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In a large skillet over medium heat, cook sausage until browned and crumbly. Drain excess grease.
In a large mixing bowl, combine cream cheese, sour cream, Worcestershire sauce, garlic powder, onion powder, cayenne (if using), salt, and pepper. Mix until smooth.
Stir in the cooked sausage, Rotel, cheddar, and mozzarella. Mix well to combine.
Preheat oven to 350°F (175°C). Spread the mixture evenly in a greased 9x9 or 8x8 baking dish.
Bake uncovered for 25–30 minutes, or until hot and bubbly.
Garnish with fresh parsley or green onions. Serve warm with tortilla chips, crackers, or toasted baguette slices.