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Bring a large pot of generously salted water to a rolling boil. Add the rigatoni and cook according to package directions until al dente. Reserve 1 cup of the pasta cooking 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, until browned and cooked through, about 5-7 minutes. Drain any excess fat, leaving about 1 tablespoon in the pan.

Add the diced yellow onion to the skillet with the sausage and 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 teaspoon of kosher salt, and the 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 the sauce is creamy. Add the chopped fresh basil.

Add the drained rigatoni to the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add some of the reserved pasta cooking water, 1/4 cup at a time, until it reaches your desired consistency.

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


Bring a large pot of generously salted water to a rolling boil. Add the rigatoni and cook according to package directions until al dente. Reserve 1 cup of the pasta cooking 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, until browned and cooked through, about 5-7 minutes. Drain any excess fat, leaving about 1 tablespoon in the pan.

Add the diced yellow onion to the skillet with the sausage and 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 teaspoon of kosher salt, and the 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 the sauce is creamy. Add the chopped fresh basil.

Add the drained rigatoni to the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add some of the reserved pasta cooking water, 1/4 cup at a time, until it reaches your desired consistency.

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