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Plug in the Instant Pot and press the "Saute" button.
Remove the sausage from the casings and add it and the onion to the heated Instant Pot. Break up the sausage and saute until the sausage is cooked through and the onion is translucent.
Add the garlic and saute until fragrant.
Add the potatoes, kale, broth, and pepper and stir to combine.
Attach the lid to the Instant Pot and close the pressure valve. Press "Cancel" and then make sure your Instant Pot is set to "High" pressure. Press "Pressure Cook" and adjust the timer to 5 minutes.
When cooking is complete, manually release the pressure by opening the pressure valve. Once the pressure is released and the float valve has fallen, open the lid.
Stir in the coconut cream. Taste for seasoning and adjust if necessary.