Bring water, milk and butter to a boil over medium high heat.

Reduce the heat to medium low and stir in the pasta and seasoning packet. Return to a boil and boil uncovered for 3-4 minutes, stirring frequently.

Remove from the heat and let stand 1-2 minutes for the sauce to thicken up.

In a large skillet, add the sausage patties over medium heat and cook, crumbling the sausage, until cooked through, about 5 minutes.

Remove the sausage to a plate and add the green beans to the skillet, using any fat from the sausage to cook them. Stir frequently until cooked through, about 5 minutes.

Divide pasta among 4 plates. Top with sausage and green beans. Season to taste with Italian seasoning.