Sausage and peppers is a dish in Italian-American cuisine prepared using Italian sausage and peppers (such as bell peppers) as primary ingredients. It is served as a dish on its own, sometimes with the use of additional ingredients such as tomato sauce, onions and pasta, and is sometimes served in the form of a sandwich. Some Italian delicatessens in the United States prepare and serve sausage and peppers, and it is a common dish at the Feast of San Gennaro, where it was first served back in 1926, Italian street festivals, feasts and events in the United States.