In salted boiling water, cook pasta until al dente. Drain and add to mixture.
While Pasta is cooking, in a large pan add the olive oil, garlic and mushrooms, cook approximately 5-7 minutes, then add the chopped sausage and parsley, and hot pepper flakes or pepper, cook until cooked and tender,(taste for salt) then add the cream and cook until slightly thickened, then add the pasta and cook 1-2 minutes. Serve immediately with fresh chopped parsley and parmesan cheese. Enjoy!