Dinner · Pasta · Main Course · Italian

Slow-Simmered Tuscan Sausage and Sage Rigatoni

Indulge in a hearty bowl of rigatoni tossed in a silky cream sauce with browned Italian sausage, crispy sage, and a hint of nutmeg.

4.2(694 reviews)
·By Ethan Brooks·
Slow-Simmered Tuscan Sausage and Sage Rigatoni — Italian Dinner served and photographed from above
Prep
15 min
Cook
25 min
Difficulty
Medium
Serves
4

Preparation

Get these tasks done before you start cooking.

Before you start

    How to Make Slow-Simmered Tuscan Sausage and Sage Rigatoni

    Total time: 40 min · Yields 4 servings

    1. 1

      Boil the Pasta

      Bring a large pot of heavily salted water to a boil. Add the rigatoni and cook until just shy of al dente (about 2 minutes less than the package instructions). Reserve 250 ml of the pasta cooking water before draining.

    2. 2

      Brown the Sausage

      While the pasta cooks, heat olive oil in a large skillet over medium-high heat. Add the sausage meat, breaking it into small crumbles with a wooden spoon. Cook until deeply browned and slightly crispy, approximately 8 minutes.

    3. 3

      Sauté Aromatics

      Reduce heat to medium. Add the shallots and sage leaves to the skillet with the sausage. Sauté for 3-4 minutes until the shallots are translucent and the sage leaves become fragrant and crisp.

    4. 4

      Deglaze and Simmer

      Pour in the white wine, scraping the bottom of the pan to release the brown bits (fond). Let the wine reduce by half. Pour in the heavy cream and nutmeg, bringing it to a gentle simmer for 3 minutes until the sauce slightly thickens.

    5. 5

      Combine and Emulsify

      Add the cooked rigatoni to the skillet. Toss vigorously with the sauce, adding the reserved pasta water a splash at a time until the sauce is glossy and coats every piece of pasta. Stir in the Parmigiano-Reggiano.

    6. 6

      Garnish and Serve

      Taste and adjust seasoning with salt and pepper. Garnish with fresh parsley and red chili flakes if desired. Serve immediately while hot.

    Chef's Tips

    • Always grate your own Parmesan; pre-shredded cheese contains anti-caking agents that prevent a smooth sauce.
    • Don't overcook the sage; you want it crisp but still green, not brown and bitter.
    • Use a wide skillet rather than a deep pot for the sauce to allow for better evaporation and even coating.

    What to Serve with Slow-Simmered Tuscan Sausage and Sage Rigatoni

    The garlic butter sauce is the star — pick sides that soak it up or balance the richness.

    • Warm focaccia topped with rosemary
    • A simple arugula salad with lemon vinaigrette
    • A glass of chilled Vermentino or light Chianti

    Frequently asked questions

    Can I use spicy sausage instead of sweet?

    Absolutely. Spicy Italian sausage works beautifully and adds a nice kick that complements the creamy sauce.

    What can I substitute for the white wine?

    You can use chicken stock with a teaspoon of lemon juice to provide the necessary acidity.

    Can I make this dairy-free?

    You can substitute the heavy cream with full-fat coconut milk or a cashew-based cream, though the flavor profile will shift significantly.

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