Combine the fennel, onion, sage, garlic, fennel seeds, and pepper flakes in food processor and pulse until finely chopped, about 10 pulses; set aside.
Heat oil in a Dutch oven over medium-high heat until just smoking.
Add the sausage and cook, breaking up the meat with a potato masher, until the sausage begins to sizzle in its own fat, about 15 minutes.
Reduce the heat to medium and add the fennel mixture.
Cook until the vegetables are softened and fragrant, about 4 minutes.
Add the crushed tomatoes and tomato sauce and bring to a simmer.
Reduce the heat to medium-low and cook for 5 minutes to allow the flavors to blend.
Set aside off heat.
Reserve 2 cups sauce for topping.