Dice the bell pepper and onion, and slice the sausage.
Boil the fettuccini until just before al dente. We don’t want the pasta fully cooked here.
Once the pasta is done boiling, strain it, but don’t rinse it.
While the pasta is cooking, season the shrimp with a little Cajun seasoning, salt, and pepper.
Heat some olive oil in a cast-iron skillet over medium heat and cook the shrimp.
As soon as they turn pink and opaque, remove them from the skillet and set them aside.
In the same skillet, add the sliced smoked sausage and cook until it’s browned and a little crispy on all sides, then set the sausage aside with the shrimp.
add the diced onions and bell pepper to the skillet and sauté until they’re softened.
Add the garlic and continue cooking for about another minute, or until it becomes fragrant.
pour in the chicken stock and deglaze the skillet, scraping the bottom of the pan to loosen all those browned bits.
stir in the fire-roasted diced tomatoes, Cajun seasoning, kosher salt, and black pepper.
Reduce the heat to medium-low, stir in the freshly grated Parmesan cheese, pour in the heavy cream, and stir everything together.
Bring the sauce up to a low simmer and let it cook for a few minutes so it can start to thicken slightly.
add the pasta directly into the sauce, making sure each noodle is fully coated in that creamy Cajun sauce.
Add the shrimp and sausage back into the skillet and stir everything together.
Let everything simmer on low for a few minutes until the sauce has thickened and everything is heated through.