Cook the pasta according to the package instructions. Drain and set aside.
In a large skillet over medium heat, cook the sausage until browned and cooked through, about 5 minutes. Remove the sausage from the skillet and set aside.
Add the olive oil to the skillet, then add the bell peppers, onion, and garlic. Cook until vegetables are softened, about 5 minutes.
Add the tomatoes, Italian seasoning, and red pepper flakes to the skillet and stir to combine. Simmer for 10 minutes.
Return the cooked sausage to the skillet and stir to combine. Simmer for 5 minutes.
Add the cooked pasta to the skillet and stir to combine. Cook for 5 minutes, stirring occasionally.
Serve with freshly grated parmesan cheese.
Interesting Facts
Mean Woman Pasta was first created in Naples, Italy in the late 19th century.
The dish is named after the “mean woman” who invented it.
The original recipe called for anchovies, but they can be omitted if desired.