Hearty rigatoni tossed in a rich tomato cream sauce with savory Italian sausage, onions, garlic, and Parmesan. A creamy pasta favorite ready in under 40 minutes.
1 lb rigatoni pasta
1 tbsp olive oil
1 lb Italian sausage (hot or sweet), casings removed
1 small onion, diced
3 garlic cloves, minced
½ tsp red pepper flakes (optional)
1 tsp Italian seasoning
1 (28 oz) can crushed tomatoes
1 tbsp tomato paste (optional)
¾ cup heavy cream
½ cup grated Parmesan
Salt and black pepper to taste
Fresh basil or parsley, for garnish
Reserved pasta water (as needed)
Cook pasta in salted water until al dente. Reserve 1 cup pasta water, then drain.
Brown sausage in oil over medium-high heat. Break into crumbles and cook through.
Add onion and garlic. Sauté 3–4 minutes. Stir in pepper flakes and Italian seasoning.
Add crushed tomatoes and tomato paste. Simmer 8–10 minutes.
Stir in cream and Parmesan. Simmer gently until smooth.
Toss cooked pasta into sauce. Add reserved water if needed to loosen.
Serve hot with basil and more Parmesan.
Use half-and-half or Greek yogurt for lighter sauce
Substitute turkey sausage or plant-based sausage as needed
Top with mozzarella and broil for a baked version