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Heat a large wide pot or deep skillet over medium-high. Add sausage and cook, breaking it up, until well browned and fat has rendered.
Optional: Stir in red pepper flakes and cook 15–30 seconds.
Add pasta and chicken broth. Stir and bring to a boil.
Reduce to a strong simmer and cook, stirring often, until pasta is almost al dente and liquid is mostly absorbed, about 9–11 minutes.
Add broccoli, stir, cover, and cook 3–4 minutes until tender.
Turn off heat. Stir in Parmesan.