Bring a large pot of salted water to a boil. Cook the orecchiette according to package instructions until al dente. Drain and set aside.

In a large skillet, heat olive oil over medium heat. Add the spicy sausage and cook until browned and cooked through, breaking it up into small pieces with a spoon.

Add the broccoli rabe to the skillet and cook until wilted, about 5 minutes. Season with salt and pepper to taste.

Add the cooked orecchiette to the skillet and toss to combine. Serve hot.