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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 cooked sausage to a plate, leaving a small amount 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 minutes. Add the minced garlic and red pepper flakes, cooking for another 1 minute until fragrant, being careful not to burn the garlic.

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

Uncover the sauce and stir in the heavy cream and grated Parmesan cheese. Add the cooked Italian sausage back to the pan. Stir well to combine.

Add the drained rigatoni to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add reserved pasta water, 1/4 cup at a time, until it reaches your desired consistency.

Stir in the chopped fresh basil. Taste and adjust seasoning if necessary. Serve immediately, garnished with additional grated Parmesan cheese and fresh basil.


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 cooked sausage to a plate, leaving a small amount 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 minutes. Add the minced garlic and red pepper flakes, cooking for another 1 minute until fragrant, being careful not to burn the garlic.

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

Uncover the sauce and stir in the heavy cream and grated Parmesan cheese. Add the cooked Italian sausage back to the pan. Stir well to combine.

Add the drained rigatoni to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add reserved pasta water, 1/4 cup at a time, until it reaches your desired consistency.

Stir in the chopped fresh basil. Taste and adjust seasoning if necessary. Serve immediately, garnished with additional grated Parmesan cheese and fresh basil.
