Steps:
- Bring large pot of water to boil. Add sausage and boil for 10 minutes. Remove links and set aside. In large skillet, melt butter and add onion and pepper. Cook over medium-low heat until onion is translucent. Stir in tomatoes with liquid and simmer for 1 hour. Add sausage and vodka and continue to simmer for 1 hour. Turn heat to high, add cream and tomato paste and stir constantly for ten minutes. Reduce to simmer and continue to cook for 30 minutes. Preheat oven to 450 degrees. Bring 4 quarts of water to boil in large pot. Cook pasta until molto al dente. Toss pasta and sauce with 2/3 cheese in casserole dish. Bake for 10 minutes. Serve with 1/3 cup cheese on top.
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