Step 1

Heat large skillet over medium-high heat. Add sausage; cook 7 minutes or until sausage is crumbled and no longer pink, stirring occasionally. Drain.

Step 2

Stir in tomato sauce and water. Add spaghetti; bring to a boil. Cover, reduce heat and cook 10 minutes or until spaghetti is tender, stirring occasionally. Stir in cream cheese until melted and smooth. Top with shredded cheese and let stand until cheese melts.