Step 1: Boil salted water in a large pot and concurrently brown sausage in oil over medium heat, then set aside.
Step 2: Sauté bell peppers, garlic, salt, and pepper until peppers are soft.
Step 3: Mix in sausage, cheese cream, and hot pasta water, stirring until well combined.
Step 4: Add parmigiano, simmer for 3-5 minutes, then toss drained pasta in the creamy sauce. Serve immediately.