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Bring a large pot of generously salted water to a rolling boil for the pasta.

While the water heats, 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 as it cooks. Cook until browned and no longer pink, about 6-8 minutes. Drain any excess grease.

Reduce the heat to medium. Add the diced yellow onion to the skillet with the sausage and cook until softened and translucent, about 5-7 minutes.

Stir in the minced garlic and red pepper flakes. Cook for 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, kosher 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. Stir occasionally.

While the sauce simmers, add the rigatoni to the boiling salted water. Cook according to package directions until al dente. Before draining, reserve 1 cup of the pasta cooking water.

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

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

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


Bring a large pot of generously salted water to a rolling boil for the pasta.

While the water heats, 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 as it cooks. Cook until browned and no longer pink, about 6-8 minutes. Drain any excess grease.

Reduce the heat to medium. Add the diced yellow onion to the skillet with the sausage and cook until softened and translucent, about 5-7 minutes.

Stir in the minced garlic and red pepper flakes. Cook for 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, kosher 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. Stir occasionally.

While the sauce simmers, add the rigatoni to the boiling salted water. Cook according to package directions until al dente. Before draining, reserve 1 cup of the pasta cooking water.

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

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

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