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Creamy Sausage Rigatoni – A Rich & Comforting Pasta Favorite

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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.

Ingredients

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  • 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)

Instructions

  • 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.

Notes

  • 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