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Bring a large pot of generously salted water to a rolling boil. Add the pasta and cook according to package directions until al dente.

While the pasta cooks, heat 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.

Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-4 minutes.

Stir in the minced garlic and red pepper flakes, cooking 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 at least 10 minutes to allow the flavors to meld.

Once the pasta is cooked, reserve 1 cup of the pasta cooking water, then drain the remaining pasta.

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Mix until the cheese is melted and the sauce is creamy.

Add the drained pasta to the skillet with the sauce and toss to coat. 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 as needed.

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


Bring a large pot of generously salted water to a rolling boil. Add the pasta and cook according to package directions until al dente.

While the pasta cooks, heat 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.

Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-4 minutes.

Stir in the minced garlic and red pepper flakes, cooking 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 at least 10 minutes to allow the flavors to meld.

Once the pasta is cooked, reserve 1 cup of the pasta cooking water, then drain the remaining pasta.

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Mix until the cheese is melted and the sauce is creamy.

Add the drained pasta to the skillet with the sauce and toss to coat. 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 as needed.

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