Heat a large stainless steel pan over medium heat and add oil.
Add sausage to the pan and break it up into small pieces. Cook until browned.
Add mushrooms to the pan and cook until they release their water.
Add garlic and onion to the pan and cook until the garlic is golden and the onions are soft.
Add wine to the pan and cook for 30-45 seconds.
Add cream to the pan and bring to a simmer. Let it thicken for about a minute and then lower the heat.
Cook pasta in boiling salted water until al dente.
Reserve some pasta water and drain the pasta.
Add nutmeg and black pepper to the sauce and loosen it up with some pasta water.
Add the pasta to the sauce and coat it well.
Serve with grated Pecorino Romano on top.
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