Italian Sausage Tomato Cream Sauce Rigatoni
Updated Jan 02, 2023, Published on Dec 28, 2021
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I’m a sucker for all things tomato mixed with cream. Chicken tikka masala, penne alla vodka, creamy tomato soup – you name it. Therefore, I naturally loved this pasta recipe I created that combines hot Italian sausage mixed right into a delicious tomato cream sauce. This recipe requires very little prep. Just mince up some shallots/garlic and measure a few other ingredients. This dish has pasta, Italian Sausage, and spinach all in the same pot so you easily have a complete dinner. Serve your whole family, a group of friends, or make this as a yummy meal prep for the week. This Italian Sausage Tomato Cream Sauce Rigatoni would also pair nicely with some crusty bread and/or a side salad.
Feel free to modify to your liking by substituting heavy cream instead of half and half for an even creamier tomato cream sauce. Similarly, the amount of half and half or heavy cream can be adjusted to your preference. I hope you enjoy!

If you give this Italian Sausage Tomato Cream Sauce Rigatoni a try, feel free to rate/review!

Hot Italian Sausage Tomato Cream Sauce with Rigatoni
Equipment
Ingredients
- 2 Shallot, minced
- 6 cloves Garlic, minced
- 2 teaspoon Extra Virgin Olive Oil
- 1 lb Ground Hot Italian Pork Sausage, if using links, remove casing
- 1/2 cup White Wine, dry
- 4 tablespoon Tomato Paste
- 29 oz Tomato Sauce, canned tomato sauce
- 1 teaspoon Italian Seasoning
- 1 teaspoon Dried Basil
- 1/2 teaspoon Kosher Salt
- 1/2 teaspoon Black Pepper
- 1/2 cup Half and half, can use heavy cream for a richer sauce, use more or less cream to taste
- 5 oz Baby Spinach
- 1 lb Rigatoni
- Grated Parmesan, Fresh Basil, Fresh Parsley, Optional, to serve
Instructions
- Heat olive oil in a large sauté pan or Dutch oven over medium heat. Add minced shallots and garlic and cook for 2 minutes until fragrant.
- Add Italian sausage to pan and break into small pieces with a wooden spoon. Sauté for several minutes until sausage is almost cooked.
- Pour in white wine and simmer for a few minutes. Next, mix in tomato paste and stir frequently and cook about 5 minutes until the tomato paste starts to darken and caramelize.
- Pour in tomato sauce then add in Italian seasoning, basil, salt, and black pepper. Stir to combine and let simmer for about 10 minutes.
- Lower heat and ad cream, stirring until combined. Add in baby spinach and mix into sauce until wilted.
- Meanwhile, cook rigatoni and add directly to the sauce once al dente. Combine with the sauce. Stir in some starchy pasta water as needed to loosen up the sauce.
- Plate the pasta and serve with grated parmesan and fresh herbs as desired.
Video
@carolbeecooks Full recipe on my blog! Hot Italian sausage tomato cream sauce with rigatoni 🔥 #pastarecipe #pastatiktok #italiansausage #rigatoni
♬ original sound – carlykrupp
Nutrition
Nutrition information is automatically calculated, so should only be used as an approximation.








So so good! Classic flavors. Felt like an italian restaurant at home. Also, rigatoni is fun to eat 🙂