Cook pasta according to package directions, drain, and set aside, reserving 1 cup pasta water.
Slice sausage and brown in a large skillet over medium-high heat for 5 minutes, then add minced garlic and cook 1 minute more.
Chop kale, add to skillet with cream and 1/2 cup pasta water, and simmer for 5 minutes until kale is tender and sauce thickens slightly.
Add cooked pasta and parmesan cheese to the skillet, toss gently while adding pasta water a little at a time until sauce coats everything, then serve hot.
Photo: Derrick Payton / Unsplash