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Bring a large pot of heavily salted water to a rolling 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. Remove the sausage from the skillet with a slotted spoon and set aside, leaving about 1 tablespoon of rendered fat in the pan.

Add the diced yellow onion to the skillet and cook until softened and translucent, about 3-5 minutes. Add the minced garlic and red pepper flakes, cooking for another minute until fragrant.

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 10 minutes to allow the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until well combined and the cheese has melted. Add the cooked Italian sausage back into the sauce.

Add the 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 heavily salted water to a rolling 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. Remove the sausage from the skillet with a slotted spoon and set aside, leaving about 1 tablespoon of rendered fat in the pan.

Add the diced yellow onion to the skillet and cook until softened and translucent, about 3-5 minutes. Add the minced garlic and red pepper flakes, cooking for another minute until fragrant.

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 10 minutes to allow the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until well combined and the cheese has melted. Add the cooked Italian sausage back into the sauce.

Add the 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.
