
By Carol Bee Cooks
Hot Italian Sausage Tomato Cream Sauce with Rigatoni
7 steps
Prep:5minCook:40min
Hot Italian sausages mixed with tomatoes create a spicy and flavorful tomato sauce while a splash of cream creates perfect balance and just enough richness. Add in plenty of spinach and herbs of your choice for freshness and a complete meal.
Updated at: Mon, 18 Aug 2025 21:42:20 GMT
Nutrition balance score
Good
Glycemic Index
51
Low
Glycemic Load
37
High
Nutrition per serving
Calories622 kcal (31%)
Total Fat24.4 g (35%)
Carbs72.8 g (28%)
Sugars10.7 g (12%)
Protein24.9 g (50%)
Sodium659 mg (33%)
Fiber5.9 g (21%)
% Daily Values based on a 2,000 calorie diet
Ingredients
6 servings

2Shallot
minced

6cloves garlic
minced

2 teaspoonextra virgin olive oil

1 lbItalian Pork Sausage
Ground Hot, if using links, remove casing

½ cupwhite wine
dry

4 tablespoontomato paste

29 ozTomato Sauce
canned tomato sauce

1 teaspoonitalian seasoning

1 teaspoondried basil

½ teaspoonkosher salt

½ teaspoonblack pepper

½ cupHalf and half
can use heavy cream for a richer sauce, use more or less cream to taste

5 ozbaby spinach

1 lbrigatoni

Grated Parmesan

Fresh Basil

Fresh Parsley
Optional, to serve
Instructions
Step 1
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.
Step 2
Add Italian sausage to pan and break into small pieces with a wooden spoon. Sauté for several minutes until sausage is almost cooked.
Step 3
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.
Step 4
Pour in tomato sauce then add in Italian seasoning, basil, salt, and black pepper. Stir to combine and let simmer for about 10 minutes.
Step 5
Lower heat and ad cream, stirring until combined. Add in baby spinach and mix into sauce until wilted.
Step 6
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.
Step 7
Plate the pasta and serve with grated parmesan and fresh herbs as desired.
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