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

While the pasta cooks, heat 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 fat.

Reduce heat to medium. Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-4 minutes. Add the minced garlic and red pepper flakes (if using) and cook for another minute until fragrant.

Stir in the crushed tomatoes, 1 tablespoon of kosher salt, and black pepper. Bring to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Remove the lid and stir in the heavy cream and grated Parmesan cheese. Mix until the cheese is melted and the sauce is creamy. Add the chopped fresh basil.

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

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

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

While the pasta cooks, heat 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 fat.

Reduce heat to medium. Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-4 minutes. Add the minced garlic and red pepper flakes (if using) and cook for another minute until fragrant.

Stir in the crushed tomatoes, 1 tablespoon of kosher salt, and black pepper. Bring to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Remove the lid and stir in the heavy cream and grated Parmesan cheese. Mix until the cheese is melted and the sauce is creamy. Add the chopped fresh basil.

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

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