Grate the garlic and finely chop the chili pepper and onion. Sauté these ingredients in olive oil until golden brown.
Remove the casing from the Nduja sausage, add it to the pan, and let it melt. Sauté briefly and season with salt.
Add the cream and bring the mixture to a simmer.
Cook the pasta al dente according to the package instructions and drain.
Add the pasta and the Pecorino cheese to the sauce and mix well.
Serve immediately in deep plates, finished with extra Pecorino and a few drops of olive oil.
Tips
Experiment with the amount of Nduja to taste; Start with less if you are not sure about spiciness. Fresh pasta can also be used for an even more authentic and more luxurious experience.