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

While the pasta cooks, heat the olive oil in a large skillet or Dutch oven over medium-high heat. Add the spicy Italian sausage, breaking it up with a spoon as it cooks, until browned and cooked through. Drain any excess fat from the skillet, then remove the sausage and set aside.

Reduce the heat to medium. Add the diced yellow onion to the same skillet and cook, stirring occasionally, until softened and translucent, about 5-7 minutes. Add the minced garlic and red pepper flakes, and cook for another 1 minute until fragrant, being careful not to burn the garlic.

Stir in the crushed tomatoes, diced tomatoes (with their juice), chopped fresh basil, 1/2 teaspoon salt, and 1/4 teaspoon black pepper. Bring the sauce to a gentle simmer, then return the cooked sausage to the skillet. Reduce heat to low, cover, and let the sauce simmer for at least 10-15 minutes to allow the flavors to meld.

Uncover the sauce and stir in the heavy cream and 1/2 cup grated Parmesan cheese. Cook for 2-3 minutes, stirring, until the cheese is melted and the sauce is creamy.

Add the cooked rigatoni pasta directly to the sauce in the skillet. Toss to coat the pasta evenly. If the sauce seems too thick, add a splash or two of the reserved pasta cooking water until it reaches your desired consistency.

Serve immediately, garnished with additional grated Parmesan cheese and fresh basil, as needed.


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

While the pasta cooks, heat the olive oil in a large skillet or Dutch oven over medium-high heat. Add the spicy Italian sausage, breaking it up with a spoon as it cooks, until browned and cooked through. Drain any excess fat from the skillet, then remove the sausage and set aside.

Reduce the heat to medium. Add the diced yellow onion to the same skillet and cook, stirring occasionally, until softened and translucent, about 5-7 minutes. Add the minced garlic and red pepper flakes, and cook for another 1 minute until fragrant, being careful not to burn the garlic.

Stir in the crushed tomatoes, diced tomatoes (with their juice), chopped fresh basil, 1/2 teaspoon salt, and 1/4 teaspoon black pepper. Bring the sauce to a gentle simmer, then return the cooked sausage to the skillet. Reduce heat to low, cover, and let the sauce simmer for at least 10-15 minutes to allow the flavors to meld.

Uncover the sauce and stir in the heavy cream and 1/2 cup grated Parmesan cheese. Cook for 2-3 minutes, stirring, until the cheese is melted and the sauce is creamy.

Add the cooked rigatoni pasta directly to the sauce in the skillet. Toss to coat the pasta evenly. If the sauce seems too thick, add a splash or two of the reserved pasta cooking water until it reaches your desired consistency.

Serve immediately, garnished with additional grated Parmesan cheese and fresh basil, as needed.
