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Bring a large pot of salted water to a boil.
Cook the pasta according to package instructions until al dente.
Reserve 1 cup of pasta water, then drain and set aside.
Heat olive oil in a large skillet over medium heat.
Add the sliced sausage and cook for 5-7 minutes, stirring occasionally, until browned on all sides.
Transfer the sausage to a plate and set aside.
Melt butter in the same skillet. Stir in garlic and Italian seasoning, cooking for 1 minute until fragrant.
Return the sausage to the skillet and toss it in the garlic butter sauce.
Season with salt and pepper as needed. Remove from heat and keep warm.
In a separate saucepan, melt butter over medium heat.
Add minced garlic and sauté for 1 minute until aromatic.
Pour in heavy cream, stirring constantly to prevent scorching.
Gradually whisk in grated Parmesan cheese until the sauce is smooth and creamy.
If the sauce is too thick, add a little of the reserved pasta water until it reaches your desired consistency.
Adjust seasoning with salt and pepper to taste.
Toss the cooked pasta into the creamy Parmesan sauce, ensuring every strand is well coated.
Transfer to serving plates and top with the garlic butter sausage bites.
Sprinkle with chopped parsley and an extra dusting of Parmesan.
Serve immediately and enjoy!