Fill a large pan with water and salt until the water resembles seawater. You’re going to want a large pan so the pasta has plenty of space.
Bring the water to a boil and, once ready, add the pasta.
Once the pasta is ready, drain away from the water and set it aside. The pasta should take around 8 – 12 minutes to be cooked but you can test it by taking out a single piece and biting it.
Take a large skillet and cook sausage over medium heat, stirring until browned.
Add tomatoes, cream, and the drained pasta to the sausage skillet and cook over medium heat until thoroughly heated, stirring frequently.
Sprinkle it with cheese and enjoy!