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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, usually about 10-12 minutes. 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 off any excess fat.

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

Stir in the minced garlic, red pepper flakes, and 1 teaspoon of kosher salt. Cook for 1 minute more until fragrant.

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

Stir in the heavy cream, chopped fresh basil, and 1/2 cup of grated Parmesan cheese. Season with freshly ground black pepper. Cook for another 2-3 minutes, stirring occasionally, until the sauce is heated through and slightly thickened.

Add the 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.

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


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, usually about 10-12 minutes. 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 off any excess fat.

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

Stir in the minced garlic, red pepper flakes, and 1 teaspoon of kosher salt. Cook for 1 minute more until fragrant.

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

Stir in the heavy cream, chopped fresh basil, and 1/2 cup of grated Parmesan cheese. Season with freshly ground black pepper. Cook for another 2-3 minutes, stirring occasionally, until the sauce is heated through and slightly thickened.

Add the 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.

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