Brown the sausage (optional but recommended): In a skillet over medium heat, sear the sliced sausage in butter for 3–4 minutes to develop color. Transfer to the slow cooker.
Build the base: Add onion, garlic, and bell pepper to the slow cooker.
Sprinkle in smoked paprika, red pepper flakes, and thyme. Pour in chicken broth.
Add the creamy elements: Scatter the cream cheese cubes over the top. Pour in the heavy cream and add Parmesan.
Give it a gentle stir—no need to fully combine yet.
Cook low and slow: Cover and cook on Low for 2–2.5 hours, or on High for 1–1.5 hours, until the sauce is smooth and the onions are tender.
Add the shrimp: Stir the sauce well, then add the shrimp. Season with salt and pepper. Cook on Low for 20–30 minutes (or High for 10–15 minutes) until shrimp are pink and just cooked through.
Finish and taste: Stir in parsley.
Adjust salt, pepper, and heat (more red pepper flakes if you like). The sauce should be glossy and lightly thickened.
Serve: Spoon over zucchini noodles, spaghetti squash, riced cauliflower, or sautéed greens. Add a squeeze of lemon right before serving.