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

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 (casings removed) and break it apart with a spoon. Cook, stirring occasionally, until browned and cooked through, about 6-8 minutes. Drain any excess fat and set the cooked 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, and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a gentle simmer, then reduce the heat to low, cover, and let it cook for 10-15 minutes, allowing the flavors to meld.

Stir in the heavy cream and chopped fresh basil. Add the cooked Italian sausage back into the sauce. Stir in the grated Parmesan cheese until melted and smooth.

Add the drained pasta to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

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


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

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 (casings removed) and break it apart with a spoon. Cook, stirring occasionally, until browned and cooked through, about 6-8 minutes. Drain any excess fat and set the cooked 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, and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a gentle simmer, then reduce the heat to low, cover, and let it cook for 10-15 minutes, allowing the flavors to meld.

Stir in the heavy cream and chopped fresh basil. Add the cooked Italian sausage back into the sauce. Stir in the grated Parmesan cheese until melted and smooth.

Add the drained pasta to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

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