Bold and flavorful spicy Italian sausage pasta in a rich tomato sauce with a hint of cream. This one-skillet dinner is meaty, comforting, and ready in under 40 minutes.
12 oz rigatoni or penne pasta
1 tbsp olive oil
1 lb spicy Italian sausage (casing removed)
½ onion, finely chopped
3 cloves garlic, minced
½ tsp red pepper flakes (or more to taste)
2 tbsp tomato paste
1 (15 oz) can crushed tomatoes or passata
½ cup heavy cream (optional)
½ cup grated Parmesan cheese
Salt and pepper, to taste
Optional: fresh basil or parsley
Cook pasta in salted water until al dente. Reserve ½ cup pasta water and drain.
Heat oil in a skillet. Brown sausage, breaking it up, 7–8 minutes. Remove and set aside.
Sauté onion 4 minutes, add garlic and chili flakes. Cook 1 minute.
Add tomato paste. Cook 1 minute. Stir in crushed tomatoes. Simmer 8–10 minutes.
Return sausage to pan. Add cream and Parmesan. Simmer 2–3 minutes.
Add pasta. Toss to coat. Use pasta water to loosen sauce as needed.
Garnish with herbs and extra cheese. Serve hot.
Use turkey or chicken sausage for a leaner version.
Add spinach or mushrooms for more veggies.
Reheats well—store leftovers for up to 3 days.