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In a deep skillet or large saucepan, cook the sausage over medium-high heat until both sides are golden brown.
Add the ravioli, pasta sauce, heavy cream, and water to the saucepan and stir.
Bring to a boil over medium-high, reduce the heat to a simmer, and cover.
Cook for 4 to 5 minutes for fresh ravioli or 7 to 8 minutes for frozen ravioli.
Taste and season with salt and pepper if desired.
Top with parmesan cheese and serve.