Italian Sausage Rigatoni with Spicy Cream Sauce

Sausage with Rigatoni in Spicy Cream Sauce is pure comfort food and makes an easy and delicious weeknight meal. The flavor starts with onion and garlic which are sauteed with the sausage for maximum flavor.

Italian Sausage Rigatoni with Spicy Cream Sauce


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.


Sausage Rigatoni with Spicy Tomato Sauce


Sausage Rigatoni with Spicy Tomato Cream Sauce


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 meal, I think- I don’t cook rigatoni nearly enough! I love the chewiness and substance it has.

Sausage Rigatoni with Spicy Tomato Cream Sauce


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4.85 from 13 votes
Sausage Rigatoni with Spicy Tomato Cream Sauce
Italian Sausage Rigatoni with Spicy Cream Sauce
Prep Time
5 mins
Cook Time
25 mins
Total Time
30 mins

Italian Sausage Rigatoni in Spicy Cream Sauce makes an easy weeknight meal. The sauce has the perfect balance between tomatoes and cream.

Course: Main Course
Cuisine: American
Servings: 5
Calories: 740 kcal
Author: Christin Mahrlig
  • 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
  1. 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.
  2. When sausage is no longer pink, add garlic and cook for 1 minute. Drain off any excess fat.
  3. Add diced tomatoes, tomato sauce, tomato paste, basil, salt, red pepper flakes, and black pepper and simmer until thickened, about 15 minutes.
  4. Meanwhile, cook pasta according to package directions. Drain and place drained pasta in a large bowl.
  5. Add cream and simmer another 5 minutes, Turn heat to low and stir in Parmesan cheese.
  6. Pour sauce over pasta and toss to coat.
Nutrition Facts
Italian Sausage Rigatoni with Spicy Cream Sauce
Amount Per Serving
Calories 740
* Percent Daily Values are based on a 2000 calorie diet.


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43 thoughts on “Italian Sausage Rigatoni with Spicy Cream Sauce

  1. Made this a number of times now but with greek yogurt instead of cream and I have to say this has become one of my favourite meals. Everyone I’ve made it for have really enjoyed it as well. In fact I am making it again today. Can’t wait till it’s ready!!! Thanks

  2. This recipe is very good. I sautéed the onions & garlic after I browned the sausage. Then put sausage back in pan and added tomato paste then a cup of white wine & let it boil a couple minutes. Then put the tomatoes & sauce in.

  3. This is an excellent dish. Making it the second time tonight for my daughter whose home from college on spring break. I used a combination of mild and spicy sausage.

  4. Made this for the first time tonight and it was OUTSTANDING! Puts any Italian restaurant to shame. Will definitely make again…..really soon. 🙂

  5. I love this recipe! It reminds me of my favorite dish from my favorite Italian restaurant. I added one package of diced pancetta and it was heavenly. I cooked that first and removed it, then cooked the onions and sausage in the grease from the pancetta and added it back after the meat was browned. Highly recommend trying that 🙂

  6. Made a double batch of this tonight for dinner. Followed the recipe exactly. Perfect for a cool fall evening. My husband and I both loved it. He told me he already can’t wait for the leftovers!

  7. Just popping by to say I’ve tried probably a dozen recipes off your website, and they’ve never let me down! Keep up the amazing work!!

  8. Made this tonight. Followed the recipe to a tee. Came out great….was a hit for the whole fam. Tasted just like my favorite dish from bucca did pepper. Thanks for the recipe. Kudos.

  9. I wanted to let you know that the comments at our dinner table were along the lines of, “Hot dang, this is *good*!” Thanks for such a tasty, easy recipe for my Sunday, when about all I had in the fridge was a package of bulk sausage, lol 😉

  10. I just made this and it was very very good. I didn’t have a can of tomatoes so I used a can of Rotel instead. Hubby and I both agreed, for us, next time we will use ground chuck, and maybe a tspn of basil rather than 1/2. I really have no complaints as it was truly a really good and pretty easy recipe. It makes quite a bit so make sure you have a big serving bowl ! This is a keeper. Thank you!

  11. I made this pasta tonight for my family. I used hot Italian sausage and it turned out delicious. I will definately be making this one again. Thanks for the recipe.

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