Heat a large skillet over medium-high heat. Add the Italian sausage, breaking it apart with a wooden spoon, and cook until browned (about 5-6 minutes). Drain excess grease if necessary.

Add the minced garlic to the sausage and cook for 1 minute until fragrant.

Pour in the chicken broth and heavy cream, stirring to combine. Bring the liquid to a gentle simmer.

Add the uncooked gnocchi directly into the skillet. Cover with a lid and let simmer for 5 minutes, until the gnocchi is tender.

Remove the lid and stir in the chopped kale. Let it cook for 2-3 minutes until the kale is wilted and the sauce has thickened.

Stir in the parmesan cheese. Serve immediately, garnished with red pepper flakes if desired.