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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.

While the pasta cooks, heat the 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.

Add the diced yellow onion to the skillet with the sausage and cook until softened and translucent, about 3-4 minutes.

Stir in the minced garlic and red pepper flakes, cooking for another minute until fragrant.

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

Once the pasta is cooked, reserve 1 cup of pasta water, then drain the remaining water.

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Mix until the cheese is melted and the sauce is creamy.

Add the cooked rigatoni pasta and chopped fresh basil 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 additional grated Parmesan cheese and fresh basil, if desired.


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.

While the pasta cooks, heat the 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.

Add the diced yellow onion to the skillet with the sausage and cook until softened and translucent, about 3-4 minutes.

Stir in the minced garlic and red pepper flakes, cooking for another minute until fragrant.

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

Once the pasta is cooked, reserve 1 cup of pasta water, then drain the remaining water.

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Mix until the cheese is melted and the sauce is creamy.

Add the cooked rigatoni pasta and chopped fresh basil 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 additional grated Parmesan cheese and fresh basil, if desired.
