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Top shot of Creamy Mushroom Sausage Rigatoni in a white bowl.

Creamy Mushroom Sausage Rigatoni

Creamy Mushroom Sausage Rigatoni that's perfect for a quick and easy dinner! Comforting, hearty, lightened-up, and delicious. This is a recipe the entire family will love!
Course Dinner
Cuisine American
Cook Time 35 minutes
Total Time 35 minutes
Servings 6 Servings
Calories 558kcal


  • 8 oz. whole wheat rigatoni
  • 1 lb mushrooms
  • 1 lb bulk Italian sausage seasoned
  • 1 Tbsp dried onion flakes
  • 1/4 cup butter
  • 1 1/2 cups Hiland Dairy Milk
  • 2/3 cup almond flour
  • 3 tsp garlic powder
  • salt/pepper to taste


  • Cook the rigatoni according to directions, then drain and set aside.
  • Spray a large sauce pan with cooking oil and sauté the mushrooms for about 10 minutes (or until browned).
  • Remove the mushrooms from the pan and set aside.
  • Cook the sausage and the onion flakes in the same pan for about 12-15 minutes (or until fully cooked).
  • Remove the sausage from the pan and set aside.
  • Melt the butter over medium-high heat.
  • Add in the almond flour and whisk until a paste is formed.
  • Add in the milk, garlic powder, and salt/pepper.
  • Bring to a simmer and whisk continuously until the creamy sauce begins to thicken (about 7-10 minutes).
  • Remove from heat and add the rigatoni, mushrooms, and sausage back into the pan.
  • Mix everything together, serve, and enjoy!



  • The sauce will thicken as it cools and is mixed back in with everything, so make sure that it only slightly reduces in the cooking process.
  • If the sauce is too thick, simply add in 1/4 cup more milk at a time (up to 1/2 cup). If it's too thin, add in 1 Tbsp of flour at a time (up to 4 Tbsp).
  • Before making this judgement, be sure to give the sauce the right amount of time to thicken while whisking continuously!
  • Top this dish with parmesan and fresh parsley if desired!


Calories: 558kcal | Carbohydrates: 38g | Protein: 24g | Fat: 35g | Saturated Fat: 12g | Cholesterol: 78mg | Sodium: 581mg | Potassium: 633mg | Fiber: 4g | Sugar: 6g | Vitamin A: 409IU | Vitamin C: 3mg | Calcium: 121mg | Iron: 2mg