Heat the olive oil in a large, deep skillet over medium-high heat until shimmering
Add the sliced Andouille sausage to the hot oil and cook for 3-4 minutes, turning occasionally, until browned on both sides
Once browned, transfer the sausage to a plate lined with paper towels and set aside
Reduce the heat to medium and add 2 tablespoons of butter to the same skillet
When the butter has melted, add the chopped onion to the skillet
Sauté the onion for 4-5 minutes, stirring occasionally, until softened and translucent
Add the remaining 4 tablespoons of butter to the skillet
Once melted, add the chopped cabbage and stir to coat with the butter
Sprinkle the Cajun seasoning evenly over the cabbage mixture and stir to distribute
Cook the cabbage for 3-4 minutes, stirring occasionally, until it begins to soften
Pour the heavy cream into the skillet and stir to combine with the cabbage mixture
Cover the skillet with a lid and reduce heat to medium-low
Allow the mixture to simmer for 8-10 minutes, or until the cabbage is tender but still has some texture
Remove the lid and add the grated Parmesan cheese
Stir continuously until the cheese has melted completely and the sauce has thickened
Return the cooked sausage to the skillet and gently fold it into the creamy cabbage mixture
Allow everything to heat through for 2-3 minutes
Taste and adjust seasoning with salt and pepper if needed
Garnish with fresh chopped parsley if desired and serve hot