,, minced
  • 1 1/2 teaspoons Italian seasoning
  • 1/2 teaspoon crushed red pepepr flakes
  • 8 ounces chive and onion cream cheese
  • 1 cup ricotta cheese
  • 1/2 teaspoon black pepper
  • 1 1/4 cups shredded mozzarella cheese,, divided
  • 10 manicotti tubes,, cooked according to package directions
  • 1 (24-ounce) jar pasta sauce
  • 1/3 cup grated parmesan cheese

Instructions 

  • Preheat oven to 350 degrees and grease a 9x13-inch baking dish.
  • Cook and crumble Italian sausage in a large nonstick pan. Once you have it broken apart, add the onion. Cook until the sausage is no longer pink.
  • Add garlic, Italian seasoning, and crushed red pepper flakes and cook 1 minute.
  • Turn heat to low and add cream cheese. Stir until melted. Remove from heat.
  • Let cool slightly and then stir in 3/4 cup of mozzarella cheese, ricotta cheese, and pepper.
  • Stuff the mixture into the manicotti shells. You can either use a spoon or fork to push it in or you can transfer the mixture ot a large ziptop bag and snip the corner and pipe it in.
  • Pour about 1/2 cup of sauce in the prepared baking dish and spread it evenly. Place the filled manicotti tubes on top of the sauce.
    Pour remaining sauce on top of manicotti.
  • Cover and bake for 25 minutes.
  • Sprinkle with remaining mozzarella cheese and Parmesan cheese. Bake uncovered for 10 more minutes.

Notes

Use either sweet or hot Italian sausage. If you use spicy sausage, you may want to cut down on the crushed red pepper flakes unless you want a lot of heat.
Can be assembled ahead of time and refrigerated until you are ready to bake it. Add 10 to 15 minutes to the cooking time.
If you can't fit all the filling into the manicotti shells, place the excess on top of the manicotti or tuck it around the sides of the manicotti.

Nutrition

Calories: 722kcal

Nutrition information is automatically calculated, so should only be used as an approximation.

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Italian Sausage Manicotti

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32 Comments

  1. Patty says:

    The cream cheese was what sold me!!! Not a fan of ricotta but the filling was phenomenal! Itโ€™s in the oven and no doubt in my mind itโ€™ll be even better!

    1. Mark says:

      For my taste, it was too heavy on the cream cheese. But other than that, it was good

  2. Kathy says:

    I’m a terrible cook and this turned out delicious. It’s very rich in flavor and very filling. Still very delicious for leftovers.

  3. Michael Marchese says:

    Made it twice in 3 weeks.

    Thank for sharing. Making for parents and friends today.

  4. Julie Buck says:

    DELICIOUS!! I made it with sweet Italian Sausage and the heat level was just right. I will be keeping this recipe! Also, very easy to make.

  5. George says:

    I removed the red pepper added another garlic clove,fresh sausage And the rest was great for the first time making it.

    1. Rosetta Smith says:

      I left out the red pepper because I can’t have it. Also, I did not precook the manicotti pasta. Instead, I diluted my pasta sauce with a cup of water and heated it before using, then Icovered and baked it for 50 minutes before removing the covering. That made it easier to fill. I do the same with my lasagna and I have never had undercooked pasta. Love the flavor and presentation of this dish.

  6. Linda R Coughlin says:

    Excellent flavor, but doubled the onion and Italian seasoning! Pipe it in with a plastic zip lock and two people is much easier.

  7. Hayward says:

    8 oz. And one cup, are the same thing, but a odd way to write the recipe.