Start by sautéing your peppers, onion, and cut up sausage in a skillet and boil your pasta. Once the peppers are soft and the sausage has some crisp to it, remove from skillet. Add your heavy cream, mix in seasonings, cheeses and 1/2 cup pasta water from the pasta after it is done. Whisk and let it simmer for about 5 minutes. Go ahead and mix your sauce, noodles, peppers and sausage and voila.