Step 1: Heat oil in heavy large pot over medium-high heat.
Step 2: Add shallots and garlic and sauté until beginning to soften, about 3 minutes.
Step 3: Add sausages and sauté until no longer pink, breaking up with back of fork, about 5 minutes.
Step 4: Add cream; simmer 5 minutes.
Step 5: Add tomatoes with juices, sage and crushed red pepper.
Step 6: Simmer until sauce thickens, stirring occasionally, about 15 minutes.
Step 7: Meanwhile, cook pasta in large pot of boiling salted water until just tender but still firm to bite.
Step 8: Drain pasta, reserving 1/2 cup cooking liquid.
Step 9: Return pasta to same pot; add sauce.
Step 10: Toss over medium heat until sauce coats pasta, adding reserved cooking liquid by 1/4 cupfuls if mixture is dry.
Step 11: Season with salt and pepper.
Step 12: Transfer to bowl; sprinkle with cheese and serve.
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