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Creamy sausage rigatoni with Italian sausage in a rich garlic parmesan sauce

Creamy Sausage Rigatoni

Charlotte
This creamy sausage rigatoni is a rich, comforting pasta dinner made with tender rigatoni, savory Italian sausage, and a smooth Parmesan cream sauce. It’s an easy weeknight meal that feels cozy, filling, and restaurant-worthy without complicated steps.
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Prep Time 10 minutes
Cook Time 25 minutes
Total Time 35 minutes
Course Dinner
Cuisine Italian
Servings 4 Servings
Calories 640 kcal

Ingredients
  

Pasta & Protein

Creamy Sauce

Seasonings

Optional Add-Ins

Instructions
 

  • Bring a large pot of salted water to a boil. Cook rigatoni until just al dente. Reserve ½ cup pasta water, then drain and set aside.
  • Heat olive oil in a large skillet over medium heat. Add Italian sausage and cook, breaking it apart, until browned and fully cooked. Transfer sausage to a plate.
  • In the same skillet, add onion and cook for 3–4 minutes until softened. Stir in garlic and cook for 30 seconds until fragrant.
  • Lower heat and pour in heavy cream, stirring gently. Add Parmesan cheese and stir until smooth.
  • Season with salt, pepper, and red pepper flakes.
  • Return sausage to the skillet, then add cooked rigatoni. Toss to coat, adding reserved pasta water a little at a time until sauce reaches desired consistency.
  • Stir in optional add-ins if using. Cook 1–2 minutes more.
  • Serve immediately with extra Parmesan on top.

Notes

  • Use freshly grated Parmesan for the smoothest sauce.
  • Avoid high heat once cream is added to prevent separation.
  • Sauce thickens as it cools—add a splash of cream when reheating if needed.

Nutrition

Calories: 640kcalCarbohydrates: 52gProtein: 28gFat: 36gSaturated Fat: 17gCholesterol: 105mgSodium: 980mgFiber: 3gSugar: 4g
Keyword Creamy Sausage Rigatoni
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