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Bring a large pot of generously salted water to a rolling 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. Remove the sausage from the skillet with a slotted spoon and set aside, leaving about 1 tablespoon of rendered fat in the pan.

Add the diced yellow onion to the skillet and cook until softened and translucent, about 5 minutes. Add the minced garlic and red pepper flakes and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, 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.

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

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Add the cooked Italian sausage back into the sauce. If the sauce is too thick, add a splash of the reserved pasta water until it reaches your desired consistency.

Add the drained rigatoni to the sauce and toss to coat evenly. Stir in the fresh chopped basil.

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 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. Remove the sausage from the skillet with a slotted spoon and set aside, leaving about 1 tablespoon of rendered fat in the pan.

Add the diced yellow onion to the skillet and cook until softened and translucent, about 5 minutes. Add the minced garlic and red pepper flakes and cook for another 1 minute until fragrant.

Pour in the crushed tomatoes, 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.

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

Stir the heavy cream and grated Parmesan cheese into the tomato sauce. Add the cooked Italian sausage back into the sauce. If the sauce is too thick, add a splash of the reserved pasta water until it reaches your desired consistency.

Add the drained rigatoni to the sauce and toss to coat evenly. Stir in the fresh chopped basil.

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