I used UNCOOKED sausage, NOT smoked or precooked. I removed the casing. Loose meat made into balls works best. I slice up my sausage and let it cook in it's own juices for about 15 mins just to brown and cook half way. It'll finish cooking in the sauce. I omit the water but keep the drippings as the base to add all else to. I simmer covered on the stove, stirring occasionally, keeping it at a low boil, for another 30 min or until it thickens to my liking. Broccoli is a nice add in at the end. I served over mashed potatoes, white rice or wide egg noodles.
For a slightly less 'sweet' and 'richer' flavor, cut brown sugar to 1/4 cup and add 1/4 dark molasses. This is how I usually make it.
Just an old Southern way taught to me by my mom.
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I used UNCOOKED sausage, NOT smoked or precooked. I removed the casing. Loose meat made into...