{ "@type": "ItemList", "itemListElement": [ "Cook the sausage meat with onion (if using) in a large skillet over medium heat until sausage meat no longer pink; drain fat.", "Add in crushed red pepper flakes and cook stirring until the meat is lightly browned (about 12-15 minutes, the meat must be browned).", "Stir in 1/4 cup plus 2 teaspoon flour into the skillet and mix until dissolved with the meat (about 2 minutes).", "Add in the cream and Worcestershire sauce; cook over medium-low heat until thickened and bubbly (about 5 minutes).", "Add in salt and ground black pepper.", "Serve over biscuits." ] }