Step 1

In a large skillet, cook italian sausage until browned but not cooked through, about 5 minutes.

Step 2

Add onion and pepper, sautee until sausage is cooked through and vegetables are soft and slightly browned, about 10 minutes.

Step 3

Add tomatoes and toss.

Step 4

Add water, pasta, cheese and cream cheese and cover.

Step 5

When pasta is soft and water has cooked off, serve!

Step 6

Top with parmesan and cilantro to garnish.