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Brown the Sausage: In a large pot or Dutch oven, brown the Italian sausage over medium heat, breaking it up with a spoon as it cooks. Remove the sausage from the pot and set aside.
Sauté Vegetables: Add the olive oil to the pot and sauté the onion and garlic until softened, about 5 minutes.
Combine Ingredients: Stir in the diced tomatoes, chicken broth, oregano, and red pepper flakes (if using). Bring to a simmer.
Cook Pasta: Add the ditalini pasta to the pot and cook according to package directions, stirring occasionally.
Add Cream and Cheese: Stir in the heavy cream and Parmesan cheese until melted and smooth.
Return Sausage: Add the cooked sausage back to the pot and stir to combine.
Season and Serve: Season with salt and pepper to taste. Serve immediately with additional grated Parmesan cheese, if desired.
Instructions:
Prep Time: 15 minutes | Cooking Time: 25 minutes | Total Time: | Servings: 4-6"