This was delicious!! I did substitute a few things to my liking. I used Alfredo sauce instead of half and half and added cream cheese (as someone else suggested in the comments below) and topped it with Parmesan cheese. I did not use butter because the alfredo sauce added enough flavor.
2 cups of Alfredo
2 tbsp of cream cheese
I selected the serving size for 6 because I wanted to coat the penne noodles, red onion, beef sausage, shrimp, and green peppers!
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