Instructions

1. pre-heat the oven to 350
2. cook the pasta for 8 minutes, drain and add it to a mixing bowl and set it aside
3. cook the sausage in a skillet over medium heat until it is cooked through. If you are using links, break them into bite sized pieces.
4. once the sausage is cooked through, drain off  the excess fat and place it into the bowl with the pasta.
5. Add the butter or olive to a sauce pan along with the garlic and onions, cook them  until they begin to soften and stir in the flour to make a roux
6. turn heat to low and gradually stir in the milk  stirring until the mixture starts to thicken 
7. add the cheese and stir until all is melted and add the nutmeg
8. pour the sauce over the pasta mixture in the bowl and mix well
9. add the pasta mixture to a 9X13 casserole dish
10. sprinkle with a little bit of cheese if desired cover and bake at 350 for 30 minutes