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Bring a large pot of generously salted water to a rolling boil. Add the penne pasta and 1 tablespoon of olive oil to prevent sticking. Cook according to package directions until al dente, typically 10-12 minutes. Drain the pasta, reserving about 1/2 cup of the pasta water.

While the pasta cooks, heat 1 tablespoon of olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it up with a spoon as it cooks. Brown the sausage thoroughly, about 6-8 minutes. Drain any excess grease and transfer the cooked sausage to a plate, leaving about 1 tablespoon of drippings in the skillet.

Reduce the heat to medium. Add the chopped yellow onion to the skillet and cook until softened and translucent, about 4-5 minutes. Add the minced garlic and red pepper flakes (if using) and cook for another 1 minute until fragrant, being careful not to burn the garlic.

Stir in the crushed tomatoes, chicken broth, and dried oregano. Bring the sauce to a gentle simmer, then reduce heat to low, cover, and let it cook for 10-12 minutes to allow the flavors to meld.

Return the cooked Italian sausage to the skillet. Stir in the heavy cream, 1/4 cup of grated Parmesan cheese, and chopped fresh basil. Season with salt and freshly ground black pepper to taste. If the sauce is too thick, add a splash of the reserved pasta water until it reaches your desired consistency.

Add the drained pasta directly to the skillet with the sauce. Toss gently to coat the pasta evenly. Cook for 1-2 minutes, allowing the pasta to absorb some of the sauce.

Serve immediately in bowls, garnished with extra fresh basil leaves and a sprinkle of freshly grated Parmesan cheese.


Bring a large pot of generously salted water to a rolling boil. Add the penne pasta and 1 tablespoon of olive oil to prevent sticking. Cook according to package directions until al dente, typically 10-12 minutes. Drain the pasta, reserving about 1/2 cup of the pasta water.

While the pasta cooks, heat 1 tablespoon of olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it up with a spoon as it cooks. Brown the sausage thoroughly, about 6-8 minutes. Drain any excess grease and transfer the cooked sausage to a plate, leaving about 1 tablespoon of drippings in the skillet.

Reduce the heat to medium. Add the chopped yellow onion to the skillet and cook until softened and translucent, about 4-5 minutes. Add the minced garlic and red pepper flakes (if using) and cook for another 1 minute until fragrant, being careful not to burn the garlic.

Stir in the crushed tomatoes, chicken broth, and dried oregano. Bring the sauce to a gentle simmer, then reduce heat to low, cover, and let it cook for 10-12 minutes to allow the flavors to meld.

Return the cooked Italian sausage to the skillet. Stir in the heavy cream, 1/4 cup of grated Parmesan cheese, and chopped fresh basil. Season with salt and freshly ground black pepper to taste. If the sauce is too thick, add a splash of the reserved pasta water until it reaches your desired consistency.

Add the drained pasta directly to the skillet with the sauce. Toss gently to coat the pasta evenly. Cook for 1-2 minutes, allowing the pasta to absorb some of the sauce.

Serve immediately in bowls, garnished with extra fresh basil leaves and a sprinkle of freshly grated Parmesan cheese.
