Italian
Creamy Tomato Sausage Pasta
Italian sausage and crushed tomato simmer into a short pasta sauce, with just enough cream to round the edges. It tastes slower than the half hour it takes.
- Prep
- 10 min
- Cook
- 20 min
- Total
- 30 min
- Servings
- 4
- Difficulty
- Easy

Why you’ll love it
- The cream is a measured splash, not a pint.
- Sausage is browned before the tomato so it tastes like meat, not boiled sausage.
- The pasta water does the last bit of loosening.
- It is one of the easier comfort plates in the kitchen.
Ingredients
Ingredient amounts scale. Oven temperature and cook time do not. Salt, spices, and leaveners are a starting point after you scale. Taste and adjust.
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Instructions
- 1
Boil the rigatoni in salted water until al dente. Reserve 1 cup pasta water and drain.
- 2
Brown the sausage in a large skillet over medium-high, breaking it up, until no pink remains, about 6 minutes. Spoon off extra fat.
- 3
Add the garlic for 30 seconds. Stir in the tomatoes, salt, and pepper. Simmer 6 minutes.
- 4
Stir in the cream and simmer 2 minutes. Do not boil hard after the cream goes in.
- 5
Add the pasta and enough pasta water to make the sauce cling.
- 6
Finish with parmesan and basil.
Pro tips
- If the sausage is very fatty, pour off all but a tablespoon before the garlic.
- Cream can split if the sauce is at a rolling boil. Keep it at a gentle simmer.
- Taste the salt. Sausage and parmesan both bring some.
Easy substitutions
- Italian sausage
- Ground turkey plus 1 tsp fennel seed, cooked to 165°F.
- Heavy cream
- Half-and-half. Simmer it an extra minute.
- Rigatoni
- Penne.
Storage and reheating
Storage
Refrigerate up to 3 days.
Reheating
Warm with a splash of water or milk so the sauce comes back together.
Nutrition
Estimates per serving, using standard ingredient averages and rounded to the nearest gram. This is not a lab analysis, and it shifts if you change brands or add sides.
- Calories
- 680
- Protein
- 30 g
- Carbs
- 62 g
- Fat
- 34 g
- Fiber
- 4 g
Moderate · Stovetop · High Protein
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From the kitchen
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A heavy 12-inch skillet
Most of the chicken and steak recipes are written for one pan that holds heat. Stainless or cast iron both work.
An air fryer with a real basket
The air-fryer recipes expect a single layer. A crowded basket steams instead of browning.
A half-sheet pan
Drumsticks, potatoes, sausage, and carrots all use one. A dark pan browns faster than a very shiny one.
A sharp chef’s knife
These recipes do not need a specialty blade. A sharp 8-inch knife is faster and safer than a dull one.
A large cutting board
Big enough that the onion and the raw chicken are not sharing the same puddle.
Dry cups and a liquid cup
Desserts in particular expect level dry measures and a separate cup for milk.
An instant-read thermometer
Use it for poultry, pork chops, and meatloaf. Color is a weak guide.
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