Creamy Sausage Rigatoni Pasta Recipe

This easy sausage rigatoni is a cozy, satisfying pasta dinner made with simple ingredients and big Italian-inspired flavor. Tender rigatoni is tossed with Italian sausage in a rich tomato sauce with garlic, onion, cream, and fresh basil for a meal that tastes special without being complicated.

If you enjoy hearty sausage pasta recipes, this creamy rigatoni with Italian sausage is a great choice for a quick weeknight dinner, a casual family meal, or an easy pasta night that feels comforting and homemade.

a bowl of Italian sausage rigatoni

Why you’ll love it

Pasta with sausage is always a reliable dinner idea, and this sausage rigatoni recipe is especially easy to love. It uses everyday ingredients, comes together in about 30 minutes, and delivers a bold, savory sauce that clings beautifully to every piece of pasta. Rigatoni is ideal here because its ridges and hollow centers catch the meaty tomato sauce, giving every bite plenty of flavor.

The sauce starts with Italian sausage and onion, then garlic is added for extra aroma. Canned diced tomatoes and crushed tomatoes simmer together to create a balanced texture, while heavy cream softens the acidity and gives the sauce a silky finish. Fresh basil brings brightness at the end, and parmesan cheese is a simple optional topping that makes the dish even more satisfying.

This is the kind of easy Italian sausage pasta recipe that works when you want something homemade but do not want to spend all evening cooking. Much of the sauce time is hands-off, and the pasta cooks while the sausage browns, making the whole process efficient and straightforward.

What you’ll need

  • Pasta – rigatoni is a great match for the chunky sausage tomato sauce, but another short pasta shape can also work.
  • Italian sausage – spicy Italian sausage adds heat and depth, while mild Italian sausage keeps the recipe family-friendly.
  • Onion and garlic – these build the base of the sauce and add a warm, savory flavor.
  • Tomatoes – a combination of diced tomatoes and crushed tomatoes gives the sauce both body and texture. Substituting both with the same style of tomato may change the consistency.
  • Heavy cream – cream rounds out the tomato flavor, adds richness, and helps create a smooth sauce.
  • Basil – fresh basil adds color, freshness, and a classic tomato-friendly flavor.
  • Salt and pepper – season to taste once the sauce has simmered.
  • Parmesan cheese – optional, but freshly grated parmesan is a delicious finishing touch.
ingredients for sausage rigatoni in prep bowls

Pro tip

If the tomatoes taste too sharp or sour after simmering, stir in a very small amount of sugar. Start with about 1/2 teaspoon, taste, and adjust only if needed. This helps balance tomato sauce without making it sweet.

How to make sausage rigatoni

This is a quick overview of the method. The full ingredient amounts and detailed instructions are included in the recipe card below.

sauteing Italian sausage and onion in a skillet then adding tomatoes

Bring a large pot of salted water to a boil and cook the rigatoni until al dente. While the pasta cooks, add the sausage meat and chopped onion to a skillet over medium-high heat. Break up the sausage as it cooks, leaving it slightly chunky if you like a heartier sauce. Once the sausage is browned and the onion has softened, stir in the minced garlic and cook briefly until fragrant.

Spoon out some of the excess fat from the skillet, but do not worry about removing every drop. A little remaining fat helps carry flavor through the sauce. Add the diced tomatoes with their juices and the crushed tomatoes, then let the sauce simmer until it thickens slightly and the flavors come together.

adding cream and basil to a skillet with italian sausage and tossing with rigatoni

Stir in the heavy cream and fresh basil, then season the sauce with salt and pepper. Let it cook for another minute or two, just until creamy and warmed through. Drain the rigatoni and toss it with the sauce until the pasta is well coated. Serve immediately with freshly grated parmesan cheese if desired.

Tools for this recipe

  • A large pot for boiling the rigatoni.
  • A deep skillet or sauté pan for browning the sausage and simmering the sauce.
  • A wooden spoon or spatula for breaking up the sausage as it cooks.
  • A colander for draining the pasta.
  • A grater if you plan to finish the pasta with parmesan cheese.

Substitutions and variations

  • A lower-fat dairy option such as milk or half-and-half is not recommended because the acidity in the tomatoes may cause the sauce to separate or curdle. If necessary, the cream can be omitted, but the sauce will be less rich and less creamy.
  • Spicy Italian sausage gives this rigatoni a bolder flavor, while mild sausage keeps it softer and more classic. Use whichever you prefer.
  • If you want extra greens, stir in a handful of spinach near the end of cooking and let it wilt into the sauce before adding the pasta.
  • Another short pasta shape can be used if you do not have rigatoni, but a ridged pasta is best for holding the sauce.

What to serve with this sausage rigatoni

  • This hearty sausage pasta is excellent with fresh bread or garlic bread to soak up the extra sauce.
  • A crisp green salad balances the richness of the creamy tomato sausage sauce.
  • For a simple dinner, serve the rigatoni on its own with parmesan and fresh basil on top.

Leftovers and storage

  • Store leftover sausage rigatoni in an airtight container in the refrigerator for 3-4 days.
  • Reheat gently over low heat until warmed through. Add a small splash of cream or water if the sauce has thickened too much.
  • If freezing, it is best to freeze the sauce separately and cook fresh pasta when ready to serve. The texture of the cream sauce may change after freezing.

More pasta with sausage recipes

  • Mostaccioli
  • One pan creamy gnocchi with sausage
  • Italian sausage pasta in creamy tomato sauce
  • Sausage and vegetable pasta
  • Tortellini with sausage
closeup of Italian sausage pasta

This Italian sausage rigatoni is a simple but flavorful pasta dinner with a creamy tomato sauce, plenty of garlic, and tender bites of sausage. It is quick enough for a weeknight but comforting enough to serve when you want a homemade meal that feels generous and satisfying.

a bowl of Italian sausage rigatoni

Easy Sausage Rigatoni

By Natasha Bull
An easy sausage rigatoni recipe with Italian sausage, garlic, tomatoes, cream, and basil. It is rich, comforting, and ready in about 30 minutes.
Prep: 10
Cook: 20
Total: 30
Servings: 4

Ingredients

  • 8 ounces uncooked rigatoni
  • 16 ounces Italian sausage, spicy or mild
  • 1/2 medium onion, chopped
  • 3 cloves garlic, minced
  • 1 (14 ounce) can diced tomatoes with juices
  • 1 (14 ounce) can crushed tomatoes
  • 1/2 cup heavy cream or whipping cream
  • Fresh basil, torn, optional but recommended
  • Salt and pepper, to taste
  • Freshly grated parmesan cheese, optional

Instructions

  • Bring a large pot of salted water to a boil. Cook the rigatoni al dente according to the package directions.
  • While the pasta cooks, add the sausage meat and chopped onion to a skillet over medium-high heat. Cook for 8-10 minutes, stirring occasionally and breaking up the sausage, until browned.
  • Stir in the garlic and cook for 1 minute, just until fragrant.
  • Spoon out some of the excess fat from the pan, leaving a little behind for flavor.
  • Add the diced tomatoes with their juices and the crushed tomatoes. Simmer for about 10 minutes, reducing the heat slightly if the sauce bubbles too aggressively.
  • Stir in the cream and basil, then season with salt and pepper to taste. Cook for another 1-2 minutes, then toss with the drained rigatoni. Serve with parmesan cheese if desired.

Notes

  • For the sausage, anything close to 16 ounces or 1 pound is fine. If using sausage links, remove the meat from the casings before cooking. Bulk Italian sausage also works well.
  • For the best sauce texture, use both diced tomatoes and crushed tomatoes as listed. The combination helps create a sauce that is chunky, smooth, and thick enough to coat the pasta.
  • Avoid replacing the heavy cream with milk or half-and-half, as the tomato acidity may cause the sauce to curdle.

Nutrition

Calories: 761kcal,
Carbohydrates: 57g,
Protein: 27g,
Fat: 48g,
Saturated Fat: 20g,
Cholesterol: 120mg,
Sodium: 1114mg,
Fiber: 5g,
Sugar: 10g

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

This recipe was originally published on October 17, 2019. It has been updated with new photos and clearer instructions while keeping the same recipe.