Ingredients
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8 oz (225 g) penne, rigatoni, or shells
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½ lb (225 g) spicy Italian sausage, casing removed
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2 cloves garlic, minced
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½ tsp red pepper flakes (adjust to taste)
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½ cup heavy cream or half-and-half
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¼ cup freshly grated Parmesan cheese
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½ cup reserved pasta water
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Salt & black pepper, to taste
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Fresh parsley or basil, chopped (optional garnish)
Instructions
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Cook Pasta
Boil pasta in well-salted water until al dente.
Reserve ½ cup pasta water, then drain. -
Brown Sausage
Heat a large skillet over medium-high heat.
Add sausage and cook, breaking it up, until browned (5–7 minutes). -
Add Garlic & Heat
Lower heat to medium.
Add garlic and red pepper flakes; cook 30–60 seconds until fragrant. -
Make Sauce
Reduce heat to medium-low.
Stir in cream, Parmesan, and ¼ cup reserved pasta water.
Simmer gently 2–3 minutes until slightly thickened. -
Combine
Add pasta to skillet and toss to coat.
Add more pasta water as needed for desired consistency. -
Season & Serve
Taste and adjust with salt and pepper.
Garnish with herbs and extra Parmesan if desired.
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Notes
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Lower heat before adding cream to prevent curdling
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Freshly grated Parmesan melts best
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Add more red pepper flakes for extra heat