Step 1

Gather all the ingredients.

Step 2

Bring a large pot of salted water to a boil. Cook the pasta according to the package directions.

Step 3

Meanwhile, mince the garlic clove and slice onion, sausages, bell pepper, and mushrooms.

Step 4

In a large skillet or sauté pan, heat olive oil over medium heat. Add the garlic and sauté for 1 minute, just until golden and fragrant.

Step 5

Add the onions to the pan and sauté for 2-3 minutes.

Step 6

When the onions are wilted, add the sausages and sauté for 1 minute.

Step 7

Add the bell peppers and mushrooms and sauté until everything is cooked.

Step 8

Add the Sauce ingredients: Ketchup, Worcestershire sauce, and sugar (optional). When the sauce thickens, add the pasta cooking water. Season with salt and pepper to taste.

Step 9

As soon as the pasta is cooked and drained, add to the pan and toss to combine using tongs.

Step 10

Add the milk and Parmesan cheese and toss to combine. Serve immediately in warmed plates.