Add olive oil to a skillet and heat on medium heat until shimmering.
Add onions and cook until translucent.
Add sausage and cook until almost browned.
Add the garlic, salt, and pepper. If you are using dried herbs, add them here.
Add the water, roasted red peppers, and tomato sauce.
Stir to combine and simmer for about 5 minutes until the sauce is thickened and the flavors are combined.
Add the pasta, cheese, and herbs and toss to combine.
If you don't have Wasatch Mountain Cheese, order some! If you want to make this recipe while you're waiting for it to come, you can substitute 3/4 gouda cheese and 3/4 cup parmesan cheese instead.