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Creamy Italian Sausage Rigatoni

This creamy Italian sausage rigatoni is rich, comforting, and perfect for a weeknight dinner or entertaining guests, featuring a flavorful tomato cream sauce and perfectly cooked rigatoni.
Prep Time 10 minutes
Cook Time 30 minutes
Total Time 40 minutes
Course Dinner, Main Course
Cuisine Italian
Servings 6 servings

Ingredients
  

Pasta and Sauce Ingredients

  • 2 Tablespoons extra-virgin olive oil
  • 1 large onion, diced
  • 4 cloves garlic, minced
  • 1.5 lbs Italian beef sausage Use 1 lb if you prefer less meat
  • 2 28-ounce cans whole or crushed tomatoes If using whole, purée before adding
  • 1/4 cup fresh basil, chopped Or 1 Tbsp dried
  • 1/4 cup fresh oregano, chopped Or 1 Tbsp dried
  • 1 teaspoon red chili flakes Adjust for heat
  • 2 teaspoons salt Plus more to salt pasta water
  • 1 teaspoon freshly ground black pepper
  • 1.5 cups heavy cream
  • 1.5 cups grated Parmesan cheese Divided - 1 cup into sauce, 1/2 cup for garnish
  • 1 lb rigatoni pasta

Instructions
 

Cooking

  • Heat a large pot or deep skillet over medium heat. Add the olive oil.
  • Add the diced onion. Cook for 7–8 minutes until soft and translucent, stirring occasionally.
  • Add the minced garlic and Italian beef sausage. Break up the beef sausage with a spoon and brown for 7–8 minutes until nicely caramelized. Drain excess fat if needed.
  • Pour in the canned tomatoes. If using whole tomatoes, purée them in a blender first for a smooth sauce.
  • Stir in the chopped basil, chopped oregano, red chili flakes, salt, and pepper. Bring to a boil, then lower the heat to simmer for 5–7 minutes.
  • Meanwhile, bring a large pot of water to a rolling boil. Add a generous pinch of salt, then add the rigatoni and cook for 9–11 minutes for al dente.
  • Stir in the heavy cream and 1 cup of Parmesan into the sauce. Simmer on medium-low for 5–7 minutes until smooth and slightly thickened. Taste and adjust salt/pepper.
  • Drain the pasta and add the hot rigatoni to the sauce. Toss gently to coat each piece. If the sauce is too loose, simmer for another 10 minutes to reduce.
  • Plate the pasta and garnish with the remaining 1/2 cup Parmesan and extra fresh basil. Serve immediately.

Notes

For a lighter sauce, swap heavy cream for half-and-half, but reduce simmer time. For dairy-free, use coconut cream and a vegan Parmesan alternative. Pair with a crisp green salad, crusty bread, a medium-bodied beef broth.
Keyword Creamy Pasta, Italian Comfort Food, Pasta Recipe, Sausage Rigatoni, Weeknight Dinner