Cook the pasta in salted boiling water until al dente, then drain and set aside.
Heat olive oil in a large skillet over medium heat, then add the sausage, breaking it apart with a spoon. Cook until browned and cooked through, about 5-7 minutes.
Add minced garlic to the skillet with the sausage and cook until fragrant, about 30 seconds. Watch as the garlic turns golden and fills the air with aroma.
Stir in the roasted peppers, allowing their sweet aroma to mingle with the sausage, and cook for another 2 minutes.
Pour in the heavy cream and bring to a gentle simmer, causing the sauce to thicken and turn glossy, about 3-4 minutes.
Add cooked pasta to the skillet and toss to coat evenly with the sauce, letting the flavors cling to the noodles.
Season with salt and pepper to taste, then stir again to distribute the seasoning throughout the dish.
Serve the pasta hot, garnished with extra roasted peppers or fresh herbs if desired, enjoying its creamy, smoky flavors and hearty texture.