Heat oil over medium-high heat.

Add the sausage and onion. Cool until lightly browned. 4-5 min.

Add garlic and cook for 30 seconds.

Add broth, rotel, milk/cream, uncooked pasta and pepper. Stir well.

Ring to a boil, then cover and reduce heat to medium-low.

Simmer until pasta is tende, about 15 min. Stir once or twice while cooking.

Top with cheese and add salt to taste.