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Preheat the oven to 400ºF.
In a medium skillet, cook the sausage until it is browned and cooked through, breaking it up as it cooks. Do not drain.
In a bowl, combine the cream cheese, Parmesan, parsley and sage. Add the cooked sausage (including the grease) and mix until combined.
Place the mushrooms, top side down, in a large baking dish. (You may need 2 baking dishes, depending on the size of the mushrooms.) Fill the center of each mushroom with a large scoop of the sausage mixture.
Bake in the preheated oven for 40-45 minutes, until the mushrooms are softened and the filling is browned. (See tips below about baking time.)
Let the mushrooms sit in the pan for 5-10 minutes to soak up any juices before serving.