If you’re craving a dish that perfectly combines comforting creaminess with bold, savory flavors, this Creamy Italian Sausage and Rice Casserole Recipe is an absolute winner. Imagine juicy, spicy Italian sausage mingling with tender rice, earthy mushrooms, and a luscious sour cream sauce, all topped with crunchy almonds and bright parsley for contrast. This casserole is a simple yet impressive meal that feels like a warm hug on a plate and comes together in under 40 minutes. Whether it’s a busy weeknight dinner or a cozy weekend feast, this recipe delivers satisfying richness and delightful textures that everyone will love.
Ingredients You’ll Need
Every ingredient in this casserole is straightforward but essential, each bringing its own magic to balance creaminess, spice, and texture. From the spicy Italian sausage to the tender mushrooms and creamy sour cream, these staples work in harmony to create a dish that’s as inviting as it is flavorful.
- 1 pound spicy Italian sausage: The star protein that adds bold, savory heat and depth.
- 1/2 cup finely chopped onion: Provides a subtle sweetness and aromatic base.
- 8 oz mushrooms, sliced: Offer an earthy note and tender texture to the mix.
- 2 cloves garlic, minced: Brings warmth and a gentle punch of flavor.
- 1 1/2 cups long grain white rice: The comforting starch that soaks up all the tasty broth and sauce.
- 3 cups chicken broth: Essential for cooking the rice and infusing it with savory richness.
- 1/2 cup light sour cream: Adds brilliant creaminess without weighing the dish down.
- 1/2 teaspoon Italian seasoning: A fragrant blend that elevates the casserole with classic Italian flair.
- 1/4 cup sliced almonds: Provides a delightful crunch and nutty contrast on top.
- 2 tablespoons chopped parsley: Adds freshness and vibrant color to finish the dish.
How to Make Creamy Italian Sausage and Rice Casserole Recipe
Step 1: Cook the Italian Sausage
Start by heating a large skillet over medium heat. Add the spicy Italian sausage, breaking it up into small, bite-sized pieces as it cooks. This step takes about 5 to 6 minutes until the sausage is browned and cooked through. Don’t forget to drain the excess grease—that way, your casserole stays rich but not greasy.
Step 2: Sauté the Vegetables
In the same skillet, toss in the sliced mushrooms and finely chopped onion. Sauté them for about 4 to 5 minutes until softened and fragrant. Then add the minced garlic and cook for an extra minute—this final touch releases its delicious aroma, blending beautifully with the sausage flavors.
Step 3: Cook the Rice with Broth
Next, add the long grain white rice to the skillet and pour in the chicken broth. Bring everything to a boil, then reduce the heat and cover the pan. Let it simmer for about 20 minutes, or until the rice is tender and has soaked up all that flavorful broth. This is where the magic of melding flavors really happens.
Step 4: Stir in Sour Cream and Seasoning
Once the rice is perfectly cooked, remove the skillet from the heat and gently stir in the light sour cream along with the Italian seasoning. This creamy addition ties everything together into a luscious, velvety casserole that’s bursting with comfort and zest.
Step 5: Add the Finishing Touches
To serve, sprinkle the casserole with crunchy sliced almonds and a generous handful of bright chopped parsley. These garnishes add wonderful contrast in texture and a fresh pop of color that makes the dish as delightful to look at as it is to eat.
How to Serve Creamy Italian Sausage and Rice Casserole Recipe

Garnishes
Don’t underestimate the power of a simple garnish! The sliced almonds provide a satisfying crunch that contrasts beautifully with the creamy rice, while the chopped parsley adds a fresh, herbal brightness that lifts every bite.
Side Dishes
This casserole stands tall on its own but pairs wonderfully with a crisp green salad or steamed vegetables like broccoli or green beans. A side of garlic bread also makes for a great combo, perfect for soaking up every last bit of creamy sauce.
Creative Ways to Present
For a fun twist, try serving this casserole in individual ramekins or mini cast iron skillets to impress your guests. You can also sprinkle some shredded Parmesan on top before baking for an extra layer of cheesy goodness and a golden crust.
Make Ahead and Storage
Storing Leftovers
If you have leftovers, store them in an airtight container in the refrigerator for up to 3 days. This casserole keeps its creamy texture beautifully and actually tastes even more flavorful as the ingredients have time to meld.
Freezing
This dish freezes very well. Let it cool completely before transferring it to a freezer-safe container. It can be frozen for up to 2 months. When you’re ready, thaw it overnight in the fridge and reheat gently for best results.
Reheating
Reheat the casserole in the microwave or on the stovetop over low heat, stirring occasionally to ensure even warming. If it seems a bit thick, add a splash of chicken broth or water to loosen things up and restore that creamy consistency.
FAQs
Can I use ground turkey instead of Italian sausage?
Absolutely! Ground turkey works as a leaner alternative, though you might want to add a pinch of red pepper flakes or some Italian seasoning to mimic that signature sausage spice.
Is it possible to make this recipe vegetarian?
Yes! Simply omit the sausage and boost the vegetables—add extra mushrooms, bell peppers, or zucchini. Consider using vegetable broth and maybe a meatless sausage substitute for similar depth of flavor.
What can I use instead of sour cream?
If you prefer, Greek yogurt or cream cheese can be substituted for the sour cream. Just make sure to add them off the heat to prevent curdling and maintain creaminess.
Can I prepare this casserole in advance?
You sure can! Assemble the casserole up through cooking the rice, then cover and refrigerate it. When ready to eat, gently reheat on the stove or in the oven, then add the almonds and parsley just before serving.
How spicy is this dish?
The level of spice depends on your sausage choice. Using spicy Italian sausage gives a nice kick, but you can easily swap for mild Italian sausage if you prefer something gentler.
Final Thoughts
This Creamy Italian Sausage and Rice Casserole Recipe is one of those gems that feels both indulgent and wonderfully satisfying. It’s quick enough for weeknights but special enough for sharing with loved ones. Once you try it, you’ll understand why it’s such a favorite—comfort food at its very best, packed with flavor and ready to brighten your dinner table any day.
Print
Creamy Italian Sausage and Rice Casserole Recipe
- Prep Time: 10 minutes
- Cook Time: 25 minutes
- Total Time: 35 minutes
- Yield: 5 servings
- Category: Casserole
- Method: Stovetop
- Cuisine: Italian-American
Description
This Creamy Italian Sausage and Rice Casserole is a comforting one-pan dish featuring spicy Italian sausage, sautéed mushrooms and onions, tender rice cooked in chicken broth, and a creamy finish with sour cream and Italian seasoning. Topped with crunchy sliced almonds and fresh parsley, this casserole offers a delicious blend of textures and flavors, perfect for a quick and satisfying weeknight meal.
Ingredients
Protein and Vegetables
- 1 pound spicy Italian sausage
- 1/2 cup finely chopped onion
- 8 oz mushrooms, sliced
- 2 cloves garlic, minced
Grains and Liquids
- 1 1/2 cups long grain white rice
- 3 cups chicken broth
Dairy and Seasonings
- 1/2 cup light sour cream
- 1/2 teaspoon Italian seasoning
Toppings
- 1/4 cup sliced almonds
- 2 tablespoons chopped parsley
Instructions
- Cook Italian Sausage: In a large skillet over medium heat, cook the spicy Italian sausage for 5-6 minutes, breaking it into small pieces as it cooks. Once browned, remove the sausage from the skillet and drain any excess grease. Set aside.
- Sauté Vegetables: In the same skillet, add the sliced mushrooms and finely chopped onions. Sauté for 4-5 minutes until the vegetables are soft and fragrant. Add the minced garlic and cook for an additional minute to release its aroma.
- Cook Rice: Stir in the long grain white rice and pour in the chicken broth. Bring the mixture to a boil, then reduce the heat to a simmer. Cover the skillet and let it cook for 20 minutes, or until the rice is tender and has absorbed most of the broth.
- Finish Dish: Return the cooked Italian sausage to the skillet and stir in the light sour cream and Italian seasoning until well combined and creamy. Remove from heat.
- Serve: Spoon the casserole onto plates or a serving dish. Garnish with sliced almonds and chopped parsley for a crunchy and fresh finishing touch before serving.
Notes
- For a milder flavor, use mild Italian sausage instead of spicy.
- If you prefer, substitute light sour cream with Greek yogurt for a tangier twist.
- To make this dish gluten free, ensure the chicken broth is gluten free.
- Adding a handful of grated Parmesan cheese before serving enhances flavor.
- This casserole can be prepared ahead and reheated gently on the stovetop or in the microwave.


