Heart Healthy Rigatoni with Sausage

(5.0)
By Judy Capodanno
Updated 10/23/2025
Dietitian Reviewed: Jane Schwartz, RDN, CLT
Approved for These Diets:
Heart Healthy
Heart Healthy Rigatoni with Sausage
Photo Credit: Baldwin Publishing Staff Photographer

Craving a rich, creamy pasta dish that keeps your health goals on track? This Heart-Healthy Rigatoni with Sausage is the answer. We swap heavy cream for a velvety, protein-packed white bean sauce that perfectly coats whole grain rigatoni and savory turkey sausage. It's the ultimate comfort food, made smarter.

Total Time
60 minutes
Servings
8
Calories
333

What Makes This Heart Healthy Rigatoni with Sausage Healthy

  • Uses lean turkey sausage to reduce saturated fat while keeping the dish savory and satisfying.
  • Features whole grain rigatoni and broccoli to boost fiber, which is important for heart health.
  • Creates a rich, creamy sauce from cannellini beans instead of heavy cream, adding plant-based protein and fiber.

Key Health Highlights

  • Lower in Sodium: Made with reduced-sodium chicken stock and no added salt, this dish is a smarter choice for blood pressure.
  • Good Source of Fiber: Delivers 8 grams of fiber per serving, thanks to whole grain pasta, beans, and broccoli.
  • Smart Fats: Uses heart-healthy olive oil instead of butter for sautéing.
  • Packed with Protein: Provides 18 grams of protein to help you feel full and satisfied.

FAQs About Rigatoni with Sausage

Rigatoni can be part of a healthy diet, especially when you choose a whole grain version. Whole grain pasta provides more fiber than white pasta, which supports digestion and can help you feel fuller for longer.

Absolutely! This recipe uses pureed cannellini beans to create a surprisingly creamy and rich sauce. It's a great heart-healthy trick that adds fiber and plant-based protein instead of saturated fat.

Lean turkey or chicken sausage is typically the best choice. Look for brands that are low in sodium and choose options with the casings removed to further control the fat content.

More Healthy Pasta & Main Dishes

Comfort Food Classics

Check out these easy-to-make, hearty recipes to enjoy classic flavors made healthier.

Soups, Salads & Sides

Perfect Pairings

Easy and flavorful sides that pair beautifully with your main course.

Ingredients

Recipe yields 8 servings

Directions

  1. Step 1

    Bring a large pot of water to a boil, add the pasta, and cook for 7 minutes. Add broccoli to boiling pasta and cook for 3 minutes, or until pasta is al dente. In a colander, drain the pasta and broccoli and transfer to a large bowl.

  2. Step 2

    In a skillet, heat oil over medium-high heat until hot. Add garlic and sauté for 1 minute, or until golden brown. Add onion and sauté for 3 minutes, or until softened. Add sausage, basil and parsley. Using a wooden spoon, break up the sausage, and cook for 3 minutes, or until the sausage is browned. Add flour and sauté about 3 minutes. Add beans, chicken stock and crushed red pepper (if using), increase heat to high and bring to a boil.

  3. Step 3

    Reduce heat to medium and simmer for 5 to 8 minutes, or until sauce starts to thicken. Stir in 1/4 cup of the cheese and cook for 3 minutes, or until sauce thickens. Season with black pepper. Stir in remaining 1/2 cup cheese and simmer for 2 minutes.

  4. Step 4

    Toss the pasta and broccoli with the sauce. Serve immediately.

Nutrition Facts

Serving Size:
1 1/4 cups pasta, 1/2 cup sauce

333
Calories
8
g
Fat
34
mg
Cholesterol
525
mg
Sodium
47
g
Carbs
3
g
Sat. Fat
8
g
Fiber
18
g
Protein

Serving & Storage Tips

  • Serving: Garnish with extra fresh basil or a sprinkle of Parmesan cheese just before serving for a fresh finish.
  • Make-Ahead: The sauce can be made up to two days in advance and stored in an airtight container in the refrigerator.
  • Storage: Store leftovers in an airtight container in the refrigerator for up to 3 days.
  • Reheating: Gently reheat on the stovetop over low heat. Add a splash of chicken stock or water to loosen the sauce if needed.

Ingredient Substitutions

You can use lean ground chicken, or even a plant-based sausage for a vegetarian option (replace chicken stock with veggie broth).

Stir in a few handfuls of fresh spinach or kale during the last few minutes of simmering for extra nutrients.

Add a larger pinch of crushed red pepper flakes with the garlic to give the sauce some heat.

Any short, sturdy whole grain pasta like penne or ziti will work well in place of rigatoni.

More Recipes Like Rigatoni with Sausage