Heat extra virgin olive oil over medium heat
Add onions and garlic and cook until fragrant
Add Italian sausage and brown
Season with salt, pepper and Italian seasoning
Add tomato paste and mix
Add chicken broth and heavy cream and bring to a simmer
Add parmesan with a splash of pasta water
Cook pasta until al dente
Add pasta directly to pan with another splash of pasta water and parmesan
Serve and enjoy
