1 pound sweet Italian sausage, squeezed out from the casings
2 medium onions, finely chopped
8 cloves garlic, thinly sliced
1 pound dry gemelli pasta
1 pound cherry tomatoes (assorted colors), halved
3/4 teaspoon salt
4 cups baby arugula
3/4 cup Romano cheese, freshly shredded, plus additional for serving
1/4 teaspoon ground black pepper