Cook the pasta. Bring a large pot of salted water to a boil.
Cook pasta until just al dente. Reserve 1/2 cup of pasta water, then drain.
Slice and brown the sausage. Cut sausage into 1/4-inch rounds. Heat a large skillet over medium-high with a little oil and butter.
Brown the sausage on both sides until crisp and caramelized. Remove to a plate.
Sauté the aromatics. In the same skillet, add onions and bell peppers with a pinch of salt. Cook 5–6 minutes until softened and lightly charred at the edges.
Add garlic and cook 30 seconds until fragrant.
Bloom the Cajun spices. Sprinkle in 1–2 tablespoons of Cajun seasoning and stir for 30 seconds. This unlocks deeper flavor.
Build the sauce. Pour in chicken broth and scrape up any browned bits. Let it simmer for 2–3 minutes.
Stir in heavy cream. For a pink sauce, add a few spoonfuls of crushed tomatoes.
Thicken and season. Lower heat to medium-low and simmer gently until slightly thickened, 3–5 minutes. Add Parmesan and stir until melted.
Taste and adjust with salt, pepper, and more Cajun seasoning if needed. Add a pinch of red pepper flakes for extra kick.
Combine pasta and sausage. Return the sausage to the skillet. Add the drained pasta and toss to coat.
If the sauce feels too thick, splash in reserved pasta water a little at a time until silky and glossy.
Finish and serve. Off the heat, add a squeeze of lemon for brightness and a handful of chopped parsley or green onions. Serve hot with extra Parmesan.