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I don't know if I can give this an honest review because I didn't use Italian sausage, but all ground beef. I also used cottage cheese mixed with a little cream cheese instead of ricotta because it's what I had on hand. This tasted good still...but I think it would have been better if the sausage had been used.
This was very good. The sauce was delicious, having both sorts of meats really gave it a great flavor. Thank you!