Add ground beef, chopped onion, minced garlic, crushed red pepper, and salt & pepper to a skillet with high sides. Cook on medium heat until the meat is almost cooked through and the onions and translucent.
In the meantime, boil the large elbows according to the directions on the back of the box to achieve al dente pasta.
Add the jar of Rao's Marinara sauce to the ground beef once it's browned all the way
Bring the contents of the pan to a boil; then lower to a medium low heat and simmer for 5 minutes
Add 1 block of cream cheese to the sauce and let it slowly disintegrate into the sauce for a few minutes. Then use a wooden spoon to break it up and stir it in for a couple minutes while simmering at a low heat.
Add the elbows and a ladle full of pasta water (about 1/4 cup) to the sauce and let the sauce simmer until creamy. (about 3-5 minutes)
Once you achieve the desired consistency add fresh basil and Pecorino Romano to the sauce and mix and simmer another couple minutes.
Serve it all up and enjoy!