Can I make this without vodka?
Yes. Replace the vodka with an equal amount of dry white wine or chicken broth, though vodka's flavor contribution to the sauce will be lost.
Should I remove the sausage casing before cooking?
The recipe uses sausage links (remove casing and crumble) and ground sausage (already loose). Brown both until fully cooked and no pink remains, about 8–10 minutes total.
How do I prevent the sauce from breaking when adding cream?
Remove the pot from heat before stirring in heavy cream, or temper the cream by slowly whisking in 2–3 tbsp of hot sauce first to equalize temperature.
Can this be made ahead?
Yes. Prepare the sauce (sausage, onion, garlic, vodka, tomato, spices) up to 2 days ahead. Add cream and reheat gently on low just before serving with fresh pasta.
What pasta shape works best?
Penne is traditional, but rigatoni, fusilli, or fettuccine also work well; choose a shape with ridges or twists to catch the creamy sauce.