Bring large pot of salted water to a boil.

Add pasta to water and cook about 6 to 10 minutes until al dente or according to package instructions.

Drain and return to pot.

In the meantime, heat the olive oil in a large saucepan over medium heat, add sausage, and cook until brown and all pink has disappeared, about 10 minutes.

Add onions, salt, and red peppers and cook until onions are translucent, about 10 minutes.

Add the garlic and heat until fragrant, about 3 minutes.

Add the tomatoes and stir, cook until the sauce thickens, about 4 to 5 minutes.

Add the vodka and cook until the sauce is reduced 6 to 10 minutes.

Stir in the cream and heat for 3 or 4 additional minutes.

Toss immediately with pasta and serve with grated cheese, topped with fresh basil.