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Bring a large pot of salted water to a rolling boil. Add the penne 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 1 tablespoon of 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 and set the sausage aside.

In the same skillet, reduce heat to medium and add another 1 tablespoon of olive oil. Add the diced yellow onion and cook until softened and translucent, about 3-5 minutes.

Add the minced garlic and red pepper flakes (if using) to the skillet and cook for 1 minute more until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a gentle simmer, then reduce heat to low, cover, and let it cook for 10-15 minutes to allow the flavors to meld.

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

Add the drained pasta to the skillet with 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 chopped fresh basil. Taste and adjust seasonings as needed. Serve immediately, garnished with extra Parmesan cheese and fresh basil, if desired.


Bring a large pot of salted water to a rolling boil. Add the penne 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 1 tablespoon of 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 and set the sausage aside.

In the same skillet, reduce heat to medium and add another 1 tablespoon of olive oil. Add the diced yellow onion and cook until softened and translucent, about 3-5 minutes.

Add the minced garlic and red pepper flakes (if using) to the skillet and cook for 1 minute more until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and black pepper. Bring the sauce to a gentle simmer, then reduce heat to low, cover, and let it cook for 10-15 minutes to allow the flavors to meld.

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

Add the drained pasta to the skillet with 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 chopped fresh basil. Taste and adjust seasonings as needed. Serve immediately, garnished with extra Parmesan cheese and fresh basil, if desired.
