Cook the sausage Heat 1 tablespoon olive oil in a large pan over medium. Cook the sausage until browned. Remove from pan and set aside.
Cook the onions In the same pan sauté onions.
Combine ingredients Add in your heavy cream, parmesan cheese, and seasonings in with your onion over medium heat stirring to combine.
Add in cooked pasta Pour in cooked bowtie pasta noodles and stir to combine.
Add sausage top with sausage and stir to combine.