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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 a large skillet or Dutch oven over medium-high heat. Add the crumbled Italian sausage and cook, breaking it up with a spoon, until browned and cooked through. Drain any excess grease and set the sausage aside.

Reduce the heat to medium. Add the olive oil to the same skillet. Add the diced yellow onion and cook until softened, about 3-4 minutes. Stir in the minced garlic and cook for another minute until fragrant, being careful not to burn it.

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 minutes, allowing the flavors to meld.

Stir in the heavy cream, grated Parmesan cheese, and chopped fresh basil. Return the cooked Italian sausage to the skillet and mix well. If the sauce is too thick, add a splash of the reserved pasta water until it reaches your desired consistency.

Add the drained pasta directly to the skillet with the sauce. Toss everything together until the pasta is evenly coated. Taste and adjust seasoning if necessary.

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


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 a large skillet or Dutch oven over medium-high heat. Add the crumbled Italian sausage and cook, breaking it up with a spoon, until browned and cooked through. Drain any excess grease and set the sausage aside.

Reduce the heat to medium. Add the olive oil to the same skillet. Add the diced yellow onion and cook until softened, about 3-4 minutes. Stir in the minced garlic and cook for another minute until fragrant, being careful not to burn it.

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 minutes, allowing the flavors to meld.

Stir in the heavy cream, grated Parmesan cheese, and chopped fresh basil. Return the cooked Italian sausage to the skillet and mix well. If the sauce is too thick, add a splash of the reserved pasta water until it reaches your desired consistency.

Add the drained pasta directly to the skillet with the sauce. Toss everything together until the pasta is evenly coated. Taste and adjust seasoning if necessary.

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