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Bring a large pot of salted water to a rolling boil. Add the rigatoni pasta and cook according to package directions until al dente. Before draining, reserve 1/2 cup of the starchy pasta water. Drain the pasta and set aside.

While the pasta is cooking, 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 grease and transfer the sausage to a plate, leaving a small amount of fat in the pan.

Reduce the heat to medium. 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 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and black pepper. Stir well and bring the sauce to a gentle simmer. Reduce the heat to low, cover, and let it cook for 10-15 minutes, allowing the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until fully combined and the sauce is creamy. Add the cooked Italian sausage back into the sauce.

Add the cooked rigatoni pasta to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce seems too thick, add a splash of the reserved pasta water, a tablespoon at a time, until it reaches your desired consistency.

Stir in the fresh chopped basil. Taste and adjust seasoning if necessary. Serve immediately, garnished with additional grated Parmesan cheese and fresh basil.


Bring a large pot of salted water to a rolling boil. Add the rigatoni pasta and cook according to package directions until al dente. Before draining, reserve 1/2 cup of the starchy pasta water. Drain the pasta and set aside.

While the pasta is cooking, 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 grease and transfer the sausage to a plate, leaving a small amount of fat in the pan.

Reduce the heat to medium. 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 1 minute until fragrant, being careful not to burn the garlic.

Pour in the crushed tomatoes, salt, and black pepper. Stir well and bring the sauce to a gentle simmer. Reduce the heat to low, cover, and let it cook for 10-15 minutes, allowing the flavors to meld.

Stir in the heavy cream and grated Parmesan cheese until fully combined and the sauce is creamy. Add the cooked Italian sausage back into the sauce.

Add the cooked rigatoni pasta to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce seems too thick, add a splash of the reserved pasta water, a tablespoon at a time, until it reaches your desired consistency.

Stir in the fresh chopped basil. Taste and adjust seasoning if necessary. Serve immediately, garnished with additional grated Parmesan cheese and fresh basil.
