1: Start by browning the sausage in olive oil until golden brown on all sides.
2: Once browned, add in the garlic and stir for one minute.
3: Add in the chopped tomatoes and crushed red pepper along with half of the basil. Stir and almost fully cover.
4: Let cook, stirring every 15 minutes for about 30 minutes.
5: Remove the sausage, slice, and set aside.
6: Boil the pasta, but cook for half the amount of time indicated. Reserve 1 cup of pasta water before draining the pasta.
7: Add the reserved pasta water and the heavy cream to the sauce and mix well.
8: Add in the pasta and sausage, and add more water if needed.
9: Let bubble for 5 minutes.
10: Mix in the cheese and more fresh basil, then serve!