Brown the sausage bits. Heat a frying pan, over medium-high heat, for 1 minute. Add the sausage bits a few at a time over a couple of minutes, stirring occasionally. Cook until browned and just slightly crispy and some fat is released from the sausage (about 10-12 minutes).
Sauté the shallots and garlic. Remove the cooked sausage bits from the pan, draining them. You can do this with a silicone slotted spoon or spatula. Keep only about 1 tbsp of the released fat in the pan (discarding the rest). Add the minced shallot, and sauté over medium heat for about 2-3 minutes until softened but not browned. Adjust the heat to lower if necessary. Add a pinch of salt, ground black pepper, and minced garlic, and sauté for 30 seconds.
Finish the sauce. Add 2/3 cup of pasta water to the pan, return the sausage bits, and add the roasted pepper strips, lemon zest, and lemon juice. Add 1/3 cup of pasta water to the cream and mix to temper it, and add it to the pan. Simmer for about 2 minutes. Add the butter and mix until melted (it helps emulsify the sauce).