Heat a large skillet or dutch oven (6qt+) over medium high heat for a few minutes.
Add in the italian sausage and break into crumbles as it cooks.
While the sausage is cooking, prepare the garlic, onion, and bell peppers and add to the meat mixture.
Drain the grease from the sausage, if necessary.
Peel and dice the potatoes and carrots.
Once the meat is fully browned, add the potatoes, carrots, salt, and bone broth to the pan.
Adjust the heat to maintain a simmer, cover and let cook for 15-20 minutes, or until the potatoes are almost done, stirring occasionally.
In the last minutes of the potatoes simmering, add the kale.
Remove the pan from the heat and add the parmesan cheese and stir.
Add the heavy cream. Mix well.
Taste test!! See notes below.