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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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Sausage Rigatoni with Spicy Tomato Cream Sauce

Italian Sausage Rigatoni with Spicy Cream Sauce

Italian Sausage Rigatoni in Spicy Cream Sauce makes an easy weeknight meal. The sauce has the perfect balance between tomatoes and cream.
PREP: 5 mins
COOK: 25 mins
TOTAL: 30 mins


  • 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


  • 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.


Calories: 740kcal
Author: Christin Mahrlig
Course: Main Course
Cuisine: American

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107 thoughts on “Italian Sausage Rigatoni with Spicy Cream Sauce”

  1. I made this recipe tonight and OMG was it DELICIOUS! And it so EASY!!! Can’t beat deliciousness like this one!

  2. 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.

  3. Alison Davies

    I made this dish for supper last night and it was delicious and so easy to make. Definitely one of our favs ?

  4. 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 😉

  5. 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!

  6. 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.

  7. This was delicious! Next time I might cut back just a touch on the red pepper flakes but it was so yummy.

  8. Ashley | The Recipe Rebel

    This looks so hearty — the perfect fall comfort food! I am a sucker for pasta!

  9. Wow!! This looks amazing!! What a delicious recipe! SO tasty! I love one dish meals like this that really hit the spot!

  10. Anu-My Ginger Garlic Kitchen

    h. My. Yum! This is the pretty and delish, Christin! I love all of the yummy flavors in this! So bright and colorful!

  11. Jocelyn (Grandbaby cakes)

    I could use a serious bowl of this right now! The flavor looks sensational!

  12. Gayle @ Pumpkin 'N Spice

    This dish looks so delicious, Christin! I love hearty meals like this, definitely perfect comfort food!

  13. This looks so comforting and delicious, Christin! I love the spicy kick from the sausage and the extra richness from the cream sounds SO SO good!!:)

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