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Manicotti With Sausage

Published: Oct 28, 2026 by Cheryl · This post may contain affiliate links · Leave a Comment

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Manicotti With Sausage is one of my favorite comfort food recipes when I want something rich, cheesy, and satisfying. I love how the tender pasta shells hold a flavorful filling of Italian sausage, creamy ricotta, fresh spinach, and aromatic herbs. Once I cover everything with marinara sauce and mozzarella cheese, the oven transforms this simple combination into a bubbling, golden casserole.

I especially enjoy making this baked manicotti for family dinners, weekend gatherings, and special occasions. It has all the comforting flavors of a classic Italian-inspired pasta dish, and I can prepare much of it ahead of time to make dinner easier.

Manicotti With Sausage

Ingredients

(Tip: You'll find the full list of ingredients and measurements in the recipe card below.)

I use a combination of simple pasta ingredients, flavorful sausage, creamy cheeses, and Italian herbs to create this satisfying baked manicotti.

24 ounces marinara pasta sauce, divided

12 manicotti shells

1 pound Italian sausage

2 cups whole-milk ricotta cheese

1½ cups shredded mozzarella cheese, divided

¼ cup grated Parmesan cheese

1½ cups fresh spinach, chopped

1 large egg, lightly beaten

1 teaspoon dried oregano

2 teaspoons dried basil

½ teaspoon minced garlic

½ teaspoon salt

¼ teaspoon black pepper

Zest of 1 large lemon, optional

Cooking spray

Directions

Preheat the Oven and Prepare the Baking Dish:

I start by preheating my oven to 375°F (190°C). Then I lightly coat a rimmed sheet pan and a 9x13-inch baking dish with cooking spray.

I spread about 1 cup of marinara sauce evenly across the bottom of the baking dish. This helps keep the manicotti moist while baking and prevents the pasta from sticking.

Cook the Manicotti Shells:

I bring a large pot of salted water to a boil and carefully add the manicotti shells.

I cook them for approximately 6 to 7 minutes, just until they reach an al dente texture. I avoid overcooking because the shells will continue softening in the oven.

After draining the pasta, I arrange the shells on the prepared sheet pan, making sure they do not touch. I let them cool slightly so they are easier to handle when stuffing.

Brown the Italian Sausage:

While the pasta cooks, I lightly spray a large skillet with cooking spray and place it over medium-high heat.

I add the Italian sausage and cook it for 8 to 10 minutes, breaking it into very small crumbles with a wooden spoon.

Once the sausage is fully cooked and no pink remains, I remove the skillet from the heat and drain away any excess grease. I set the sausage aside to cool slightly.

Prepare the Ricotta Filling:

In a large mixing bowl, I combine the whole-milk ricotta, ½ cup shredded mozzarella, grated Parmesan, chopped spinach, beaten egg, oregano, basil, minced garlic, salt, and black pepper.

When I want a brighter flavor, I add the optional lemon zest.

I stir everything together until the ingredients are evenly incorporated, creating a creamy and flavorful cheese mixture.

Add the Cooked Sausage:

I fold the cooked sausage into the ricotta mixture, stirring gently until the sausage is distributed throughout the filling.

I make sure the sausage has cooled slightly before mixing it with the cheese and egg.

I reserve the remaining 1 cup of mozzarella for the topping.

Stuff the Manicotti Shells:

To make stuffing easier, I transfer the sausage and ricotta mixture into a gallon-size zip-top bag.

I press out the excess air, seal the bag, and carefully cut off one corner to create a homemade piping bag.

I pipe the filling into one end of each manicotti shell until it is approximately halfway full. Then I turn the shell around and fill it from the opposite end.

I repeat this process until all 12 shells are generously stuffed.

Assemble the Casserole:

I arrange the stuffed manicotti in neat rows over the marinara sauce in my prepared baking dish.

Next, I spoon the remaining marinara sauce evenly over the pasta, making sure the shells are well covered.

Finally, I sprinkle the reserved mozzarella cheese across the top.

Bake Until Hot and Bubbly:

I lightly coat one side of a sheet of aluminum foil with cooking spray and place it sprayed-side down over the baking dish.

I bake the manicotti on the center oven rack for 20 minutes.

Then I carefully remove the foil and continue baking for another 8 to 10 minutes, until the mozzarella is completely melted and the marinara sauce is bubbling.

Rest and Serve:

Once the manicotti is finished baking, I remove the dish from the oven and let it rest for about 5 minutes.

I find that this short resting time helps the filling settle and makes the pasta easier to serve.

I like to finish each serving with a little extra Parmesan cheese or freshly chopped basil.

Servings and Timing

Prep Time: 35 minutes

Cooking Time: 30 minutes

Total Time: 1 hour 5 minutes

Servings: 12 portions

Estimated calories per serving: 330 kcal

Variations

Spicy Sausage Manicotti:

When I want a little extra heat, I replace mild Italian sausage with spicy Italian sausage. I sometimes add a pinch of crushed red pepper flakes to the ricotta filling or marinara sauce.

Chicken Sausage Manicotti:

For a different flavor, I substitute chicken Italian sausage for traditional pork sausage. I still get a savory filling, but the finished dish has a slightly lighter taste.

Extra Spinach and Cheese Manicotti:

I sometimes increase the amount of chopped spinach and add a little extra ricotta for a filling with more vegetables. I make sure to remove excess moisture from any additional spinach to prevent the filling from becoming watery.

Mushroom and Sausage Manicotti:

I love adding finely chopped mushrooms to the sausage mixture. I sauté the mushrooms until their moisture evaporates before mixing them into the ricotta filling.

Creamy Alfredo Manicotti:

For a richer variation, I replace part of the marinara sauce with Alfredo sauce. I enjoy how the creamy sauce complements the sausage and cheese filling.

Three-Cheese Manicotti:

When I want an even cheesier casserole, I add a little shredded provolone or fontina to the filling. I find that both cheeses melt beautifully and add another layer of flavor.

Storage and Reheating

Refrigerating Leftovers:

I allow the manicotti to cool before transferring leftovers into an airtight container.

I store the pasta in the refrigerator for up to 3 to 4 days. When possible, I keep a little extra marinara sauce with each portion to prevent the pasta from drying out.

Freezing Manicotti:

I like freezing manicotti when I want an easy meal ready for another day.

I assemble the stuffed shells with the sauce and cheese in a freezer-safe baking dish, wrap the dish tightly, and freeze it for up to 2 to 3 months for best quality.

I prefer freezing the manicotti before baking because it helps preserve the texture of the pasta and filling.

Reheating in the Oven:

When reheating refrigerated leftovers, I preheat my oven to 350°F (175°C).

I place the manicotti in an oven-safe dish, add a spoonful of marinara sauce if needed, and cover it with aluminum foil.

I heat it for approximately 15 to 20 minutes, or until the center is thoroughly heated and reaches 165°F (74°C).

Reheating in the Microwave:

For a quick meal, I place one or two manicotti shells on a microwave-safe plate and add a little marinara sauce.

I cover the plate loosely and heat in short intervals until the pasta is hot throughout. I let it rest briefly before eating.

Reheating Frozen Manicotti:

I prefer thawing frozen manicotti overnight in the refrigerator before baking or reheating.

If the dish was frozen before baking, I cook it covered at 375°F (190°C), allowing additional time beyond the original recipe. I remove the foil near the end to melt the cheese and make sure the center reaches 165°F (74°C).

FAQs

Can I Make Manicotti With Sausage Ahead of Time?

Yes, I often assemble this recipe a day before I plan to serve it. I prepare the filling, stuff the shells, arrange them in the baking dish, and cover everything with marinara and mozzarella.

I keep the assembled dish tightly covered in the refrigerator for up to 24 hours. When I'm ready to bake, I allow a little additional baking time because the casserole starts cold.

Do I Have to Cook the Manicotti Shells Before Stuffing Them?

For this recipe, I prefer cooking the manicotti shells for 6 to 7 minutes before stuffing them.

Partially cooking the shells makes them flexible enough to fill without cracking while still allowing them to finish cooking in the oven.

I avoid cooking them until completely soft because they can tear during stuffing.

What Is the Easiest Way to Stuff Manicotti Shells?

I find that using a gallon-size zip-top bag is the easiest method.

I spoon the filling into the bag, cut off one corner, and pipe the mixture into both ends of each shell.

This method is quicker and less messy than trying to stuff the pasta with a spoon.

Can I Use Cottage Cheese Instead of Ricotta?

Yes, I can substitute cottage cheese for ricotta when needed.

I prefer blending or draining the cottage cheese first to create a smoother, thicker texture.

Although the flavor is slightly different, it still works well with Italian sausage, spinach, and mozzarella.

How Do I Keep Manicotti From Becoming Dry?

I make sure to spread marinara sauce underneath the shells and cover the stuffed pasta generously with the remaining sauce.

I also bake the dish covered with foil during the first part of cooking. This traps moisture and helps the pasta become tender without drying out.

I remove the foil only during the final minutes so the mozzarella can melt and develop a delicious finish.

Conclusion

Manicotti With Sausage is a comforting, flavorful pasta dish that I love making whenever I want a hearty homemade dinner. The combination of tender manicotti shells, savory Italian sausage, creamy ricotta, fresh spinach, and melted mozzarella creates a satisfying meal that always feels special.

I especially appreciate how easy this recipe is to customize and prepare ahead of time. Whether I'm cooking for a family gathering, preparing a weekend dinner, or stocking my freezer with homemade meals, this baked manicotti is a recipe I can rely on.

I love serving it with garlic bread, a crisp green salad, or roasted vegetables for a complete Italian-inspired meal. With its rich filling, bubbling marinara sauce, and irresistible cheesy topping, this sausage manicotti has become one of my favorite comfort food dinners.


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Manicotti With Sausage

Manicotti With Sausage


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  • Author: Cheryl
  • Total Time: 1 hour 5 minutes
  • Yield: 12 servings
  • Diet: Halal
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Description

Manicotti With Sausage is a hearty Italian-inspired baked pasta dish filled with savory Italian sausage, creamy ricotta, fresh spinach, Parmesan, and mozzarella. Topped with rich marinara sauce and bubbling melted cheese, this comforting casserole is perfect for family dinners and special occasions.


Ingredients

24 ounces marinara pasta sauce, divided

12 manicotti shells

1 pound Italian sausage

2 cups whole-milk ricotta cheese

1½ cups shredded mozzarella cheese, divided

¼ cup grated Parmesan cheese

1½ cups fresh spinach, chopped

1 large egg, lightly beaten

1 teaspoon dried oregano

2 teaspoons dried basil

½ teaspoon minced garlic

½ teaspoon salt

¼ teaspoon black pepper

Zest of 1 large lemon, optional

Cooking spray


Instructions

  1. Preheat the oven to 375°F (190°C). Lightly coat a rimmed sheet pan and a 9x13-inch baking dish with cooking spray. Spread approximately 1 cup of marinara sauce evenly over the bottom of the baking dish.
  2. Bring a large pot of salted water to a boil. Add the manicotti shells and cook for 6 to 7 minutes, until al dente. Drain carefully and arrange the shells separately on the prepared sheet pan. Allow them to cool slightly.
  3. Lightly coat a large skillet with cooking spray and heat over medium-high heat. Add the Italian sausage and cook for 8 to 10 minutes, breaking it into small crumbles, until fully cooked and no pink remains. Drain excess grease and let cool slightly.
  4. In a large mixing bowl, combine the ricotta cheese, ½ cup mozzarella cheese, Parmesan cheese, chopped spinach, beaten egg, oregano, basil, minced garlic, salt, and black pepper. Add the optional lemon zest if desired. Stir until evenly combined.
  5. Fold the slightly cooled cooked sausage into the ricotta mixture until evenly distributed. Reserve the remaining 1 cup mozzarella cheese for topping.
  6. Transfer the sausage and cheese filling into a gallon-size zip-top bag. Seal the bag and snip off one corner to create a piping bag. Pipe the filling into one end of each manicotti shell until halfway filled, then fill from the opposite end. Repeat with all 12 shells.
  7. Arrange the stuffed manicotti shells in neat rows over the marinara sauce in the prepared baking dish. Spoon the remaining marinara sauce evenly over the shells, ensuring they are well covered. Sprinkle the reserved mozzarella cheese over the top.
  8. Lightly spray one side of a sheet of aluminum foil with cooking spray. Cover the baking dish with the sprayed side facing the cheese. Bake on the center oven rack for 20 minutes.
  9. Carefully remove the foil and continue baking for another 8 to 10 minutes, until the mozzarella is completely melted and the marinara sauce is bubbling.
  10. Remove the manicotti from the oven and let rest for approximately 5 minutes before serving. Garnish with additional Parmesan cheese or freshly chopped basil if desired.

Notes

Sausage variations: Substitute spicy Italian sausage for mild sausage and add crushed red pepper flakes for extra heat. Chicken Italian sausage is another flavorful alternative.

Ricotta substitute: Cottage cheese can replace ricotta. Drain or blend it first for a smoother, thicker filling.

Extra vegetables: Add more chopped spinach or sautéed mushrooms. Remove excess moisture before incorporating vegetables into the filling.

Cheese variations: Add shredded provolone or fontina for an extra-cheesy filling.

Sauce variation: Replace part of the marinara sauce with Alfredo sauce for a creamier casserole.

Stuffing tip: Use a gallon-size zip-top bag with one corner removed to pipe filling into both ends of the manicotti shells without tearing them.

Prevent dryness: Spread marinara sauce beneath and over the stuffed shells. Keep the casserole covered during the first 20 minutes of baking to retain moisture.

Make ahead: Assemble the manicotti up to 24 hours in advance, cover tightly, and refrigerate. Allow additional baking time when cooking directly from the refrigerator.

Refrigeration: Store cooled leftovers in an airtight container in the refrigerator for 3 to 4 days.

Freezing: Assemble the unbaked manicotti in a freezer-safe baking dish, wrap tightly, and freeze for up to 2 to 3 months for best quality.

Oven reheating: Cover leftovers with foil and heat at 350°F (175°C) for approximately 15 to 20 minutes, or until the center reaches 165°F (74°C).

Microwave reheating: Place individual portions on a microwave-safe plate with a little extra marinara sauce. Cover loosely and heat in short intervals until thoroughly hot.

Frozen manicotti: Thaw overnight in the refrigerator when possible. Bake covered at 375°F (190°C), allowing additional cooking time, and ensure the center reaches 165°F (74°C).

Serving suggestions: Serve with garlic bread, a crisp green salad, roasted vegetables, or additional Parmesan cheese and fresh basil.

Portion size: This recipe makes 12 portions of one stuffed manicotti shell each. Serve two shells per person for larger appetites.

Nutrition information is estimated and varies depending on the sausage, cheeses, and marinara sauce used.

  • Prep Time: 35 minutes
  • Cook Time: 30 minutes
  • Category: Main Course
  • Method: Baking
  • Cuisine: Italian

Nutrition

  • Serving Size: 1 stuffed manicotti shell
  • Calories: 330 kcal
  • Sugar: 5 g
  • Sodium: 720 mg
  • Fat: 19 g
  • Saturated Fat: 9 g
  • Unsaturated Fat: 9 g
  • Trans Fat: 0.3 g
  • Carbohydrates: 23 g
  • Fiber: 2 g
  • Protein: 18 g
  • Cholesterol: 75 mg

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Hey there! I’m Cheryl and if there’s one thing I’ve learned, it’s that food has a way of bringing people together.

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