Rigatoni Pasta with Italian Sausage, Tomato, and Cream Sauce Recipe
Introduction
This rigatoni pasta recipe combines hearty Italian sausage with a creamy tomato sauce for a comforting and flavorful meal. Perfect for a weeknight dinner, it’s easy to prepare and sure to please the whole family.

Ingredients
- 12 ounces rigatoni pasta
- 1/2 cup pasta water
- 1 tablespoon olive oil
- 6 cloves garlic, minced
- 1 tablespoon Italian seasoning
- 1 pound ground Italian sausage
- 28 ounce can crushed tomatoes
- 3/4 cup heavy cream
- 1/4 cup fresh chopped basil, plus more for garnish
- Shredded Parmesan for garnish
- Kosher salt
- Black pepper
Instructions
- Step 1: Cook the rigatoni pasta according to package directions until al dente. Reserve 1/2 cup of the pasta water before draining.
- Step 2: While the pasta cooks, heat olive oil in a large sauté pan over medium-low heat.
- Step 3: Add minced garlic and Italian seasoning to the pan. Cook, stirring constantly, for 30 to 60 seconds, being careful not to brown or burn the garlic.
- Step 4: Add the ground Italian sausage to the pan. Increase heat to medium-high and cook, breaking up the sausage with a spatula, until browned and cooked through.
- Step 5: Stir in the crushed tomatoes, heavy cream, chopped basil, and season with kosher salt and black pepper. Cook for a few minutes until the sauce is warmed through.
- Step 6: Add the cooked rigatoni and a splash of the reserved pasta water to the sauce. Toss everything together to coat the pasta evenly.
- Step 7: Garnish with additional basil and shredded Parmesan cheese before serving.
Tips & Variations
- For a spicier dish, add red pepper flakes when cooking the garlic and Italian seasoning.
- Substitute ground turkey or chicken for a lighter version of the sausage.
- Add sautéed mushrooms or spinach for extra vegetables and flavor.
- If you prefer a thicker sauce, simmer it a bit longer before adding pasta.
Storage
Store any leftover pasta in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stove with a splash of water or pasta water to loosen the sauce and prevent drying out.
How to Serve

Serve this delicious recipe with your favorite sides.
FAQs
Can I use a different type of pasta?
Yes, you can substitute rigatoni with penne, ziti, or any pasta shape that holds sauce well.
Is it possible to make this recipe vegetarian?
Absolutely! Replace the Italian sausage with a plant-based sausage or use sautéed vegetables like mushrooms and bell peppers for a vegetarian version.
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Rigatoni Pasta with Italian Sausage, Tomato, and Cream Sauce Recipe
- Total Time: 30 minutes
- Yield: 4 servings 1x
Description
This creamy rigatoni pasta recipe combines al dente rigatoni with a flavorful Italian sausage tomato sauce enriched with heavy cream and fresh basil. It’s a comforting and hearty dish perfect for a satisfying weeknight dinner or special occasion.
Ingredients
Protein & Dairy
- 1 pound ground Italian sausage
- 3/4 cup heavy cream
- Shredded Parmesan for garnish
Pasta & Liquids
- 12 ounces rigatoni pasta
- 1/2 cup pasta water (reserved from cooking pasta)
Vegetables & Herbs
- 6 cloves garlic, minced
- 1/4 cup fresh chopped basil, plus more for garnish
Pantry Essentials & Seasonings
- 1 tablespoon olive oil
- 1 tablespoon Italian seasoning
- 28 ounce can crushed tomatoes
- Kosher salt, to taste
- Black pepper, to taste
Instructions
- Cook the Pasta: Bring a large pot of salted water to a boil. Add the rigatoni and cook according to package instructions until al dente. Before draining, reserve 1/2 cup of the pasta water and set aside. Drain the pasta and set aside.
- Sauté Garlic and Seasonings: In a large sauté pan, heat 1 tablespoon olive oil over medium-low heat. Add minced garlic and 1 tablespoon Italian seasoning, stirring constantly for 30 to 60 seconds to release flavors without burning the garlic.
- Cook the Sausage: Increase heat to medium-high and add the ground Italian sausage to the pan. Use a spatula to crumble the meat and cook until browned and fully cooked through.
- Make the Sauce: Stir in the crushed tomatoes, heavy cream, and fresh chopped basil. Season with kosher salt and black pepper to taste. Allow the sauce to simmer gently for a few minutes until heated through and flavors meld.
- Toss Pasta with Sauce: Add the cooked rigatoni to the sauce along with a splash of the reserved pasta water. Toss everything together thoroughly to coat the pasta evenly in the creamy tomato sausage sauce.
- Garnish and Serve: Plate the pasta and garnish generously with additional fresh basil and shredded Parmesan cheese. Serve immediately and enjoy!
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Notes
- Reserve pasta water to help loosen the sauce if it becomes too thick.
- Use mild or spicy Italian sausage depending on your heat preference.
- Fresh basil adds bright flavor—don’t skip it.
- For a lighter option, substitute heavy cream with half-and-half or evaporated milk.
- Garnish with extra Parmesan for a richer taste.
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
Keywords: rigatoni pasta recipe, Italian sausage pasta, creamy pasta sauce, weeknight dinner, Italian comfort food