Heat oil in a heavy large skillet over medium heat. Add the sausage and cook until brown on both sides, 7 - 10 minutes. Remove from pan and drain.

Keeping the pan over medium heat, add peppers, onions, salt and pepper and cook until golden brown, about 5 minutes. Add oregano, basil and garlic and cook for 2 more minutes. Add tomato paste and stir. Add Marsala wine and tomatoes, stir to combine. Bring to simmer.

Cut sausage into 4 - 6 pieces each, about 1 inch cubes, add sausage back to the pan and stir to combine. Cook until sauce has thickened, about 20 min.

Serve in bowls with bread