Go Back
Creamy sausage rigatoni with spinach and tomato cream sauce served in a bowl

Creamy Sausage Rigatoni with Spinach, Garlic, and Tomato Cream Sauce

This creamy sausage rigatoni is a hearty and flavorful dish, perfect for a satisfying weeknight meal. It combines savory sausage with tender rigatoni, spinach, garlic, and a rich tomato cream sauce.
Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Servings 4 people
Calories 650 kcal

Equipment

  • Large pot
  • Large skillet

Ingredients
  

Main Ingredients

  • 16 ounces rigatoni
  • 1 pound Italian sausage casings removed
  • 1 tablespoon olive oil
  • 1 medium yellow onion diced
  • 4 cloves garlic minced
  • 28 ounces canned crushed tomatoes
  • 1 cup heavy cream
  • 5 ounces fresh spinach
  • 0.5 cup Parmesan cheese grated, plus more for serving
  • fresh basil chopped for garnish
  • Salt and black pepper to taste

Instructions
 

Cooking Instructions

  • Cook rigatoni according to package directions in salted water, then drain and set aside, reserving 1 cup of pasta water.
  • Brown Italian sausage in a large skillet over medium-high heat, breaking it apart with a spoon.
  • Drain excess fat, then add olive oil and diced onion to the skillet, cooking until softened.
  • Stir in minced garlic and cook for another minute until fragrant.
  • Pour in crushed tomatoes and bring the sauce to a simmer, cooking for 10-15 minutes to allow flavors to meld.
  • Reduce heat to low, stir in heavy cream, and add fresh spinach, cooking until it wilts.
  • Add cooked rigatoni and grated Parmesan to the skillet, tossing to coat.
  • If the sauce is too thick, add reserved pasta water a little at a time until desired consistency is reached.
  • Season with salt and pepper to taste, then garnish with fresh basil and serve immediately with extra Parmesan.

Notes

For a spicier kick, use hot Italian sausage or add a pinch of red pepper flakes with the garlic. You can also add other vegetables like bell peppers or mushrooms for extra flavor and nutrients.