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Bring a large pot of generously salted water to a boil. Add the rigatoni 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 grease.

Reduce the heat to medium. Add the diced yellow onion to the skillet and cook until softened, about 3-5 minutes.

Stir in the minced garlic and red pepper flakes (if using) and cook for 1 minute more until fragrant.

Pour in the crushed tomatoes, kosher salt, and black pepper. Bring to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until well combined and the sauce is creamy.

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.

Stir in the fresh chopped basil. Taste and adjust seasoning as needed.

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


Bring a large pot of generously salted water to a boil. Add the rigatoni 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 grease.

Reduce the heat to medium. Add the diced yellow onion to the skillet and cook until softened, about 3-5 minutes.

Stir in the minced garlic and red pepper flakes (if using) and cook for 1 minute more until fragrant.

Pour in the crushed tomatoes, kosher salt, and black pepper. Bring to a simmer, then reduce heat to low, cover, and let it cook for 10 minutes, allowing the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until well combined and the sauce is creamy.

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.

Stir in the fresh chopped basil. Taste and adjust seasoning as needed.

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