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

While the pasta cooks, heat 1 tablespoon of 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 and set the sausage aside.

Reduce the heat to medium. Add the diced yellow onion to the same skillet and cook until softened and translucent, about 3-5 minutes.

Add the minced garlic and red pepper flakes to the skillet and cook for 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and 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.

Stir in the heavy cream and grated Parmesan cheese until well combined and the cheese has melted into the sauce.

Add the cooked Italian sausage and drained rigatoni pasta to the sauce. Toss to coat everything evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

Stir in the fresh chopped basil. Taste and adjust seasoning if necessary.

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


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

While the pasta cooks, heat 1 tablespoon of 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 and set the sausage aside.

Reduce the heat to medium. Add the diced yellow onion to the same skillet and cook until softened and translucent, about 3-5 minutes.

Add the minced garlic and red pepper flakes to the skillet and cook for 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and 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.

Stir in the heavy cream and grated Parmesan cheese until well combined and the cheese has melted into the sauce.

Add the cooked Italian sausage and drained rigatoni pasta to the sauce. Toss to coat everything evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

Stir in the fresh chopped basil. Taste and adjust seasoning if necessary.

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