Ingredients:

• 16 ounces pasta + 1 cups reserved pasta water
• 3 tablespoons olive oil
• 1 onion, diced
• 1 1/2 pounds Italian sausage, bulk or removed from casing
• 3-4 cloves garlic, crushed
• 1-2 pinches red pepper flakes
• 1 (6 oz.) can tomato paste
• 1 cup chicken broth
• 1 cup heavy cream
• Salt and pepper, to taste
• 1/4 cup+ grated Parmesan cheese, plus more for garnish

Directions:

1. Cook pasta according to package directions. Drain, reserving 1 cup of the pasta water.
2. While the pasta is cooking heat oil in a large skillet over medium heat. Add onion and cook until soft, about 5 minutes. Add the sausage. Cook, breaking into small pieces, until no longer pink. Drain any excess grease.
3. Add garlic, red pepper and tomato paste and cook a few minutes more until tomato is fragrant. Stir in the broth and simmer until liquid is reduced by half.
4. Add cream to the pan and bring to a simmer. Gradually add pasta water until sauce reaches desired consistency. Taste and season as desired.
5. Stir in Parmesan cheese. Garnish with more Parmesan cheese, if desired.