Creamy sausage rigatoni is a rich, savory pasta dish made with crumbled Italian sausage, tomato sauce, and a splash of cream. It’s simple to make and packed with comforting flavor.
12 oz rigatoni pasta
1 lb Italian sausage (mild or spicy), casings removed
1 tbsp olive oil
1 small onion, diced
3 cloves garlic, minced
1 (28 oz) can crushed tomatoes
2 tbsp tomato paste (optional for richness)
½ cup heavy cream
½ cup grated Parmesan cheese
Salt and black pepper to taste
Red pepper flakes (optional)
¼ cup chopped fresh parsley or basil
Reserved pasta water as needed
Cook rigatoni until just shy of al dente. Reserve ½ cup pasta water and drain.
In a large skillet, heat oil. Brown sausage, breaking it up, until fully cooked.
Add onion; cook 4–5 minutes. Stir in garlic and cook 1 more minute.
Add crushed tomatoes (and tomato paste if using). Simmer 10–15 minutes.
Stir in cream and Parmesan. Season with salt, pepper, and chili flakes.
Add drained pasta and toss to coat, adding pasta water if needed.
Stir in fresh herbs and serve hot with extra Parmesan.
Substitute half-and-half for a lighter version. Add sautéed vegetables for a nutrition boost. Great for leftovers or meal prep.