HomeMain DishesItalian Sausage Rigatoni with Spicy Cream Sauce
Italian Sausage Rigatoni with Spicy Cream Sauce
Italian Sausage Rigatoni in Spicy Cream Sauce makes an easy weeknight meal. The sauce has the perfect balance between tomatoes and cream.
- Prep5 min
- Cook25 min
- Total30 min
- Serves5
- Rating4.9

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.
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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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More Easy Pasta Recipes
- Southern Spaghetti Sauce
- Spicy Tomato Cream Pasta
- Pepperoncini Pasta Sauce
- Pasta with Sausage Cream Sauce
- Creamy Cajun Sausage Pasta
- Italian Sausage Manicotti
Originally posted September 6, 2015.
Ingredients
Steps
- 1
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.
- 2
When sausage is no longer pink, add garlic and cook for 1 minute. Drain off any excess fat.
- 3
Add diced tomatoes, tomato sauce, tomato paste, basil, salt, red pepper flakes, and black pepper and simmer until thickened, about 15 minutes.
- 4
Meanwhile, cook pasta according to package directions. Drain and place drained pasta in a large bowl.
- 5
Add cream and simmer another 5 minutes, Turn heat to low and stir in Parmesan cheese.
- 6
Pour sauce over pasta and toss to coat.
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
- Calories754
- Carbs62
- Protein27
- Fat44
- Sodium1444
- Fiber4
- Sugar7
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