1Bring a large pot of lightly salted water to a boil. Cook pasta in boiling water for 8 to 10 minutes, or until al dente; drain.
2Heat oil in a large, deep skillet over medium heat. Cook sausage and pepper flakes until sausage is evenly brown. Stir in onion, peppers, olives and garlic, cook until tender. Drain grease. Stir in tomatoes, cream, and salt/pepper. Simmer until mixture thickens, 8 to 10 minutes.
3Stir cooked pasta into sauce, and heat through. Sprinkle with parsley and parmesan cheese.