In an oven safe skillet, heat the olive oil over medium high heat until very hot.

Add the sausage and onions and cook until lightly browned, about 4 minutes, stirring often.

Add the garlic and cook about 30 seconds.

Add the broth, Ro-Tel, cream, pasta, salt and pepper.

Stir.

Bring to a boil, cover and reduce heat to medium low.

Simmer until the pasta is tender and most of the liquid is absorbed, about 15 minutes.

Remove from the heat and stir in half of the cheese.

Top with the remaining cheese and sprinkle with the green onions.

Place under the broiler for a few minutes until the cheese is melted, browned and bubbly.