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Bring a large pot of salted water to a boil. Add the rigatoni pasta and cook according to package directions until al dente. Before draining, reserve 1/2 cup of the pasta water. Drain the pasta and set aside.

While the pasta is cooking, heat 1 tablespoon of olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage (casings removed) and break it up with a spoon. Cook until browned and cooked through, about 5-7 minutes. Remove the sausage from the skillet and set aside, leaving about 1 tablespoon of rendered fat in the pan.

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

Add the minced garlic and red pepper flakes to the skillet and cook for 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes to allow 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 the drained rigatoni pasta to the sauce. Toss to coat 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 chopped fresh basil. Taste and adjust seasoning as needed.

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


Bring a large pot of salted water to a boil. Add the rigatoni pasta and cook according to package directions until al dente. Before draining, reserve 1/2 cup of the pasta water. Drain the pasta and set aside.

While the pasta is cooking, heat 1 tablespoon of olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage (casings removed) and break it up with a spoon. Cook until browned and cooked through, about 5-7 minutes. Remove the sausage from the skillet and set aside, leaving about 1 tablespoon of rendered fat in the pan.

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

Add the minced garlic and red pepper flakes to the skillet and cook for 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes to allow 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 the drained rigatoni pasta to the sauce. Toss to coat 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 chopped fresh basil. Taste and adjust seasoning as needed.

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