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Bring a large pot of generously salted water to a boil. Add the rigatoni and cook according to package directions until al dente.

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. Drain any excess fat.

Add the chopped 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 (if using) and cook for 1 minute more until fragrant.

Pour in the crushed tomatoes, 1 tablespoon of kosher salt, and black pepper. Bring the sauce to a simmer, then reduce heat to low, cover, and let it cook for at least 10 minutes to allow the flavors to meld.

Once the pasta is cooked, reserve 1 cup of pasta water, then drain the remaining water.

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Add the cooked rigatoni to the skillet with the sauce. Toss to combine, adding a splash of reserved pasta water if the sauce is too thick.

Stir in the fresh chopped basil. Taste and adjust seasoning as needed.

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

Bring a large pot of generously salted water to a boil. Add the rigatoni and cook according to package directions until al dente.

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. Drain any excess fat.

Add the chopped 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 (if using) and cook for 1 minute more until fragrant.

Pour in the crushed tomatoes, 1 tablespoon of kosher salt, and black pepper. Bring the sauce to a simmer, then reduce heat to low, cover, and let it cook for at least 10 minutes to allow the flavors to meld.

Once the pasta is cooked, reserve 1 cup of pasta water, then drain the remaining water.

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Add the cooked rigatoni to the skillet with the sauce. Toss to combine, adding a splash of reserved pasta water if the sauce is too thick.

Stir in the fresh chopped basil. Taste and adjust seasoning as needed.

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