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Creamy Italian Sausage Rigatoni is a rich and comforting pasta dish that’s bursting with flavor. This meal brings together savory sausage, tender rigatoni, and a velvety, cream-based sauce that clings to every bite.

Helpful Tips
- Grate fresh Parmesan: Opt for freshly grated Parmesan for this dish. Pre-grated cheese may be a time saver but has added ingredients that will keep it from melting.
- Cook pasta al dente: Be sure to cook the rigatoni until just al dente, since it will finish cooking in the sauce, soaking up all that creamy goodness without getting mushy. This usually means cooking the pasta 2-3 minutes less than the package instructs.
- Reserve pasta water: Save about 1/2 cup of pasta water before draining. Adding a little to your sauce helps thin it out and creates a silky, smooth texture.
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Creamy Italian Sausage Rigatoni
Ingredients
- 8 ounces (227 g) rigatoni
- 1 tablespoon (14 g) butter
- 1 tablespoon (15 ml) extra virgin olive oil
- 1/2 pound (227 g) Jimmy Dean’s Sage sausage or other Italian sausage
- 1/2 cup (80 g) onion chopped
- 2 cups (192 g) chopped mushrooms
- 2 cloves garlic minced
- 1/2 cup (118 ml) heavy cream
- 1 can petite chopped tomatoes drained
- 2 cups (60 g) baby spinach
- 1 teaspoon (2 g) Italian seasoning
- Salt and pepper to taste
- 1/2 cup (50 g) grated parmesan cheese plus more for serving
Instructions
- Boil a pot of salted water for the pasta. Cook according to the package instructions to just shy of al dente (a few minutes less than the package suggests). Reserve 1/4 cup cooking water and drain the pasta.
- In a large skillet over medium-high heat, melt together the butter and olive oil. Add the sausage, onions, and mushrooms. Cook until the sausage is browned, about 6 minutes, breaking it up into small pieces as it cooks.
- Add the garlic and cook for 30 seconds.
- Add the heavy cream. Lower the heat to medium. Stir and simmer for 3-4 minutes.
- Add the drained tomatoes, spinach, and Italian seasoning. Cook until the spinach wilts. Season to taste with salt and pepper.
- Add the cooked pasta, Parmesan cheese, and pasta water to the skillet. Stir and simmer for a few minutes, until the pasta has thickened.
- Serve with additional grated parmesan.
Video
Notes
- Choose freshly grated Parmesan for this dish. Pre-grated cheese may be a time-saver but has added ingredients that will keep it from melting.
- Be sure to cook the rigatoni until just al dente, since it will finish cooking in the sauce, soaking up all that creamy goodness without getting mushy. This usually means cooking the pasta 2-3 minutes less than the package instructs.
- Save about 1/2 cup of pasta water before draining. Adding a little to your sauce helps thin it out and creates a silky, smooth texture.
Nutrition
Before You Go
Since you made it to the end of this article, you may be interested in more Dinner and a Side pasta dishes. Here are a few more articles we think you might enjoy.

Angela’s passion for discovering and experimenting with new flavors and recipes is at the heart of her culinary philosophy. Residing in a quaint Oregon town, she finds joy and inspiration in her kitchen. Angela has a lot of expertise in cooking and she eagerly shares her discoveries and unique creations with you.