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Bring the water to a gentle boil in a small pot.
Add polenta and salt in a thin stream, whisking constantly to avoid lumps.
Reduce heat to medium and cook, stirring often with a wooden spoon, until polenta is creamy and pulls away from the sides of the pot, about 30 minutes.
Meanwhile, heat oil in a large pot over medium-high heat.
Add onion and cook, stirring occasionally, until translucent, 3 to 4 minutes.
Add garlic and cook until soft, about 1 minute more.
Add pepper flakes, rosemary and sage and cook for another 2 minutes.
Add sausage and cook, stirring occasionally, until golden brown, about 5 minutes.
Stir in mushrooms, cook for 5 minutes, then add tomatoes and simmer for 15 minutes.
Add basil and keep sauce warm until polenta is cooked.
Spoon polenta into warmed bowls, top with sauce, sprinkle with parsley and serve garnished with Parmesan cheese.