If you’re on the hunt for a pasta dish that’s pure comfort with a serious wow factor, look no further than this Creamy Garlic Sausage Alfredo Rigatoni Recipe. It’s that magical combination of golden-browned Italian sausage, meltingly tender rigatoni, and a velvety sauce that’s loaded with garlic and Parmesan. Every bite is rich, luscious, and just a little bit indulgent — the kind of dinner you’ll crave after a long day, and the one your family will cheer for (trust me, mine always does!). Whether you’re cooking for a cozy night in or want to impress friends, this Creamy Garlic Sausage Alfredo Rigatoni Recipe brings Italian-American comfort right to your table in just 30 minutes.

Ingredients You’ll Need
One of the best things about this dish is how simple but essential the ingredients are — each one plays a starring role, from the robust sausage to the creamy sauce and the perfectly chewy pasta. The color, flavor, and texture all come together to make something seriously special.
- Rigatoni Pasta (12 ounces): These big tubes soak up every bit of creamy sauce, and their sturdy shape holds up beautifully to the heartiness of sausage.
- Olive Oil (1 tablespoon): Adds a subtle fruitiness and helps brown the sausage for extra flavor.
- Italian Sausage, mild or spicy (1 pound, casings removed): The star protein! Mild gives a classic flavor, while spicy brings a little kick.
- Garlic, minced (4 cloves): Essential for that irresistible aromatic depth in the Alfredo sauce.
- Unsalted Butter (2 tablespoons): Adds richness and helps the sauce emulsify into something silky.
- Heavy Cream (2 cups): The secret to that decadent, ultra-creamy sauce.
- Parmesan Cheese, grated (1 cup): Salty, nutty, and absolutely necessary for Alfredo magic.
- Salt (1/2 teaspoon): Brings out all the flavors in the sauce and sausage.
- Black Pepper (1/4 teaspoon): Adds a gentle warmth that balances the creaminess.
- Crushed Red Pepper Flakes (1/4 teaspoon, optional): For a little heat — totally up to your spice level!
- Fresh Parsley, chopped (1/4 cup, optional): Brightens everything up with a pop of color and freshness.
- Extra Parmesan for serving: Because more cheese is always a good idea.
How to Make Creamy Garlic Sausage Alfredo Rigatoni Recipe
Step 1: Cook the Rigatoni
Start by bringing a large pot of salted water to a boil. Add the rigatoni and cook according to package directions until just al dente — the pasta should have a little bite, since it’ll finish in the sauce. Before draining, scoop out about 1/2 cup of the pasta water (this starchy liquid is liquid gold for adjusting the sauce later). Drain the pasta and set it aside.
Step 2: Brown the Sausage
Heat the olive oil in a large skillet over medium heat. Add the Italian sausage (casings removed), breaking it up with a spoon as it cooks. Sauté until the sausage is beautifully browned and cooked through, about 5 to 7 minutes. Browning is key here — those little crispy bits mean big flavor!
Step 3: Sauté the Garlic
With the sausage still in the pan, sprinkle in the minced garlic. Stir it around for about a minute, just until it’s fragrant. Be careful not to burn it — you want that mellow, sweet garlic aroma, not bitterness.
Step 4: Make the Creamy Alfredo Sauce
Turn the heat down to low and add the butter to the skillet. Once it’s melted, pour in the heavy cream and bring everything to a gentle simmer. Let it bubble away for 3 to 4 minutes, stirring occasionally, until it starts to thicken slightly and coats the back of a spoon. This is when the sauce really turns dreamy!
Step 5: Finish the Sauce
Add the grated Parmesan, salt, black pepper, and (if you like a little heat) the crushed red pepper flakes. Stir until the cheese melts and the sauce is smooth, creamy, and luscious. Taste and adjust the seasoning if needed — don’t be shy with the Parmesan!
Step 6: Combine Everything
Add the cooked rigatoni to the skillet, tossing gently to coat every piece in that garlicky Alfredo sauce. If the sauce seems too thick, drizzle in a bit of the reserved pasta water until you get the perfect silky consistency. Stir until everything is well combined and heated through.
Step 7: Garnish and Serve
Sprinkle with plenty of fresh parsley for color and brightness, and shower with extra Parmesan at the table. Serve your Creamy Garlic Sausage Alfredo Rigatoni Recipe piping hot, and get ready for happy smiles all around!
How to Serve Creamy Garlic Sausage Alfredo Rigatoni Recipe

Garnishes
A shower of freshly grated Parmesan is non-negotiable here! For even more color and a fresh finish, add a handful of chopped parsley right before serving. If you’re feeling fancy, a little lemon zest or a drizzle of good olive oil can make your Creamy Garlic Sausage Alfredo Rigatoni Recipe extra special.
Side Dishes
This rich, cozy pasta pairs beautifully with a simple green salad (think peppery arugula or crisp romaine), or some garlicky roasted vegetables. Warm, crusty bread is practically a must for sopping up every last drop of sauce!
Creative Ways to Present
Try spooning the rigatoni into individual serving bowls, topping with extra sausage crumbles and a sprinkle of chili flakes for restaurant flair. For a family-style feast, pile everything high on a big platter and let everyone help themselves. Or go rustic and serve right from the skillet at the table — it’s a showstopper either way.
Make Ahead and Storage
Storing Leftovers
If you have leftovers (lucky you!), let the pasta cool to room temperature, then transfer to an airtight container. It will keep well in the fridge for up to three days. The sauce may thicken as it sits, but that’s easily fixed when reheating.
Freezing
Want to make your Creamy Garlic Sausage Alfredo Rigatoni Recipe ahead? You can freeze it! Simply place cooled portions in freezer-safe containers or zip-top bags. Thaw overnight in the fridge before reheating. Note that the sauce may separate a bit after freezing, but a splash of cream and a good stir will bring it back to life.
Reheating
Gently reheat on the stovetop over low heat, adding a splash of milk or cream to loosen up the sauce as needed. If you’re in a hurry, the microwave works too — just cover and heat in short bursts, stirring in between, until piping hot.
FAQs
Can I use a different type Main Course
Absolutely! While rigatoni is perfect for holding all that creamy sauce, penne, ziti, or even fettuccine would work well in this Creamy Garlic Sausage Alfredo Rigatoni Recipe. Use whatever you have on hand or your favorite shape.
Is it possible to make this dish lighter?
Yes! For a lighter version, swap the heavy cream for half-and-half or even a mixture of milk and cream. The sauce will be a bit thinner but still delicious, and you’ll save a few calories without losing that creamy texture.
Can I make this recipe gluten-free?
Definitely. Just use your favorite gluten-free pasta and double-check that your sausage and Parmesan are gluten-free as well. The rest of the ingredients in this Creamy Garlic Sausage Alfredo Rigatoni Recipe are naturally gluten-free!
What vegetables can I add?
This recipe is super versatile. Try adding sautéed spinach, sun-dried tomatoes, roasted red peppers, or even broccoli florets for extra color and nutrition. Stir them in when you add the pasta to the sauce.
How do I prevent the sauce from curdling?
Keep the heat low when adding the cream and cheese, and avoid boiling the sauce. If you add the Parmesan gradually and stir constantly, you’ll get a perfectly smooth Alfredo every time in your Creamy Garlic Sausage Alfredo Rigatoni Recipe.
Final Thoughts
This Creamy Garlic Sausage Alfredo Rigatoni Recipe is the kind of meal that turns any night into a celebration — cozy, creamy, and packed with flavor. Give it a try and let it become a favorite in your own kitchen. I promise, you’ll want to make it again and again!
Print
Creamy Garlic Sausage Alfredo Rigatoni Recipe
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Total Time: 30 minutes
- Yield: 4–6 servings 1x
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian-American
- Diet: Non-Vegetarian
Description
This Creamy Garlic Sausage Alfredo Rigatoni recipe combines tender rigatoni pasta with a rich, velvety sauce made from Italian sausage, garlic, butter, heavy cream, and Parmesan cheese. Perfect for a comforting weeknight meal, this dish offers bold flavors and a satisfying texture with optional fresh parsley and extra Parmesan for garnish.
Ingredients
For the Pasta
- 12 ounces rigatoni pasta
For the Sauce
- 1 tablespoon olive oil
- 1 pound Italian sausage (mild or spicy, casings removed)
- 4 cloves garlic, minced
- 2 tablespoons unsalted butter
- 2 cups heavy cream
- 1 cup grated Parmesan cheese
- 1/2 teaspoon salt
- 1/4 teaspoon black pepper
- 1/4 teaspoon crushed red pepper flakes (optional)
For Garnish
- 1/4 cup chopped fresh parsley (optional)
- Extra Parmesan cheese for serving
Instructions
- Cook the Pasta: Bring a large pot of salted water to a boil and cook the rigatoni according to package directions until al dente, usually about 10-12 minutes. Reserve 1/2 cup of the pasta cooking water before draining, then set the pasta aside.
- Cook the Sausage: In a large skillet, heat the olive oil over medium heat. Add the Italian sausage, breaking it up with a spoon, and cook until fully browned and cooked through, about 5–7 minutes. Add the minced garlic and sauté for an additional 1 minute until fragrant.
- Make the Alfredo Sauce: Lower the heat to low and add the unsalted butter to the skillet with the sausage. Once melted, pour in the heavy cream and bring to a gentle simmer. Let it cook for 3–4 minutes, stirring occasionally, until the mixture slightly thickens.
- Add Cheese and Seasoning: Stir in the grated Parmesan cheese, salt, black pepper, and crushed red pepper flakes if using. Mix thoroughly until the sauce is smooth and creamy.
- Toss Pasta with Sauce: Add the cooked rigatoni to the skillet and toss to coat evenly with the Alfredo sauce. If the sauce seems too thick, add the reserved pasta water a little at a time until you reach the desired consistency. Heat everything through for a minute.
- Garnish and Serve: Remove from heat and garnish with chopped fresh parsley and extra Parmesan cheese. Serve immediately while warm and enjoy.
Notes
- For added flavor and color, toss in sautéed spinach, sun-dried tomatoes, or roasted red peppers before serving.
- Use half-and-half instead of heavy cream for a lighter version of the sauce.
- To make this dish gluten-free, substitute rigatoni with gluten-free pasta.
- If you prefer less spice, use mild Italian sausage instead of spicy sausage.
- Reserve pasta water helps adjust sauce thickness and enhances flavor binding.
Nutrition
- Serving Size: 1 1/2 cups
- Calories: 620
- Sugar: 2 g
- Sodium: 680 mg
- Fat: 40 g
- Saturated Fat: 20 g
- Unsaturated Fat: 17 g
- Trans Fat: 0 g
- Carbohydrates: 42 g
- Fiber: 2 g
- Protein: 23 g
- Cholesterol: 120 mg