Bring a large pot of water to a boil, salt it generously and cook the pasta according to the instructions on the package. Reserve 2 cups of pasta water before draining.

Meanwhile, heat the olive oil in a large, deep pan or Dutch oven and fry the sausage for 4-5 minutes over medium heat, breaking it down with your spoon as it cooks.

Add the shallot and red pepper and continue to cook for 2-3 minutes until the veggies soften.

Stir in the garlic, oregano and Cajun seasoning and cook for another minute.

Next, add the tomato paste and stir to combine. Add 1 cup of the reserved pasta water and allow the sauce to bubble for a minute.

Add the cream cheese and stir until completely melted.

Transfer the cooked pasta to the pot and toss to cover in sauce. Stir in the grated Parmesan and fresh parsley, then season to taste and serve immediately.