2. Add minced garlic and Italian sausage, cooking for an additional 7-8 minutes until sausage is browned.
3. In a separate pot, cook rigatoni according to package instructions in boiling salted water for 9-11 minutes.
4. Add canned tomatoes to the sausage mixture and stir in basil, oregano, chili flakes, salt, and pepper. Bring to a boil, then simmer for 5-7 minutes.
5. Stir in heavy cream and grated Parmesan, letting the sauce simmer on medium-low for another 5-7 minutes. Adjust seasonings if needed.
6. Drain rigatoni and mix with the sauce until well coated. Let simmer longer if a thicker sauce is desired.
7. Serve garnished with remaining Parmesan and fresh basil. Enjoy!