1. Bring a large pot of salted water to a boil and cook the pasta according to package directions until al dente.
2. While the pasta cooks, place the drained roasted red peppers in a blender or food processor and purée until completely smooth.
3. In a large skillet, heat the olive oil over medium heat and sauté the onion until translucent, about 5 minutes.
4. Stir in the minced garlic and red pepper flakes, cooking for 1 minute until fragrant.
5. Add the red pepper purée and heavy cream to the skillet, stirring to combine, and bring to a gentle simmer for 5 minutes.
6. Reserve 1/2 cup of the pasta cooking water, then drain the pasta.
7. Toss the cooked pasta into the sauce, adding the Parmesan cheese and a splash of reserved pasta water as needed to reach a creamy consistency.
8. Season with salt and pepper to taste, garnish with fresh basil, and serve immediately.
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