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Bring a large pot of generously 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.

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. Drain off 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, red pepper flakes, and 1 tablespoon of kosher salt, cooking for another minute until fragrant.

Pour in the crushed tomatoes and bring the sauce to a simmer. Reduce the heat to low, cover, and let it gently simmer for 10 minutes to allow the flavors to meld.

Stir in the heavy cream, grated Parmesan cheese, and chopped fresh basil. Mix well until the cheese is melted and the sauce is creamy. Season with freshly ground black pepper.

Add the cooked and drained rigatoni to 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 grated Parmesan cheese and fresh basil, if desired.

Bring a large pot of generously 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.

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. Drain off 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, red pepper flakes, and 1 tablespoon of kosher salt, cooking for another minute until fragrant.

Pour in the crushed tomatoes and bring the sauce to a simmer. Reduce the heat to low, cover, and let it gently simmer for 10 minutes to allow the flavors to meld.

Stir in the heavy cream, grated Parmesan cheese, and chopped fresh basil. Mix well until the cheese is melted and the sauce is creamy. Season with freshly ground black pepper.

Add the cooked and drained rigatoni to 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 grated Parmesan cheese and fresh basil, if desired.
