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Bring a large pot of salted water to a rolling boil. Add the small shell pasta and cook according to package directions until al dente. Drain the pasta well and set aside.

While the pasta is cooking, melt the butter in a large skillet or Dutch oven over medium heat. Add the sliced smoked sausage and cook, stirring occasionally, until browned on both sides, about 5-7 minutes.

Add the minced garlic to the skillet with the sausage and cook for 1 minute until fragrant, being careful not to burn it.

Stir in the tomato paste and cook for another 1-2 minutes, stirring constantly, to deepen its flavor.

Pour in the tomato sauce and heavy whipping cream. Add the Italian seasoning, salt, and black pepper. Stir until the sauce is smooth and all ingredients are well combined.

Bring the sauce to a gentle simmer, then add the cooked and drained pasta to the skillet with the sausage and sauce. Stir well to coat the pasta evenly.

Stir in the freshly shredded Parmesan cheese until it is completely melted and the sauce becomes creamy and well combined. If using, stir in spinach or kale until wilted.

Remove the skillet from the heat and let the dish sit for 5 minutes to allow the sauce to thicken slightly. Serve warm, garnished with extra Parmesan cheese and red pepper flakes if desired.


Bring a large pot of salted water to a rolling boil. Add the small shell pasta and cook according to package directions until al dente. Drain the pasta well and set aside.

While the pasta is cooking, melt the butter in a large skillet or Dutch oven over medium heat. Add the sliced smoked sausage and cook, stirring occasionally, until browned on both sides, about 5-7 minutes.

Add the minced garlic to the skillet with the sausage and cook for 1 minute until fragrant, being careful not to burn it.

Stir in the tomato paste and cook for another 1-2 minutes, stirring constantly, to deepen its flavor.

Pour in the tomato sauce and heavy whipping cream. Add the Italian seasoning, salt, and black pepper. Stir until the sauce is smooth and all ingredients are well combined.

Bring the sauce to a gentle simmer, then add the cooked and drained pasta to the skillet with the sausage and sauce. Stir well to coat the pasta evenly.

Stir in the freshly shredded Parmesan cheese until it is completely melted and the sauce becomes creamy and well combined. If using, stir in spinach or kale until wilted.

Remove the skillet from the heat and let the dish sit for 5 minutes to allow the sauce to thicken slightly. Serve warm, garnished with extra Parmesan cheese and red pepper flakes if desired.
