Prep the produce: Slice peppers into thick strips and the onion into wedges. Mince garlic.
Keep the pieces on the thicker side so they hold up during slow cooking.
Slice the sausage: Cut into 1/2-inch rounds. If you like lightly crisp edges, brown them in a skillet with 1 tablespoon olive oil for 3–4 minutes first. This step is optional but adds great flavor.
Build the base: In the crockpot, add sliced peppers, onion, garlic, diced tomatoes (drained), and tomato paste.
Drizzle with remaining olive oil.
Season: Sprinkle in smoked paprika, oregano, crushed red pepper, black pepper, and salt. Stir gently to coat the vegetables.
Add the sausage: Place sliced sausage on top, then pour in the red wine vinegar. The vinegar brightens the sauce and balances the richness.
Cook low and slow: Cover and cook on Low for 5–6 hours or on High for 2.5–3 hours.
Aim for tender peppers and onions and a cohesive, slightly thickened sauce.
Finish the sauce: Taste and adjust seasoning. For extra richness, stir in butter until melted. If the sauce seems thin, uncover and cook on High for 15–20 minutes.
Garnish and serve: Top with chopped parsley.
Serve as is, over cauliflower rice, over sautéed cabbage, or in lettuce cups. Sprinkle with Parmesan if desired.