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.
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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.
Very good! I used spicy Italian sausage but halved the red pepper flakes. Just the right amount of heat for my sensitive kiddos.
Made it and it was awesome. I changed nothing. My oldest grandson absolutely loved it.
Really delicious!
Suuuuper Yummy!
So easy to make, delicious and my boys loved it!
Please use some pasta water to combine the pasta with the sauce, that’s for literally any pasta/sauce recipe. Kitchen basics.
This is one of my favorite pasta recipes. Don’t let the simplicity fool you. These flavors pack a wallop. ❤️
Very yummy! It’s now a go-to, but I make it ridiculously spicy. Kinda helps w/portion control so the leftovers last longer.
Love this recipe!! My kiddos gobble it right up! Even our picky eater!
I love this pasta and so does everyone in the family!
This was very good. Ingredients were well balanced. A little spicy so I would cut back on the red pepper flakes.