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Bring a large pot of salted water to a boil. Add the rigatoni and cook according to package directions until al dente. Before draining, reserve 1/2 cup of the pasta water. Drain the pasta and set aside.

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. Remove the sausage from the skillet with a slotted spoon, leaving about 1 tablespoon of drippings in the pan. Set the cooked sausage aside.

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 and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a simmer, then reduce 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. Return the cooked Italian sausage to the sauce.

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

Stir in the fresh chopped basil just before serving. Serve immediately, garnished with additional grated Parmesan cheese if desired.


Bring a large pot of salted water to a boil. Add the rigatoni and cook according to package directions until al dente. Before draining, reserve 1/2 cup of the pasta water. Drain the pasta and set aside.

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. Remove the sausage from the skillet with a slotted spoon, leaving about 1 tablespoon of drippings in the pan. Set the cooked sausage aside.

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 and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a simmer, then reduce 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. Return the cooked Italian sausage to the sauce.

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

Stir in the fresh chopped basil just before serving. Serve immediately, garnished with additional grated Parmesan cheese if desired.
