Creamy Italian Sausage Rigatoni is a bold and comforting pasta dish made with spicy sausage, garlic, crushed tomatoes, and Parmesan cream sauce — ready in under 30 minutes.
12 oz rigatoni pasta
1 lb Italian sausage (hot or mild)
1 tbsp olive oil
1 small onion, diced
3 garlic cloves, minced
2 tbsp tomato paste
1 (14 oz) can crushed tomatoes
½ cup heavy cream
½ cup Parmesan cheese, grated
Salt & pepper, to taste
½ tsp red pepper flakes (optional)
Fresh parsley or basil, for garnish
Reserved pasta water
Cook pasta until al dente. Reserve 1 cup water, then drain.
Brown sausage in olive oil. Add onion and garlic, cook until soft.
Stir in tomato paste, then crushed tomatoes. Simmer 5–7 minutes.
Add cream and Parmesan. Simmer until thickened.
Toss in cooked pasta. Add pasta water if needed.
Garnish and serve hot.
For extra veggies, stir in spinach or mushrooms. Swap in chicken or plant-based sausage for dietary needs.