As the first chill of autumn settles in, I find myself craving warm, hearty meals that celebrate the comforting flavors of the season. That's where this Creamy Rigatoni with Butternut Squash and Spicy Sausage comes into play! In just 45 minutes, you can whip up a dish that marries creamy textures with a gentle kick from spicy sausage, making it perfect for cozy family dinners or a gathering with friends. Not only is it a crowd-pleaser that showcases vibrant fall produce, but it’s also quick enough to stop you from leaning on takeout when life gets busy. Are you ready to dive into a bowl of pure comfort? Let’s stir things up together!

Why is this dish a must-try?
Creamy Comfort: This Creamy Rigatoni with Butternut Squash and Spicy Sausage delivers a rich, velvety sauce that envelops every bite.
Flavor-packed: The spicy sausage beautifully balances the sweetness of butternut squash, creating a satisfying flavor explosion.
Quick and Easy: With just 45 minutes from prep to plate, you can whip up a delicious meal that feels like a gourmet feast, perfect for busy weeknights.
Versatility: Great on its own or paired with a simple salad, it’s an ideal choice for any occasion—whether a family dinner or a cozy gathering.
Impressive Appeal: Not only will your taste buds thank you, but your guests will be eagerly asking for the recipe, just like with my Cheesy Beef Potato dish!
Creamy Rigatoni with Butternut Squash and Spicy Sausage Ingredients
• Discover all you need for this delightful dish!
For the Pasta
- Rigatoni pasta – the perfect shape to hold that creamy sauce!
For the Sauce
- Olive oil – for sautéing and adding rich flavor.
- Spicy Italian sausage – choose hot or mild based on your heat preference.
- Onion – diced onion adds sweetness to balance the spice.
- Garlic – fresh minced garlic enhances the aroma of the dish.
- Butternut squash – provides natural sweetness and a lovely texture.
- Dried thyme – a warm herb that complements the squash beautifully.
- Crushed red pepper flakes – adjust according to your spice tolerance for that kick!
- Heavy cream – brings a luxurious creaminess to the sauce.
- Grated Parmesan cheese – melts beautifully and adds depth of flavor.
- Salt and pepper – essential seasonings to bring all the flavors together.
For the Garnish
- Fresh parsley – adds a touch of color and freshness on top!
Step‑by‑Step Instructions for Creamy Rigatoni with Butternut Squash and Spicy Sausage
Step 1: Boil the Pasta
Start by bringing a large pot of salted water to a rolling boil over high heat. Add in the rigatoni pasta and cook according to the package instructions, typically around 10-12 minutes, until al dente. Before draining, reserve 1 cup of pasta water, then drain the cooked pasta in a colander and set it aside.
Step 2: Cook the Sausage
In a large skillet, heat 2 tablespoons of olive oil over medium heat for about 1-2 minutes. Once hot, add the spicy Italian sausage, breaking it apart with a spoon. Cook the sausage until it’s deeply browned and cooked through, about 5-7 minutes. Once done, transfer the sausage to a plate and keep it warm.
Step 3: Sauté the Aromatics
Using the same skillet, add the diced onion and sauté for about 3-4 minutes until the onions turn translucent and fragrant. Then, stir in the minced garlic and cook for an additional minute, watching closely as it becomes aromatic and slightly golden. This will lay the foundation of flavors for your creamy rigatoni with butternut squash and spicy sausage.
Step 4: Roast the Butternut Squash
Add the butternut squash cubes to the skillet, along with 1 teaspoon of dried thyme and ½ teaspoon of crushed red pepper flakes. Season generously with salt and pepper. Stir well to combine and cook for about 8-10 minutes, stirring occasionally, until the squash is tender and vibrant in color, showcasing its lovely sweetness.
Step 5: Create the Creamy Sauce
Pour in 1 cup of heavy cream and bring the mixture to a gentle simmer over medium heat. Allow it to cook for about 2-3 minutes, stirring occasionally, until the cream slightly thickens and envelops the squash. You’ll know it’s ready when the sauce gets a luscious, silky consistency that's simply irresistible.
Step 6: Combine the Ingredients
Return the cooked sausage to the skillet, stirring it into the creamy mixture until evenly combined. If your sauce appears too thick, gradually add the reserved pasta water, a little at a time, until you achieve the desired consistency. The sauce should cling beautifully to your rigatoni!
Step 7: Mix in the Pasta
Add the cooked rigatoni directly to the skillet with the creamy sauce and toss gently to ensure every piece is covered in the mixture. Stir in ½ cup of grated Parmesan cheese, mixing until it melts flawlessly into the sauce, creating an even creamier texture for your delightful dish.
Step 8: Garnish and Serve
Taste the creamy rigatoni with butternut squash and spicy sausage, adjusting the seasoning with additional salt and pepper if necessary. Serve hot, garnished generously with freshly chopped parsley for a pop of color and freshness. Enjoy every comforting bite of this delightful dish!

Expert Tips for Creamy Rigatoni
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Perfect Pasta: Always cook the rigatoni until al dente; this prevents it from becoming mushy when mixed with the creamy sauce.
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Flavor Balance: Adjust the amount of crushed red pepper flakes based on your spice preference to ensure it complements rather than overpowers the dish.
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Cream Quality: Use high-quality heavy cream; it not only thickens better but also enhances the luxurious texture of your creamy rigatoni with butternut squash and spicy sausage.
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Reserved Water Magic: Don’t skip saving pasta water! It’s the secret ingredient that helps achieve the perfect sauce consistency without watering down the flavors.
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Sautéing Savvy: Be careful not to overcook the garlic; it can turn bitter quickly. Just a minute is enough to release its delightful aroma without losing its fresh flavor.
What to Serve with Creamy Rigatoni with Butternut Squash and Spicy Sausage
As you savor every delightful bite of this creamy dish, consider enhancing your meal with these perfect pairings for a heartwarming dining experience.
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Garlic Bread: The crunchy, buttery slices offer a satisfying contrast to the creamy sauce, perfect for soaking up every last drop.
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Simple Arugula Salad: Fresh arugula adds a peppery crunch that complements the savory flavors, lightening up the meal beautifully.
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Roasted Brussels Sprouts: Crispy and caramelized, these veggies provide an earthy flavor that balances the richness of the rigatoni.
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Cheesy Caprese Skewers: The bright, refreshing tomatoes and creamy mozzarella drizzled with balsamic glaze make for a fun, flavorful appetizer.
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Crispy Fried Zucchini: Lightly battered and fried, zucchini fries add a delightful crunch that pairs wonderfully with the smooth texture of the pasta.
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Sparkling Apple Cider: This bubbly drink brings a crisp sweetness to each sip, enhancing the flavors of the creamy rigatoni while keeping the meal festive.
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Pumpkin Spice Cheesecake: For dessert, a slice of this silky cheesecake perfectly captures fall flavors and brings a sweet note to conclude your meal beautifully.
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Herbed Focaccia: Soft, flavorful bread drizzled with olive oil and herbs makes for a fantastic board to share, great with a creamy sauce.
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Lemon Sorbet: A refreshing, palate-cleansing dessert that cuts through the richness of the pasta, leaving you feeling light and satisfied.
How to Store and Freeze Creamy Rigatoni with Butternut Squash and Spicy Sausage
Fridge: Store leftover creamy rigatoni in an airtight container for up to 3 days. Reheat gently on the stove or in the microwave, adding a splash of cream or pasta water if needed.
Freezer: To freeze, portion the rigatoni in freezer-safe containers or bags for up to 3 months. Thaw overnight in the fridge before reheating.
Reheating: Reheat on the stovetop over low heat, stirring frequently. Add a little water or cream to bring back the luscious texture of the sauce.
Avoid Overcooking: When reheating, be careful not to overcook, as the pasta can become mushy, especially when enjoyed later on.
Creamy Rigatoni Variations & Substitutions
Feel free to take this fabulous recipe and make it your own with these delightful twists and swaps!
- Vegetarian: Swap the spicy sausage for sautéed mushrooms or a plant-based sausage for a deliciously earthy flavor.
- Gluten-Free: Choose gluten-free pasta or spiralized zucchini to keep the creamy goodness without the gluten.
- Creamy Comfort: Replace heavy cream with coconut cream for a subtly sweet, dairy-free alternative without skimping on richness.
- Flavor Boost: Add a splash of white wine after sautéing the garlic and onion for an extra layer of depth and flavor.
- Cheesy Delight: Incorporate more cheese! Blend in mozzarella for a gooey texture, or experiment with a sharp cheddar for a distinctive twist.
- Herb Infusion: Mix in fresh herbs like basil or sage at the end for a vibrant, fresh finish that elevates the dish beautifully.
- Extra Veggies: Toss in sautéed spinach or kale just before serving for a burst of color and nutrition that pairs perfectly with the creamy sauce.
- Spice It Up: Adjust the heat by adding diced jalapeños or use a spicier sausage variant to kick things up a notch!
Each variation allows you the freedom to explore flavors, just as I do when whipping up my favorite Creamy Shrimp Alfredo or a comforting bowl of Cheesy Broccoli Sausage. Enjoy crafting your own creamy rigatoni masterpiece!
Make Ahead Options
These Creamy Rigatoni with Butternut Squash and Spicy Sausage are perfect for busy home cooks looking to meal prep! You can prepare the butternut squash and the sausage mixture up to 3 days ahead. Simply cook and assemble everything except the pasta and cheese, then refrigerate in an airtight container. When you’re ready to enjoy, just cook the rigatoni according to package instructions, warm the sausage and squash mix in a skillet, and incorporate the pasta and Parmesan cheese. This will ensure that your dish remains just as delicious and comforting, saving you precious time on those busy weeknights!

Creamy Rigatoni with Butternut Squash and Spicy Sausage Recipe FAQs
How do I select ripe butternut squash?
Absolutely! When choosing a butternut squash, look for one that has a smooth, tan skin without dark spots or blemishes. The stem should be firm and not moldy. A squash that feels heavy for its size is usually ripe and full of flavor.
What’s the best way to store leftover creamy rigatoni?
Very! Store leftover creamy rigatoni in an airtight container and keep it in the refrigerator for up to 3 days. To reheat, gently warm it on the stove or microwave and add a splash of cream or reserved pasta water to restore that creamy texture.
Can I freeze creamy rigatoni with butternut squash and spicy sausage?
Absolutely! To freeze, portion the rigatoni into freezer-safe containers or bags, ensuring to remove as much air as possible. It can be frozen for up to 3 months. Thaw overnight in the refrigerator before reheating to keep flavors intact.
Why did my pasta become mushy after reheating?
Oh no! If your pasta becomes mushy after reheating, it’s likely been overcooked during the initial preparation or reheating process. To prevent this, reheat on low heat and stir often. Adding a splash of water or cream can also help rejuvenate the pasta's texture.
Are there any dietary considerations for this dish?
Certainly! This recipe contains gluten from the rigatoni and dairy from the heavy cream and Parmesan cheese, making it unsuitable for those with gluten intolerance or lactose sensitivity. You can use gluten-free pasta and dairy alternatives like coconut milk and nutritional yeast for a delicious, accommodating version!
How do I adjust the spice level in the dish?
Very easy! If you prefer a milder dish, use mild Italian sausage instead of spicy, and reduce or omit the crushed red pepper flakes. For a bit more heat, feel free to increase the amount of red pepper flakes to suit your taste!

Creamy Rigatoni with Butternut Squash and Spicy Sausage Bliss
Equipment
- Large pot
- Skillet
- colander
Ingredients
For the Pasta
- 12 oz Rigatoni pasta the perfect shape to hold that creamy sauce!
For the Sauce
- 2 tablespoon Olive oil for sautéing and adding rich flavor.
- 1 lb Spicy Italian sausage choose hot or mild based on your heat preference.
- 1 medium Onion diced onion adds sweetness to balance the spice.
- 3 cloves Garlic fresh minced garlic enhances the aroma of the dish.
- 2 cups Butternut squash provides natural sweetness and a lovely texture.
- 1 teaspoon Dried thyme a warm herb that complements the squash beautifully.
- 0.5 teaspoon Crushed red pepper flakes adjust according to your spice tolerance for that kick!
- 1 cup Heavy cream brings a luxurious creaminess to the sauce.
- 0.5 cup Grated Parmesan cheese melts beautifully and adds depth of flavor.
- to taste Salt essential seasonings to bring all the flavors together.
- to taste Pepper essential seasonings to bring all the flavors together.
For the Garnish
- 0.25 cup Fresh parsley adds a touch of color and freshness on top!
Instructions
Cooking Instructions
- Boil the Pasta: Start by bringing a large pot of salted water to a rolling boil over high heat. Add in the rigatoni pasta and cook according to the package instructions, typically around 10-12 minutes, until al dente. Before draining, reserve 1 cup of pasta water, then drain the cooked pasta in a colander and set it aside.
- Cook the Sausage: In a large skillet, heat 2 tablespoons of olive oil over medium heat for about 1-2 minutes. Once hot, add the spicy Italian sausage, breaking it apart with a spoon. Cook the sausage until it’s deeply browned and cooked through, about 5-7 minutes. Once done, transfer the sausage to a plate and keep it warm.
- Sauté the Aromatics: Using the same skillet, add the diced onion and sauté for about 3-4 minutes until the onions turn translucent and fragrant. Then, stir in the minced garlic and cook for an additional minute, watching closely as it becomes aromatic and slightly golden.
- Roast the Butternut Squash: Add the butternut squash cubes to the skillet, along with 1 teaspoon of dried thyme and ½ teaspoon of crushed red pepper flakes. Season generously with salt and pepper. Cook for about 8-10 minutes, stirring occasionally, until the squash is tender.
- Create the Creamy Sauce: Pour in 1 cup of heavy cream and bring the mixture to a gentle simmer over medium heat. Allow it to cook for about 2-3 minutes until the cream slightly thickens.
- Combine the Ingredients: Return the cooked sausage to the skillet, stirring it into the creamy mixture until evenly combined. If your sauce appears too thick, gradually add the reserved pasta water, a little at a time.
- Mix in the Pasta: Add the cooked rigatoni directly to the skillet with the creamy sauce and toss gently to ensure every piece is covered in the mixture. Stir in ½ cup of grated Parmesan cheese, mixing until it melts flawlessly into the sauce.
- Garnish and Serve: Taste the creamy rigatoni and adjust the seasoning with additional salt and pepper if necessary. Serve hot, garnished generously with freshly chopped parsley.





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