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. Lori says:

    This was delicious!… but it was extremely messy for me to put together. So messy to the point I probably won’t make it again haha. But I’ll dream of its deliciousness! Great recipe!

  2. Stephanie says:

    Simple to make & tasty to eat!

  3. Robin says:

    Sounds good but when do you add the onions?

  4. Paul Uzarski says:

    Most Awesome recipe. I added chopped spinach

  5. Bonnie Varcoe says:

    It’s a hit! Hubby wants it as his birthday meal.

  6. T says:

    The filing was delish! A bit messy to pt together but well worth the task~ flavored cream cheese is a great add! Thank you for sharing

  7. Karen says:

    Absolutely my favorite sausage manicotti recipe ever..

    1. Christin Mahrlig says:

      Yay!!! ๐Ÿ™‚

  8. Frank. Pollesel says:

    I made this and it was great going to do again tonight

  9. TrippleMa says:

    I’m literally just making the filling and the spatula is now a weapon to keep hands away! Smells amazing can’t wait to try!!

  10. Ziggy says:

    Made this last night. I had to scoot everyone out of the kitchen since they kept trying to eat the sausage filling before I could fill the manicotti. Delicious!! I had to increase the filling since the box I purchased had 14 manicotti inside. Really delicious!!