Creamy Italian Sausage Pasta
Rigatoni, crumbled sausage and a pink tomato-cream sauce

The short version
Larry's Italian sausage pasta: rigatoni tossed with browned crumbled sausage, garlic, tomato and a splash of cream. One skillet, 30 minutes, weeknight-proof.
- Prep
- 10 min
- Cook
- 20 min
- Total
- 30 min
- Serves
- 4 servings
Ingredients
- 1 lb rigatoni (or penne, orecchiette)
- 1 lb fresh Italian sausage, casings removed (sweet, hot or half and half)
- 1 tablespoon olive oil
- 1 small onion, finely diced
- 4 garlic cloves, sliced
- ½ teaspoon red pepper flakes
- 1 can (28 oz) crushed San Marzano-style tomatoes
- ½ cup heavy cream
- ¾ cup grated Parmigiano-Reggiano, plus more to serve
- Handful of fresh basil, torn
- Salt and black pepper
Instructions
- 01
Start the water. Bring a big pot of well-salted water to a boil. It should taste like the sea — this is the only chance to season the pasta itself.
- 02
Brown the sausage hard. Heat the oil in a wide skillet over medium-high. Add the sausage, press it flat, and leave it alone 3 minutes to build a crust, then break it into bite-size crumbles and cook until no pink remains, about 6 minutes total.
- 03
Build the base. Add the onion to the sausage fat and cook 4 minutes until soft. Add garlic and chili flakes for 1 minute, then pour in the tomatoes and simmer 10 minutes while the pasta cooks.
- 04
Cook the pasta 2 minutes shy. Boil the rigatoni 2 minutes less than the package says. Scoop out a mug of pasta water before draining.
- 05
Finish in the pan. Stir the cream into the sauce, add the pasta and a splash of pasta water, and toss over medium heat 2 minutes until the sauce clings. Off the heat, stir in the Parmigiano and basil.
- 06
Serve right away. Season with salt and pepper, loosen with more pasta water if needed, and serve with extra cheese at the table.
Larry’s rule: Don't stir the sausage the second it hits the pan. That first undisturbed crust is where the flavor of the whole sauce comes from. Skip the cream and you've got a classic red sausage rigatoni.
Quoting or citing this recipe? Credit “Uncle Larry Adventures” and link to this page (https://unclelarryadventures.com/recipes/italian-sausage-pasta).