Cook and crumble the sausage in a large skillet over medium heat on the stove top. Add the onions, carrots, celery, and garlic halfway through cooking. Once the sausage is cooked through and the vegetables are softened, drain grease well and transfer it to the Crock Pot.
Add all remaining ingredients to the Crock Potexcept the heavy cream and cheddar cheese.
Cook on low for 6 hours or on high for 4.
Reduce heat to warm and slowly stir in the heavy cream until combined. Turn heat off.
If desired, sprinkle in the cheese and stir until combined, then serve.
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