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+ servings
A close-up of hearty rigatoni pasta coated in a rich, creamy Italian sausage sauce, served on a white plate.

Creamy Italian Sausage Rigatoni

This recipe provides instructions for making a creamy rigatoni dish featuring Italian sausage.
Prep Time 15 minutes
Cook Time 30 minutes
Total Time 45 minutes
Servings: 4 people
Course: Dinner, Pasta
Cuisine: Italian

Ingredients
  

For the Pasta and Sauce
  • 1 pound Italian sausage, casings removed Sweet or hot, based on preference
  • 1 tablespoon Olive oil
  • 1 medium Onion, chopped
  • 3 cloves Garlic, minced
  • 1 28 ounce can Crushed tomatoes
  • 1 cup Heavy cream
  • 1/2 cup Parmesan cheese, grated Plus extra for serving
  • 1 teaspoon Dried oregano
  • 1/2 teaspoon Red pepper flakes Optional
  • 1 pound Rigatoni pasta
  • To taste Salt and black pepper

Equipment

  • Large pot
  • Large skillet

Method
 

  1. Cook the rigatoni according to package directions until al dente. Reserve about 1 cup of the pasta water before draining. Set the pasta aside.
  2. While the pasta cooks, heat the olive oil in a large skillet over medium heat. Add the Italian sausage and cook, breaking it up with a spoon, until browned. Drain off excess grease.
  3. Add the chopped onion to the skillet with the sausage and cook until softened, about 5 minutes.
  4. Stir in the minced garlic, dried oregano, and red pepper flakes (if using). Cook for 1 minute until fragrant.
  5. Pour in the crushed tomatoes. Bring the mixture to a simmer and cook for 10 minutes, allowing the flavors to combine.
  6. Reduce the heat to low. Stir in the heavy cream and grated Parmesan cheese. Mix until the sauce is smooth and heated through. Do not boil after adding the cream.
  7. Add the cooked rigatoni to the skillet with the sauce. Toss to coat everything evenly. If the sauce seems too thick, add a little reserved pasta water, a splash at a time, until you reach your desired consistency.
  8. Season with salt and black pepper to taste. Serve immediately with extra Parmesan cheese on top.

Notes

You can substitute ground turkey or ground beef for the Italian sausage if you prefer a different meat base. For a richer flavor, use fresh herbs like basil or parsley instead of dried oregano.

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