If you’re craving a dish that brings together rich flavors, comforting creaminess, and a satisfying bite, this Creamy Sausage Rigatoni Recipe is about to become your new favorite go-to. It’s the perfect blend of savory Italian sausage and luscious Parmesan-infused cream sauce, all hugging al dente rigatoni pasta beautifully. Every forkful is bursting with warmth and depth, making this recipe an absolute winner for busy weeknights or cozy dinners with friends and family.

Ingredients You’ll Need
Gathering simple, fresh ingredients is the first step toward creating this irresistible Creamy Sausage Rigatoni Recipe. Each element plays a key role in balancing flavors, textures, and colors, making the dish both comforting and visually inviting.
- 12 oz rigatoni pasta: The ridged tubes are perfect for holding onto the creamy sauce and sausage bits.
- Salt (for boiling water): Essential to season the pasta right from the start, enhancing overall flavor.
- 1 tablespoon olive oil: Adds richness and helps brown the sausage evenly.
- 1 lb Italian sausage (mild or spicy, casings removed): The star protein, offering a hearty and flavorful punch.
- 1 small yellow onion, finely chopped: Provides sweetness and depth when sautéed.
- 3 garlic cloves, minced: Gives a fragrant, savory base that makes the sauce irresistible.
- 1 cup heavy cream (substitute coconut milk for dairy-free): Creates the luscious, velvety texture that coats every pasta piece.
- 1 cup freshly grated Parmesan cheese: Adds salty, nutty complexity that elevates the sauce.
- 1 teaspoon Italian seasoning: A blend of herbs that imparts authentic Italian flair.
- Salt and pepper, to taste: Simple yet crucial for balancing and enhancing flavors.
- ½ cup reserved pasta water (optional, for adjusting sauce): Helps thin the sauce to your preferred consistency without losing creaminess.
- Fresh parsley, chopped (for garnish): Adds a fresh, vibrant burst of color and flavor to finish the dish.
How to Make Creamy Sausage Rigatoni Recipe
Step 1: Boil the Pasta Perfectly
Start by boiling your rigatoni in plenty of salted water according to the package instructions. This step is crucial to get that pasta cooked just right — tender but with a little bite. Remember to reserve about half a cup of the pasta water before draining as it’s a secret ingredient to help adjust your sauce’s texture later on.
Step 2: Brown the Sausage
Next, heat olive oil in a large skillet over medium heat. Add your Italian sausage after removing the casings, breaking it up into smaller pieces with a spatula. Cook until it’s beautifully browned and cooked through, about 6 to 8 minutes. Browning the sausage well adds that deep, meaty flavor base you want in your sauce.
Step 3: Sauté the Aromatics
Now add chopped onions to the skillet with the browned sausage. Cook them for 2 to 3 minutes until they soften and become fragrant. Toss in the minced garlic and sauté for another 30 seconds — just enough to bring out their aromatic magic without burning.
Step 4: Create the Creamy Sauce
Pour heavy cream into the skillet and sprinkle in your Italian seasoning. Stir gently as the mixture comes to a gentle simmer. Gradually add in the freshly grated Parmesan cheese, stirring constantly until it melts smoothly into the cream, transforming it into a silky, flavorful sauce.
Step 5: Combine Pasta and Sauce
Return the cooked rigatoni to the skillet and toss to coat every tube in that luscious sauce and sausage mixture. If the sauce feels too thick, add reserved pasta water a little at a time — this keeps it smooth and perfectly clingy without becoming watery.
Step 6: Season and Serve
Give it a taste and adjust the seasoning with salt and pepper as needed. Sprinkle freshly chopped parsley on top to brighten both the look and flavor. Serve your Creamy Sausage Rigatoni Recipe warm and watch it disappear fast!
How to Serve Creamy Sausage Rigatoni Recipe

Garnishes
Fresh parsley is a classic garnish that adds a pop of color and a hint of herbal freshness to balance the rich creaminess. You can also try a sprinkle of extra Parmesan or a pinch of crushed red pepper flakes for a little kick.
Side Dishes
This dish pairs beautifully with a crisp green salad dressed in a light vinaigrette, which cuts through the richness. Garlic bread or warm crusty bread is another perfect companion to scoop up every last bit of sauce.
Creative Ways to Present
For a fun twist, serve the creamy sausage rigatoni in individual oven-safe ramekins, topped with extra cheese and broiled for a couple of minutes to get a bubbly, golden crust. It’s like a restaurant experience right at home!
Make Ahead and Storage
Storing Leftovers
Keep any leftover creamy sausage rigatoni in an airtight container in the refrigerator for up to 3 days. The flavors meld wonderfully overnight, but the pasta will remain best within this time frame.
Freezing
While it’s best enjoyed fresh, you can freeze the dish in a freezer-safe container for up to 2 months. To avoid texture changes, it’s preferable to freeze without the fresh parsley garnish and add it after reheating.
Reheating
Reheat gently on the stovetop over low heat, stirring frequently and adding a splash of cream or pasta water to restore the silky sauce consistency. The microwave works too but be sure to heat in short intervals to avoid drying out.
FAQs
Can I use spicy sausage for this recipe?
Absolutely! Using spicy Italian sausage gives the dish a delightful heat that contrasts beautifully with the creamy sauce. Just adjust the quantity according to your spice preference.
Is there a dairy-free version of the Creamy Sausage Rigatoni Recipe?
Yes! Substitute heavy cream with full-fat coconut milk or other plant-based cream alternatives, and use a vegan Parmesan-style cheese to keep that creamy, cheesy flavor without dairy.
Can I make this ahead of time for guests?
You can prepare the sauce and sausage mixture in advance and cook the pasta right before serving for the freshest texture. Alternatively, reheat everything gently while adding a little pasta water to keep it creamy.
What pasta can I use if I don’t have rigatoni?
Penne or ziti are great substitutes since they have similar shapes that trap the sauce nicely. Fusilli or rotini also work well if you prefer spirals to tubes.
How do I know when the sausage is fully cooked?
The sausage should be browned all over with no pink spots remaining inside. Breaking it into small pieces helps it cook evenly in about 6 to 8 minutes. Cooking it thoroughly ensures the best flavor and food safety.
Final Thoughts
You really can’t go wrong with this creamy, hearty, and downright delicious Creamy Sausage Rigatoni Recipe in your dinner rotation. It’s a comforting hug on a plate that’s surprisingly easy to pull together any night of the week. I can’t wait for you to make it and share the joy it brings around your table.
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Creamy Sausage Rigatoni Recipe
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Total Time: 30 minutes
- Yield: 4 to 4 servings
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
Description
Creamy Sausage Rigatoni is a comforting Italian-inspired pasta dish featuring tender rigatoni noodles tossed with savory Italian sausage and a rich, smooth Parmesan cream sauce. Perfectly seasoned with garlic, onion, and Italian herbs, this recipe is ideal for a hearty weeknight dinner that comes together quickly.
Ingredients
Pasta
- 12 oz rigatoni pasta
- Salt (for boiling water)
For the Sausage and Sauce
- 1 tablespoon olive oil
- 1 lb Italian sausage (mild or spicy, casings removed)
- 1 small yellow onion, finely chopped
- 3 garlic cloves, minced
- 1 cup heavy cream (substitute coconut milk for dairy-free)
- 1 cup freshly grated Parmesan cheese
- 1 teaspoon Italian seasoning
- Salt and pepper, to taste
- ½ cup reserved pasta water (optional, for adjusting sauce)
Garnish
- Fresh parsley, chopped (for garnish)
Instructions
- Boil Pasta: Bring a large pot of salted water to a boil. Add rigatoni pasta and cook according to package instructions until al dente. Before draining, reserve ½ cup of the pasta cooking water for later use.
- Brown the Sausage: Heat olive oil in a large skillet over medium heat. Add the Italian sausage, breaking it apart with a spatula. Cook for 6 to 8 minutes until browned and fully cooked through.
- Sauté Aromatics: Add finely chopped onion to the skillet with the sausage and cook until soft and translucent, about 2 to 3 minutes. Stir in minced garlic and sauté for an additional 30 seconds until fragrant.
- Make the Sauce: Pour in the heavy cream and sprinkle in Italian seasoning. Bring the mixture to a gentle simmer. Gradually stir in freshly grated Parmesan cheese, stirring constantly until the sauce is smooth and creamy.
- Combine Pasta and Sauce: Add the cooked rigatoni to the skillet and toss well to coat the pasta evenly with the creamy sausage sauce. If the sauce is too thick, add some reserved pasta water a little at a time until desired consistency is reached.
- Season and Serve: Taste the pasta and adjust seasoning with salt and freshly ground black pepper as needed. Garnish with chopped fresh parsley. Serve the dish warm and enjoy.
Notes
- Reserve pasta water to adjust sauce consistency, as it helps the sauce adhere better to the pasta.
- For a dairy-free version, substitute heavy cream with coconut milk and Parmesan with a dairy-free cheese alternative.
- You can use mild or spicy Italian sausage depending on your heat preference.
- Make sure to remove casings from the sausage for easy browning and crumbling.
- Fresh parsley garnish adds color and a hint of freshness to balance the rich sauce.

