01 -
Combine half and half, chicken broth, hot sauce, Dijon mustard, soy sauce, onion powder, oregano, parsley, and garlic salt in a large measuring cup with a spout. Set aside. Measure all additional ingredients before proceeding.
02 -
Bring a large pot of salted water to a boil in preparation for cooking the pasta.
03 -
Heat olive oil in a large skillet over medium-high heat. Add ground sausage and cook, breaking apart with a utensil, until fully browned, about 7 minutes. Remove sausage and set aside.
04 -
Turn off the heat and add dry white wine to the skillet. Set heat to medium and use a spatula to scrape any browned bits from the bottom. Simmer until wine is reduced by half, approximately 4 minutes.
05 -
Add minced garlic to the skillet; cook for 1 minute. Melt butter, then gradually stir in flour. Continue stirring constantly for 1-2 minutes until the raw flour aroma dissipates.
06 -
Add orecchiette to the boiling water and cook according to package directions until al dente. Drain and set aside when ready.
07 -
Slowly add prepared sauce mixture to the skillet in small increments, stirring continuously to preserve sauce thickness. Bring to a boil, then reduce heat to low.
08 -
Stir in cherry tomatoes and cream cheese until well incorporated. Gradually add grated Parmesan, continuing to stir. Return cooked sausage to the skillet. Partially cover pan to keep warm until pasta is ready.
09 -
Add drained pasta to the sauce mixture; gently fold to coat evenly. Stir in fresh lemon juice, if using, and remove skillet from heat.
10 -
Top with chiffonaded basil and freshly cracked pepper before serving.