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Bring a large pot of salted water to a boil. Add the penne pasta and cook according to package directions until al dente. Reserve 1 cup of pasta water before draining the pasta.

While the pasta is cooking, heat the olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it up with a spoon, and cook until browned and cooked through, about 5-7 minutes. Drain any excess grease and set the sausage aside.

Reduce the heat to medium. Add the chopped yellow onion to the same skillet and cook until softened and translucent, about 3-5 minutes.

Stir in the minced garlic and red pepper flakes, and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a simmer, then reduce the heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until well combined and the cheese has melted into the sauce.

Add the cooked Italian sausage and drained penne pasta to the sauce. Toss to coat everything evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

Stir in the fresh chopped basil. Taste and adjust seasonings as needed.

Serve immediately, garnished with extra grated Parmesan cheese and fresh basil, if desired.


Bring a large pot of salted water to a boil. Add the penne pasta and cook according to package directions until al dente. Reserve 1 cup of pasta water before draining the pasta.

While the pasta is cooking, heat the olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it up with a spoon, and cook until browned and cooked through, about 5-7 minutes. Drain any excess grease and set the sausage aside.

Reduce the heat to medium. Add the chopped yellow onion to the same skillet and cook until softened and translucent, about 3-5 minutes.

Stir in the minced garlic and red pepper flakes, and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a simmer, then reduce the heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until well combined and the cheese has melted into the sauce.

Add the cooked Italian sausage and drained penne pasta to the sauce. Toss to coat everything evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

Stir in the fresh chopped basil. Taste and adjust seasonings as needed.

Serve immediately, garnished with extra grated Parmesan cheese and fresh basil, if desired.
