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.

Italian Sausage Rigatoni with Spicy Cream Sauce in a bowl.

The flavor starts with onion and garlic which are sauteed with the sausage for maximum flavor.

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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.

Pasta coated in sauce in serving bowl.

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!

Close-up of Italian Sausage Rigatoni with Spicy Cream Sauce.

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 in bowl.

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More Easy Pasta Recipes

Italian Sausage Rigatoni with Spicy Cream Sauce

4.94 from 74 votes

By Christin Mahrlig

Prep: 5 minutes
Cook: 25 minutes
Total: 30 minutes
Servings: 5
Italian Sausage Rigatoni in Spicy Cream Sauce makes an easy weeknight meal. The sauce has the perfect balance between tomatoes and cream.
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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

Nutritional info is provided as an estimate only and will vary based on brands of products used. Not to be used for specific dietary needs.

Nutrition

Calories: 754kcal | Carbohydrates: 62g | Protein: 27g | Fat: 44g | Saturated Fat: 18g | Polyunsaturated Fat: 5g | Monounsaturated Fat: 18g | Cholesterol: 105mg | Sodium: 1444mg | Potassium: 791mg | Fiber: 4g | Sugar: 7g | Vitamin A: 839IU | Vitamin C: 16mg | Calcium: 180mg | Iron: 4mg

Nutrition information is automatically calculated, so should only be used as an approximation.

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Originally posted September 6, 2015.

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127 Comments

  1. Amanda says:

    Yum! I didn’t have heavy whipping cream so just used skim milk and pasta water and turned out so good. Very easy and fast to make too.

  2. Cheree says:

    My family loved this recipe

  3. Janine says:

    Yum! This has become our favorite pasta dish. The recipe looked โ€œtoo easyโ€ to be really good but I was so wrong! We like to sautรฉ mushrooms (on the side – add at the very end). This freezes and reheats beautifully and has gone on many RV excursions.

    Another note: The first time I made this, I only had Turkey Italian Sausage and we loved it so much, we havenโ€™t even tried any other sausage.

    Thanks for this recipe.

  4. Helen says:

    This was really delicious, a great recipe! I basically followed the directions, except for adding 1 tsp. red pepper flakes instead of a half, didn’t drain the sausage fat because there wasn’t that much, and rather than putting cooked pasta in a bowl and adding sauce, I just added the pasta to the sauce as one other commenter said. I have a large saucepan with high sides that I got for this kind of dish, and it worked out perfectly. Definitely will be making this one again!

  5. Miss Rio says:

    Quick and simple to make. Absolutely delicious. The family loved it. I will add mushrooms next time.

  6. Jess says:

    Disregard. It says Un drained! I apologize

  7. Rebecca says:

    I’ve made this several times. It is one of my favorite recipes. It is so easy and flavorful. I live alone but make the full recipe of sauce and freeze it in individual servings. I take one out when I want it and then make my rigatoni. It’s delicious every time.

    1. Cynthia Acuff says:

      Exactly what I do and for the same reason!

  8. Yvonne says:

    Simple, fast and so good . Perfect for weeknight cooking!

  9. Christina says:

    Iโ€™ve made this meal like 6 times, definitely one of my Pinterest faves! I use spicy ground sausage for an extra kick

  10. Suzanne says:

    Easy and very tasty. A winner. Thank you.