Want a vegetarian option? Replace shrimp and sausage with zucchini, shiitake mushrooms and several varieties of bell peppers. Delicious!
Want a vegan option? Do the vegetarian option above and eliminate the cream.
Want a keto option? Serve over riced cauliflower instead of pasta.
Want a paleo option? Don't use cream and serve over riced cauliflower.
Want less cream? Use less.