Creamy Sausage Rigatoni Recipe
This Creamy Sausage Rigatoni combines the savory flavors of Italian sausage with a rich, creamy sauce that clings perfectly to the rigatoni. It’s quick, easy to make, and feels like a restaurant-quality dish you can enjoy at home.

I love making this Creamy Sausage Rigatoni because it’s rich, hearty, and packed with bold flavors that always satisfy. It’s a dish I like to prepare for family dinners or casual get-togethers because it comes together quickly and always impresses everyone at the table.
Whether it’s a busy weeknight or a cozy evening in, this dish is my ultimate comfort food. And let me be honest, this recipe is my favorite pasta dish for weeknights when I need something easy yet satisfying.
I’m not gonna lie — I love the combination of creamy sauce, savory sausage, and perfectly cooked rigatoni. It’s always my first choice when I want something indulgent and delicious.
I make this pasta with simple ingredients like heavy cream, Parmesan cheese, and diced tomatoes, along with fresh spinach for a pop of color and nutrients. You can also add mushrooms, zucchini, or even sun-dried tomatoes if you like, and the result is just “Wow!” You’ll love it for sure.
Every bite is a mix of creamy richness and savory goodness, making it a true delight. And for a perfect pairing, you can serve it with garlic bread and a crisp green salad. This recipe is super easy to make, quick to clean up, and turns out amazing every single time, making it a must-try for any pasta lover.
Why This Creamy Sausage Rigatoni Is Great
This Creamy Sausage Rigatoni is great because it combines bold, savory flavors with a rich and creamy sauce that clings perfectly to the rigatoni. The Italian sausage adds a hearty, satisfying element, while the sauce is indulgent without being overwhelming. The balance of textures and flavors makes it a truly comforting dish that feels like a special treat but is simple enough to prepare on any day of the week.
Another reason this recipe shines is its versatility. You can easily customize it with your favorite vegetables, adjust the level of spice, or even swap the sausage for a lighter protein like chicken or turkey. Whether you stick to the classic recipe or get creative with variations, it’s a foolproof dish that’s guaranteed to delight everyone at the table. It’s the perfect combination of easy and impressive.
Perfect For:
- Weeknight Dinners: This recipe comes together in under 30 minutes, making it ideal for busy evenings when you need something quick yet delicious. Its simple preparation means you can have a restaurant-quality meal on the table without the hassle.
- Casual Gatherings: Impress your guests with a creamy, flavorful pasta dish that looks and tastes like it came from an upscale restaurant. The rich sauce and hearty sausage make it a crowd-pleaser every time.
- Family Meals: The hearty ingredients and balanced flavors make it a hit with both kids and adults. It’s a dish that’s easy to scale up for larger portions, ensuring everyone leaves the table happy.
- Date Night: Pair it with a glass of wine for a cozy, romantic dinner at home. The indulgent flavors and elegant presentation make it the perfect meal for two.
Ingredients
- 12 ounces rigatoni pasta
- 1 pound Italian sausage (mild or spicy)
- 1 tablespoon olive oil
- 3 cloves garlic, minced
- 1 small onion, diced
- 1 cup heavy cream
- 1/2 cup chicken broth
- 1/2 cup grated Parmesan cheese
- 1 (14-ounce) can diced tomatoes, drained
- 1 teaspoon Italian seasoning
- 1/4 teaspoon red pepper flakes (optional)
- 2 cups fresh spinach, roughly chopped (optional)
- Salt and black pepper to taste
- Fresh parsley or basil for garnish
Kitchen Equipment You’ll Need
- Large pot for cooking pasta
- Skillet or sauté pan
- Wooden spoon or spatula
- Cutting board
- Sharp knife
- Cheese grater
- Measuring cups and spoons
- Ladle for serving

How to make Creamy Sausage Rigatoni
Step 1:
Boil the pasta in salted water according to the package instructions. Reserve 1/2 cup of pasta water before draining and set the pasta aside.
Step 2:
Heat olive oil in a large skillet over medium heat. Add the sausage and cook until browned, breaking it into small pieces with a wooden spoon. Remove excess grease if necessary.
Step 3:
Add the garlic and onion to the skillet with the sausage. Sauté for 2–3 minutes until softened and fragrant.
Step 4:
Stir in the heavy cream, chicken broth, diced tomatoes, Parmesan cheese, Italian seasoning, and red pepper flakes. Let it simmer for 3–5 minutes until the sauce thickens slightly.
Step 5:
Add the cooked rigatoni to the skillet and toss to coat. Stir in the spinach if using, and cook for another 2 minutes until wilted.
Step 6:
Season with salt and pepper to taste. If the sauce is too thick, add a splash of reserved pasta water to reach your desired consistency. Garnish with parsley or basil and serve hot.
Helpful Tips
- Boil the rigatoni until just tender, as it will continue cooking when combined with the sauce. This ensures it doesn’t become mushy and holds its shape.
- Save a cup of pasta water before draining. Adding a splash to the sauce helps achieve the perfect consistency and binds the sauce to the pasta.
- Fresh Italian sausage delivers the best flavor. You can use mild or spicy depending on your preference, but always opt for high-quality meat for the best results.
- Allow the sauce to simmer for a few minutes to thicken and melt the flavors before adding the pasta. This step enhances the richness of the dish.
- While Parmesan is classic, mixing it with Pecorino Romano adds a sharper, saltier note that complements the creaminess of the sauce.
- Stir in spinach or other delicate vegetables at the end to retain their freshness and vibrant color. This keeps the dish visually appealing and flavorful.
Optional Ingredients
- Mushrooms: Add sautéed mushrooms for an earthy flavor that complements the sausage.
- Zucchini: Dice and sauté zucchini for extra veggies and a touch of sweetness.
- Sun-Dried Tomatoes: Stir in chopped sun-dried tomatoes for a tangy twist that enhances the sauce.
- Crushed Red Pepper: Sprinkle for a subtle heat that balances the creaminess.
- Ricotta Cheese: Add a dollop for an extra creamy texture and mild flavor.
- Fresh Basil: Tear and toss in some basil for a fresh aroma and a hint of sweetness.
What to Pair with Creamy Sausage Rigatoni?
For serving, always think about sides that complement the creamy, savory flavors of the dish. My favorite pairing is garlic bread or cheesy breadsticks. They’re perfect for scooping up every bit of the sauce and adding a satisfying crunch to the meal.
A fresh side salad with a zesty vinaigrette works wonderfully. The acidity of the dressing balances the richness of the pasta, making the meal feel complete and satisfying. Adding cherry tomatoes or cucumbers to the salad enhances the texture.
For drinks, a crisp white wine like Sauvignon Blanc or sparkling water with lime pairs beautifully. These beverages add a refreshing contrast to the hearty dish, making it feel light and well-rounded. For a non-alcoholic option, try a sparkling apple cider.
Recipe Variations
Spicy Rigatoni: Use spicy Italian sausage and add extra red pepper flakes for a bold, fiery flavor. This version is great for those who enjoy a little heat.
Vegetarian Rigatoni: Omit the sausage and add sautéed mushrooms, spinach, or roasted bell peppers for a meat-free option. The dish remains hearty and flavorful.
Seafood Rigatoni: Replace sausage with shrimp or scallops for a luxurious seafood twist. The creamy sauce pairs beautifully with delicate seafood flavors.
Tomato-Based Sauce: Swap the cream for marinara to create a lighter, tomato-forward version. This is a great option for those looking for a tangier sauce.
Low-Carb Option: Serve the sauce over zucchini noodles or spaghetti squash for a keto-friendly meal that retains all the flavor without the carbs.
Cheesy Bake: Transfer the pasta to a baking dish, top with mozzarella, and broil until bubbly for a baked pasta variation. This adds a comforting, cheesy crust.

How to Store
Let the pasta cool completely before transferring it to an airtight container. Store it in the refrigerator for up to 3 days. Reheat gently on the stovetop or in the microwave, adding a splash of milk or cream to loosen the sauce if needed. Stir occasionally to ensure even heating.
For longer storage, freeze individual portions in freezer-safe containers. Thaw overnight in the refrigerator and reheat as usual. While the texture of the pasta may change slightly, the flavors remain rich and delicious. Adding fresh herbs or a sprinkle of cheese during reheating enhances the dish.
FAQ
Can I use a different type of pasta?
- Yes, you can substitute rigatoni with penne, farfalle, or fusilli. You can choose a pasta that holds the sauce well.
Can I make this dish spicier?
- Use spicy Italian sausage and add red pepper flakes for extra heat.
Do you think I can make it vegetarian?
- Yes, omit the sausage and replace it with sautéed mushrooms, spinach, or roasted vegetables.
What can I substitute for heavy cream?
- Half-and-half or a dairy-free alternative like coconut cream works well as a substitute.
Can I use pre-cooked sausage?
- Yes, slice and heat pre-cooked sausage in the skillet before adding it to the dish.
What type of cheese works best?
- Parmesan is classic, but you can mix it with Pecorino Romano or Gruyère for added flavor.
How do I keep the sauce from being too thick?
- Reserve some pasta water and add it to the sauce to adjust the consistency as needed.
What are good toppings for this pasta?
- Fresh parsley, basil, grated Parmesan, or even crispy breadcrumbs make great garnishes.
Creamy Sausage Rigatoni
Course: MainCuisine: Italian, AmericanDifficulty: Easy4
servings10
minutes20
minutes30
minutesThis Creamy Sausage Rigatoni combines the savory flavors of Italian sausage with a rich, creamy sauce that clings perfectly to the rigatoni. It’s quick, easy to make, and feels like a restaurant-quality dish you can enjoy at home.
Ingredients
12 ounces rigatoni pasta
1 pound Italian sausage (mild or spicy)
1 tablespoon olive oil
3 cloves garlic, minced
1 small onion, diced
1 cup heavy cream
1/2 cup chicken broth
1/2 cup grated Parmesan cheese
1 (14-ounce) can of diced tomatoes, drained
1 teaspoon Italian seasoning
1/4 teaspoon red pepper flakes (optional)
2 cups fresh spinach, roughly chopped (optional)
Salt and black pepper to taste
Fresh parsley or basil for garnish
Directions
- Boil the pasta in salted water according to the package instructions. Reserve 1/2 cup of pasta water before draining and set the pasta aside.
- Heat olive oil in a large skillet over medium heat. Add the sausage and cook until browned, breaking it into small pieces with a wooden spoon. Remove excess grease if necessary.
- Add the garlic and onion to the skillet with the sausage. Sauté for 2–3 minutes until softened and fragrant.
- Stir in the heavy cream, chicken broth, diced tomatoes, Parmesan cheese, Italian seasoning, and red pepper flakes. Let it simmer for 3–5 minutes until the sauce thickens slightly.
- Add the cooked rigatoni to the skillet and toss to coat. Stir in the spinach if using, and cook for another 2 minutes until wilted.
- Season with salt and pepper to taste. If the sauce is too thick, add a splash of reserved pasta water to reach your desired consistency. Garnish with parsley or basil and serve hot.
Notes
- Save a cup of pasta water before draining. Adding a splash to the sauce helps achieve the perfect consistency and binds the sauce to the pasta.