Cook pasta according to package directions, omitting salt and fat; drain and keep warm.
Heat a large nonstick skillet coated with cooking spray over medium heat until hot. Add sausage, and cook 8 to 10 minutes or until browned, stirring often; drain well. Set sausage aside. Wipe drippings from pan with a paper towel.
Coat pan with cooking spray; add garlic, and sauté 1 minute. Add sausage and tomato. Bring to a boil; reduce heat, and simmer until most of liquid is evaporated. Stir in roasted bell peppers and ground black pepper. Remove from heat.
Place pasta in a large bowl; add sausage mixture, and toss. Spoon evenly onto serving plates, and sprinkle with cheese.