Yum! I used egg noodles instead of bowties (what I had on hand) and thought it was a bad move because they kind of broke apart in the sauce, but my husband said he likes it that way so I guess it was fine. :) Cut the red pepper flakes back (we don't like hot stuff so much) and added some oregano and rosemary and quite a bit more salt than called for, and I used fresh tomatoes from our garden instead of canned. I also used sweet turkey sausage so I didn't need to worry about the grease. Delish. Edit: Made this again tonight, used the called-for bowtie pasta which was definitely better than egg noodles, as well as the called-for amount of pepper flakes, and it was just spicy enough (though I did use 2 cups of cream because we like lots of sauce, which would have toned down the spiciness a hair). Before I added the cream and other sauce ingredients to the meat, I sprinkled some white flour onto the meat and let it cook a couple minutes, which helped the cream thicken up very quickly once it was added. And I used canned tomatoes today instead of fresh like last time, and the fresh definitely taste better, so if you have them, do that! Still good with the canned though. I just want to eat it all, it's so good!

Addictive! I added mushrooms and used the gnocci -shaped pasta. An outstanding recipe.

This recipe is FANTASTIC. I have made it several times and enjoy it each time. Thanks for the great recipe.

Wonderful as is! Can't wait until I eat leftovers since many have stated that it's great the next day! I added parmesan cheese when served.

I have made this recipe now several times now and my family just loves it. Do yourself a favor and just use ground sausage. I have also used diced or crushed tomatoes rather than whole. The creamy sauce is so good - the garlic, tomatoes, and onions are perfect! Try this one and you will want to make it for your family regularly!

This is a very good recipe for pasta! SO EASY, inexpensive and very tasty! I added fresh basil and freshly grated parmesan cheese, YUMMY!

Loved this! Added a little parm cheese to the top and it was delish. I only used about 1/2 of the tomatoes becuase I am not a huge fan of tomatoes and it was great! Thank you for a yummy recipe!

I used fat free half and half and it worked great!

Amazing! All my family loved it...but i didnt have heavy cream so i just used some half and half, it was a little runny but still really good.. and i just used smoked sausage and cut it into little disks and sauteed it with the red pepper...also added fresh basil, tomatoes, and some oregano. Will make this recipe again!

Really good but if you don't like things too spicy, cut the red pepper flakes in half or forget it entirely.