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Bring a large pot of generously salted water to a boil for the pasta.

While the water heats, 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 and set the cooked sausage aside.

Add the diced yellow onion to the same skillet (add a touch more olive oil if needed). Cook until softened and translucent, about 5 minutes.

Stir in the minced garlic and red pepper flakes (if using) and cook for another minute until fragrant.

Pour in the crushed tomatoes, 1 tablespoon of kosher salt, and 1/2 teaspoon of black pepper. Bring to a simmer, then reduce heat to low, cover, and let it cook for 10-15 minutes to allow the flavors to meld.

While the sauce simmers, add the rigatoni pasta to the boiling water and cook according to package directions until al dente. Reserve 1 cup of pasta water before draining the pasta.

Uncover the sauce and stir in the heavy cream, grated Parmesan cheese, and chopped fresh basil. Return the cooked Italian sausage to the sauce.

Add the drained pasta to the sauce. Toss to combine, adding a splash or two of the reserved pasta water if the sauce is too thick.

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


Bring a large pot of generously salted water to a boil for the pasta.

While the water heats, 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 and set the cooked sausage aside.

Add the diced yellow onion to the same skillet (add a touch more olive oil if needed). Cook until softened and translucent, about 5 minutes.

Stir in the minced garlic and red pepper flakes (if using) and cook for another minute until fragrant.

Pour in the crushed tomatoes, 1 tablespoon of kosher salt, and 1/2 teaspoon of black pepper. Bring to a simmer, then reduce heat to low, cover, and let it cook for 10-15 minutes to allow the flavors to meld.

While the sauce simmers, add the rigatoni pasta to the boiling water and cook according to package directions until al dente. Reserve 1 cup of pasta water before draining the pasta.

Uncover the sauce and stir in the heavy cream, grated Parmesan cheese, and chopped fresh basil. Return the cooked Italian sausage to the sauce.

Add the drained pasta to the sauce. Toss to combine, adding a splash or two of the reserved pasta water if the sauce is too thick.

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