Sausage with Rigatoni in Spicy Cream Sauce is pure comfort food and makes an easy and delicious weeknight meal. This recipe strikes a delightful balance between the acidity of the tomatoes and the indulgent creaminess of the sauce.
The flavor starts with onion and garlic which are sauteed with the sausage for maximum flavor.
A can of diced tomatoes and a can of tomato sauce are then added. I think it’s nice to have a few chunks of tomato in an otherwise creamy sauce. A tablespoon of tomato paste really ups the tomato flavor.
This recipe has the perfect balance between tomatoes and cream. A half a cup of cream makes it plenty rich and creamy, but doesn’t make it heavy.
A little salt, pepper, dried basil (you could use fresh), and red pepper flakes are all that’s needed for the sauce as far as seasoning.
Parmesan cheese is added last minute to the sauce for more flavor, plus it helps thicken the sauce. Use either hot or mild sausage. I usually go with hot.
Whenever I make this pasta dish, I think- I don’t cook rigatoni nearly enough! I love the chewiness and substance it has. This dish is the epitome of comfort food!
How To Serve Italian Sausage Rigatoni with Spicy Cream Sauce
This spicy sausage rigatoni dish tastes great topped with some chopped fresh basil, garlic bread, and a garden salad with Creamy Italian Dressing.
Variations
- Use penne or ziti in place of rigatoni.
- Use turkey sausage in place of Italian sausage.
- Leave the red pepepr flakes out if you don’t want it spicy.
Never miss a recipe. Follow Spicy Southern Kitchen on Pinterest and Instagram.
Pin this now to find it later
Pin ItMore Easy Pasta Recipes
- Southern Spaghetti Sauce
- Spicy Tomato Cream Pasta
- Pepperoncini Pasta Sauce
- Pasta with Sausage Cream Sauce
- Creamy Cajun Sausage Pasta
- Italian Sausage Manicotti
Italian Sausage Rigatoni with Spicy Cream Sauce
Ingredients
- 12 ounces Rigatoni pasta
- 1 tablespoon olive oil
- 1 medium onion, chopped
- 1 pound Italian sausage Remove from casings if in casings, use either sweet or spicy
- 3 cloves garlic, minced
- 1 (14.5-ounce) can diced tomatoes, undrained
- 1 (8-ounce) can tomato sauce
- 1 tablespoon tomato paste
- 1/2 teaspoon dried basil
- 1/2 teaspoon salt
- 1/2 teaspoon red pepper flakes
- 1/4 teaspoon black pepper
- 1/2 cup heavy cream
- 1/2 cup grated Parmesan cheese
Instructions
- Heat olive oil in a large pan and cook onion until it starts to soften. Add sausage, and break it into pieces with a wooden spoon as it cooks.
- When sausage is no longer pink, add garlic and cook for 1 minute. Drain off any excess fat.
- Add diced tomatoes, tomato sauce, tomato paste, basil, salt, red pepper flakes, and black pepper and simmer until thickened, about 15 minutes.
- Meanwhile, cook pasta according to package directions. Drain and place drained pasta in a large bowl.
- Add cream and simmer another 5 minutes, Turn heat to low and stir in Parmesan cheese.
- Pour sauce over pasta and toss to coat.
Video
Notes
Nutrition
Nutrition information is automatically calculated, so should only be used as an approximation.
Originally posted September 6, 2015.
I came across this recipe a few years ago. It is now a family favorite:) I’m cooking a meal for my daughter and her hubby this week, and when I asked what she wanted, she immediately said, “your pasta dish”. Well, it’s officially your pasta dish, but we LOVE it!!
The first time I did this meal it was awful.
I did again last night and spent the correct time watching the video and it was beautiful, even my wife & daughter praised me !!!!
I will certainly try another recipe đź‘Ť
Tomk
From the UK
That’s wonderful Tom!
I did not have tomato sauce, so I added more tomato paste and chicken broth to make the sauce, along with the cream and Parmesan cheese. I also increased my basil. I didn’t need the chili flakes because I used spicy Italian sausage. Came out really good!
My family enjoyed this recipe, and I will be making it again!