If you’ve been searching for a cozy, flavorful meal that feels like a warm hug on a plate, this Creamy Italian Sausage and Rice Casserole Recipe is exactly what you need. Combining the bold spice of Italian sausage with tender rice, earthy mushrooms, and a luscious creamy sauce, this casserole is comfort food elevated. It’s perfect for weeknight dinners, feeding a hungry crowd, or simply when you want something hearty and satisfying without complicated steps. Trust me, once you try it, this dish will become a beloved staple in your meal rotation.

Ingredients You’ll Need
These ingredients are straightforward but crucial for creating the perfect balance of flavor and texture. Each element plays its part, from the spicy Italian sausage that brings depth, to the creamy sour cream that adds smoothness, and the sliced almonds for a delightful crunch and visual appeal.
- 1 pound spicy Italian sausage: The star protein that delivers bold flavor and a little kick.
- 1/2 cup finely chopped onion: Adds sweetness and aromatic depth as it cooks down.
- 8 oz mushrooms, sliced: Brings earthy richness and meaty texture to the casserole.
- 2 cloves garlic, minced: Provides a fragrant, savory punch that elevates the whole dish.
- 1 1/2 cups long grain white rice: The comforting, tender base that absorbs all those delicious flavors.
- 3 cups chicken broth: Infuses the rice with savory goodness and keeps everything moist.
- 1/2 cup light sour cream: Creates the creamy texture that makes this casserole irresistible.
- 1/2 teaspoon Italian seasoning: A perfect blend of herbs that ties all ingredients together.
- 1/4 cup sliced almonds: Adds a toasted crunch and a touch of elegance on top.
- 2 tablespoons chopped parsley: Freshens and brightens the finished dish with color and flavor.
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 and cooking the spicy Italian sausage for about 5 to 6 minutes. Use a wooden spoon or spatula to break it into small, bite-sized pieces as it cooks. Once browned and fully cooked, carefully remove the sausage and drain any excess grease. This step builds the base of flavor and ensures the sausage is perfectly cooked without becoming greasy.
Step 2: Sauté the Vegetables
In the same skillet, toss in the finely chopped onions and sliced mushrooms. Sauté these for about 4 to 5 minutes until they soften and begin to caramelize, releasing their natural sweetness and deep flavor. Add the minced garlic last and cook for an additional minute, making sure it doesn’t brown too much to keep that fresh, vibrant garlic taste.
Step 3: Cook the Rice
Add the long grain rice directly to the skillet with the sautéed vegetables, stirring well to lightly toast the grains. Pour in the chicken broth, then bring the mixture to a gentle boil. Cover the pan with a lid, reduce the heat, and let it simmer for about 20 minutes. The rice will absorb all those tasty juices and become tender and fluffy in this flavorful broth.
Step 4: Finish and Combine
Once the rice has cooked through, stir in the light sour cream and Italian seasoning until the casserole is luxuriously creamy and evenly seasoned. Then fold the cooked sausage back into the mixture. This final step melts everything together into a satisfying, comforting casserole with just the right balance of spice, creaminess, and hearty texture.
Step 5: Add the Toppings
Before serving, sprinkle the top with sliced almonds for a toasty crunch and chopped parsley for a burst of fresh color and flavor. These little finishing touches elevate the dish visually and texturally, making it all the more inviting to dig into.
How to Serve Creamy Italian Sausage and Rice Casserole Recipe

Garnishes
Adding sliced almonds and fresh parsley on top is more than just pretty presentation – the almonds add a delightful crunch that contrasts beautifully with the rich, creamy rice, while parsley brings a fresh, herbaceous note that balances the richness.
Side Dishes
Consider pairing this hearty casserole with a crisp green salad dressed in a zesty vinaigrette to cut through the creaminess. Roasted vegetables like asparagus or broccoli also make wonderful sides, offering a contrast in texture and nutrients to round out the meal.
Creative Ways to Present
Serve this casserole in individual ramekins or shallow bowls to make dinner feel a bit special and personalized. You could also sprinkle some extra Parmesan cheese on top before baking for a gratin-style finish. For a fun twist, try adding roasted red peppers or sun-dried tomatoes into the mix for bursts of color and flavor.
Make Ahead and Storage
Storing Leftovers
Leftovers of the Creamy Italian Sausage and Rice Casserole Recipe should be stored in an airtight container and refrigerated promptly. It will keep well for up to 3 days, making it a convenient option for quick lunches or dinners throughout the week.
Freezing
This casserole freezes beautifully. Portion it into freezer-safe containers, cover tightly, and freeze for up to 2 months. When you’re ready to enjoy it, thaw overnight in the refrigerator for the best texture and flavor retention.
Reheating
Reheat the casserole gently in the oven at 350°F (175°C) until warmed through, about 15-20 minutes, or microwave individual portions stirring occasionally. If the casserole seems a bit dry upon reheating, stir in a splash of chicken broth or a spoonful of sour cream to restore its creamy magic.
FAQs
Can I use mild Italian sausage instead of spicy?
Absolutely! Using mild Italian sausage will give you the same delicious texture with less heat. If you want a little extra kick, you can always add a pinch of red pepper flakes when sautéing the onions and mushrooms.
Is it possible to make this recipe vegetarian?
Yes, to make a vegetarian version, simply omit the sausage and replace chicken broth with vegetable broth. You could also add extra mushrooms, bell peppers, or your favorite vegetables for added flavor and heartiness.
What can I substitute for sour cream?
If you don’t have sour cream on hand, Greek yogurt or cream cheese are excellent substitutes that will still give the casserole a lovely creamy texture with a slight tang.
Can I use brown rice instead of white rice?
You can, but keep in mind that brown rice takes longer to cook and may require slightly more broth. Adjust the cooking time and liquid accordingly to ensure the rice cooks through and remains creamy.
How do I make the almonds extra crunchy on top?
Toast the sliced almonds separately in a dry skillet over medium heat until golden and fragrant before sprinkling them on the casserole. This step enhances their crunch and adds a lovely nutty flavor to the dish.
Final Thoughts
This Creamy Italian Sausage and Rice Casserole Recipe is a dream dinner that comes together with simple ingredients and a handful of easy steps, but rewards you with rich, satisfying flavors that feel like a celebration. Whether you’re feeding family or friends or just treating yourself, don’t hesitate to give this recipe a try—you might just find a new favorite comfort dish that’s cozy, creamy, and absolutely delicious.
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 combines spicy Italian sausage, tender mushrooms, and flavorful rice baked in a rich, creamy sauce. Perfect for a comforting weeknight meal, this dish is easy to prepare and packed with savory Italian flavors, topped with crunchy toasted almonds and fresh parsley for added texture and freshness.
Ingredients
Meat 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
Seasonings and Toppings
- 1/2 cup light sour cream
- 1/2 teaspoon Italian seasoning
- 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 browns. Once cooked through, remove the sausage from the skillet and drain any excess grease to keep the dish light.
- Sauté Vegetables: Using the same skillet, add the sliced mushrooms and finely chopped onion. Sauté for 4-5 minutes until the vegetables soften and begin to caramelize. Then add the minced garlic and cook for an additional minute until fragrant.
- 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 low and cover the skillet. Allow it to simmer gently for 20 minutes, or until the rice is fully cooked and tender, absorbing the broth.
- Finish Dish: Remove the skillet from heat. Stir in the light sour cream and Italian seasoning until the casserole is creamy and well combined. To serve, sprinkle the casserole with sliced almonds for a crunchy texture and garnish with the fresh chopped parsley for a burst of color and flavor.
Notes
- For a milder flavor, substitute spicy Italian sausage with sweet Italian sausage.
- If you prefer a thicker casserole, you can bake the dish covered at 350°F (175°C) for 10 minutes after adding sour cream.
- Sliced almonds can be toasted lightly before sprinkling to enhance the nutty flavor.
- Leftovers reheat well in the microwave or skillet with a splash of broth or water to maintain moisture.

