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Bring a large pot of generously salted water to a 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 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 any excess fat.

Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-5 minutes.

Stir in the minced garlic, kosher salt, and red pepper flakes (if using). Cook for 1 minute until fragrant.

Pour in the crushed tomatoes and bring the sauce to a simmer. Reduce heat to medium-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 heated through.

Add the cooked and drained rigatoni pasta 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.

Stir in the fresh chopped basil and freshly ground black pepper. Taste and adjust seasoning as needed.

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


Bring a large pot of generously salted water to a 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 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 any excess fat.

Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-5 minutes.

Stir in the minced garlic, kosher salt, and red pepper flakes (if using). Cook for 1 minute until fragrant.

Pour in the crushed tomatoes and bring the sauce to a simmer. Reduce heat to medium-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 heated through.

Add the cooked and drained rigatoni pasta 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.

Stir in the fresh chopped basil and freshly ground black pepper. Taste and adjust seasoning as needed.

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