Step 1

In a large pot or Dutch oven, cook the sausage over medium heat until browned. Break it apart with a spoon as it cooks.

Step 2

Once the sausage is cooked through, add the crushed tomatoes, chicken stock, and heavy cream to the pot. Stir to combine.

Step 3

Add the red pepper flakes and season with salt and pepper. Bring the mixture to a simmer.

Step 4

Add the uncooked spaghetti to the pot. Stir frequently to ensure the spaghetti doesn't stick together. Cook until the spaghetti is al dente and has absorbed most of the liquid, about 10-12 minutes.

Step 5

Once the spaghetti is cooked, stir in the grated Parmesan cheese until fully incorporated and the sauce is creamy.

Step 6

Remove from heat and let the dish sit for a few minutes to thicken. Garnish with chopped parsley or basil before serving. Enjoy!