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Bring a large pot of salted water to a rolling boil for the pasta. 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 off any excess fat and transfer the sausage to a plate, leaving a small amount of fat in the pan.

Reduce heat to medium. Add the chopped yellow onion to the skillet and cook until softened and translucent, about 5 minutes. Add the minced garlic and red pepper flakes, cooking for another 1 minute until fragrant.

Stir 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 10-15 minutes to allow the flavors to meld.

Uncover the sauce and stir in the heavy cream and cooked Italian sausage. Simmer for 2-3 minutes until heated through.

Add the drained rigatoni to the sauce. Stir in the grated Parmesan cheese and chopped fresh basil. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

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


Bring a large pot of salted water to a rolling boil for the pasta. 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 off any excess fat and transfer the sausage to a plate, leaving a small amount of fat in the pan.

Reduce heat to medium. Add the chopped yellow onion to the skillet and cook until softened and translucent, about 5 minutes. Add the minced garlic and red pepper flakes, cooking for another 1 minute until fragrant.

Stir 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 10-15 minutes to allow the flavors to meld.

Uncover the sauce and stir in the heavy cream and cooked Italian sausage. Simmer for 2-3 minutes until heated through.

Add the drained rigatoni to the sauce. Stir in the grated Parmesan cheese and chopped fresh basil. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

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