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Bring a large pot of generously salted water to a rolling boil. Add the rigatoni and cook according to package directions until al dente. Reserve 1 1/2 cups of pasta water before draining the pasta.

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 off any excess fat and transfer the sausage to a plate, leaving about 1 tablespoon of fat in the pan.

Reduce the heat to medium. Add the diced yellow onion to the skillet and cook until softened and translucent, about 5-7 minutes. Add the minced garlic and red pepper flakes (if using) and cook for another 1 minute until fragrant.

Stir in the crushed tomatoes, 1 teaspoon of kosher salt, and 1/2 teaspoon of black pepper. Bring the sauce to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Uncover the sauce and stir in the heavy cream and grated Parmesan cheese. Return the cooked Italian sausage to the pan. Add the cooked and drained rigatoni to the sauce.

Toss everything together, adding reserved pasta water 1/4 cup at a time until the sauce reaches your desired consistency and coats the pasta beautifully. Stir in the fresh chopped basil.

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


Bring a large pot of generously salted water to a rolling boil. Add the rigatoni and cook according to package directions until al dente. Reserve 1 1/2 cups of pasta water before draining the pasta.

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 off any excess fat and transfer the sausage to a plate, leaving about 1 tablespoon of fat in the pan.

Reduce the heat to medium. Add the diced yellow onion to the skillet and cook until softened and translucent, about 5-7 minutes. Add the minced garlic and red pepper flakes (if using) and cook for another 1 minute until fragrant.

Stir in the crushed tomatoes, 1 teaspoon of kosher salt, and 1/2 teaspoon of black pepper. Bring the sauce to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Uncover the sauce and stir in the heavy cream and grated Parmesan cheese. Return the cooked Italian sausage to the pan. Add the cooked and drained rigatoni to the sauce.

Toss everything together, adding reserved pasta water 1/4 cup at a time until the sauce reaches your desired consistency and coats the pasta beautifully. Stir in the fresh chopped basil.

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