Rigatoni & Meatball Recipe
Fettuccine pasta with a creamy alfredo sauce
Was this page helpful?
Help improve this recipe for others.
Send this recipe to your inbox.
We'll email it straight to you - plus weekly cooking inspiration.
Ingredients
Some product links may be affiliates. If you buy through them, you're supporting the site and Pekin may earn a commission at no extra cost to you.
Meatballs
Rigatoni & Pasta Water
Creamy Alfredo Sauce
Finish & Garnish
Method
Meatballs
Mix and rest
In a large bowl, combine ground beef and pork, breadcrumbs, milk, egg, 1/2 cup grated Parmesan, minced parsley, minced garlic, 1 tsp kosher salt, and 1/2 tsp black pepper. Mix gently with your hands or a fork until just combined — avoid overworking to keep meatballs tender. Cover and refrigerate 15–30 minutes to let the breadcrumbs absorb moisture (optional but recommended).
Form
Preheat oven to 375°F (190°C) if you prefer baking. Roll mixture into 1 1/4-inch to 1 1/2-inch meatballs (makes about 18–20). Lightly place them on a rimmed baking sheet or plate while you heat the pan.
Pan-sear (recommended)
Heat a large skillet over medium-high heat and add 2 tbsp olive oil. When oil shimmers, add meatballs in a single layer without overcrowding. Brown on all sides, about 6–8 minutes total, turning carefully with tongs. Remove browned meatballs to a plate. They do not need to be fully cooked through; they will finish cooking in the sauce.
Or bake
If baking, place meatballs on a lightly oiled baking sheet and bake 18–22 minutes until internal temperature reaches 160°F (71°C).
Rigatoni & Pasta Water
Bring a large pot of water to a rolling boil. Add 1 tbsp kosher salt. Add 1 lb rigatoni and cook according to package instructions until al dente (usually 10–12 minutes). Reserve 1 cup of pasta cooking water before draining. Drain the pasta and set aside briefly; do not rinse.
Creamy Alfredo Sauce
In a large deep skillet or saucepan over medium heat, melt 4 tbsp unsalted butter. Add 2 minced garlic cloves and cook 30–45 seconds until fragrant but not browned.
Pour in 1 1/2 cups heavy cream and bring to a gentle simmer, stirring occasionally. Simmer 3–4 minutes to slightly reduce and thicken.
Reduce heat to low. Gradually whisk in 1 cup finely grated Parmesan until smooth. If sauce seems too thick, whisk in reserved pasta cooking water, 1/4 cup at a time, until you reach a silky consistency that will coat the rigatoni (you may not need the full cup). Season with 1/2 tsp salt, 1/4 tsp freshly ground black pepper, and 1/8 tsp freshly grated nutmeg (optional). Taste and adjust seasoning.
Add the partially cooked/browned meatballs to the sauce, spooning sauce over them. Cover and simmer gently for 6–8 minutes until meatballs reach 160°F (71°C) and sauce has melded with meatball juices. If you baked the meatballs fully, add them to the sauce to heat through for 3–4 minutes.
Assemble & Finish
Stir in 2 tbsp chopped parsley and 1/4 cup extra grated Parmesan. Taste and adjust salt and pepper. Let everything heat together 1–2 minutes so pasta absorbs sauce.
Serve immediately, dividing into 4 servings. Garnish with extra chopped parsley, additional grated Parmesan, and cracked black pepper to taste.