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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. 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 as it cooks. Brown the sausage thoroughly, 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, about 3-4 minutes.

Stir in the minced garlic and red pepper flakes. Cook for 1 minute more, until fragrant, being careful not to burn the garlic.
Pour in the crushed tomatoes, kosher salt, and black pepper. Bring the sauce to a simmer, then reduce the heat to low, cover, and let it cook for at least 10 minutes to allow the flavors to meld. Stir occasionally.

Stir in the heavy cream and grated Parmesan cheese until well combined and heated through. Add the cooked and drained 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. Stir in the fresh chopped basil.

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

Bring a large pot of salted water to a rolling boil. Add the rigatoni 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 the olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it up with a spoon as it cooks. Brown the sausage thoroughly, 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, about 3-4 minutes.

Stir in the minced garlic and red pepper flakes. Cook for 1 minute more, until fragrant, being careful not to burn the garlic.
Pour in the crushed tomatoes, kosher salt, and black pepper. Bring the sauce to a simmer, then reduce the heat to low, cover, and let it cook for at least 10 minutes to allow the flavors to meld. Stir occasionally.

Stir in the heavy cream and grated Parmesan cheese until well combined and heated through. Add the cooked and drained 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. Stir in the fresh chopped basil.

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