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Cook pasta according to package instructions for al dente. Reserve 1 cup of the pasta water when draining.
While the pasta is cooking, heat a large saute pan over med/high heat and add olive oil.
Add sausage and cook until browned and cooked through, 10 - 12 minutes.
Add garlic and cook 1 minute, then add the mushrooms, stirring well. Continue to cook about 5 minutes, stirring frequently so the garlic doesn't burn.
Add the white wine and cook until reduced by half, about 5 minutes.
Add cream and about 1/2 cup of the reserved pasta water (you can add more if needed as it cooks). Stir in the red pepper flakes, salt, pepper, parsley, and parmesan. Cook until the sauce has thickened, adding more pasta water if needed.
Add the cooked pasta and toss well.
Top with a sprinkle of parsley and parmesan to serve.