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Preheat oven to 350°F and line a baking sheet with parchment paper or foil. Set aside.
In a medium bowl, mix together the sausage and cream cheese until well combined. Add the parmesan cheese, and mix to combine.
Spread each slice of bread with a thin layer of the sausage mixture. Place on prepared baking sheet.
Repeat with remaining bread slices. Top with a light sprinkling of parmesan cheese.
Bake until sausage is cooked through and edges of the bread have browned, about 15 minutes.
Broil until lightly browned, about 2 minutes. Enjoy!