In large pot of boiling, salted water, cook pasta until al dente; drain.
In large skillet, cook sausage over medium-low until browned, about 7 minutes.
Add 1/2 cup water and cream to sausage; simmer until reduced by half, about 7 minutes.
Add kale to sausage; toss until wilted. Remove from heat; toss with pasta. Sprinkle with parmesan.