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Preheat oven to 350°F and line a baking sheet with parchment paper or foil.
In a medium bowl, mix the sausage and cream cheese until well combined, then mix in the parmesan.
Spread a thin layer of the sausage mixture on each slice of bread and place on the baking sheet.
Top with a light sprinkling of parmesan and bake about 15 minutes, until the sausage is cooked through and the edges of the bread have browned.
Broil about 2 minutes, until lightly browned. Enjoy!