Cook the pasta in a large pot of salted boiling water according to package instructions until al dente. Reserve 1 cup of starchy pasta water before draining.
Rinse the pasta under cold water briefly to stop the cooking process, then set aside.
Heat olive oil in a large skillet over medium-high heat. Add the minced onion and sprinkle with 1/4 teaspoon of salt. Sauté for 2-3 minutes until softened.
Add minced garlic and cook for an additional minute until fragrant.
Add ground turkey to the skillet, seasoning with Italian seasoning. Cook until nearly done, with a few bits of pink remaining.
Pour in the tomato sauce and reserved starchy pasta water. Stir in tomato paste and optional anchovy paste. Bring to a boil, then reduce heat and let simmer for 4-6 minutes.
Stir in heavy cream until smooth and creamy.
Add the cooked pasta to the skillet, tossing to coat and heat through.
Serve topped with grated parmesan cheese and fresh chopped parsley.
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Notes
Store leftovers in an airtight container in the refrigerator for up to 4 days.