Set a large pot of salted water over high heat.
Once the water is boiling add in the pasta and cook according to box directions. Drain and set aside until ready to use.
Set a large high sided skillet over medium-high heat and add olive oil.
Season the shrimp with Cajun seasoning and add to the skillet when the oil is hot.
Cook for about 5 minutes or just until the shrimp turns pink and is cooked. Remove shrimp from the skillet and set aside.
In the same skillet add sausage and onion.
Sauté until the onion is translucent and the sausage is starting to brown.
Add garlic and sauté for 30 seconds or until the garlic is fragrant.
Pour chicken stock into the skillet and scrape up any brown bits on the bottom of the pan.
Add the heavy cream, Parmesan cheese, black pepper and cayenne pepper to the skillet, stir to combine.
Simmer on medium heat until the sauce starts to thicken, about 5 minutes. Keep an eye on the mixture because dairy can scorch easily.
Add in the cooked pasta and shrimp and toss to combine.
If the sauce is too thick you can thin it out with a little milk. If it's too thin let it cook down a bit more until you reach your desired texture.
Serve with a sprinkle of parsley if desired.