Remove the pasta dough from the refrigerator. Lightly flour your work surface and place the ball of dough on the surface. Cut the dough in half and rewrap one half in the plastic. Set that aside.
Using a rolling pin, roll out one half of the dough to about 1/8-inch thickness. Slice the dough into widths that will fit into your pasta roller. Set your pasta roller to the widest setting and pass the dough sheets through the roller.
Fold the pasta into thirds like a letter and pass it through the roller another time. Do this step 3 or 4 times.
Continue this process, turning the setting of the roller smaller and smaller with each pass. You want the sheets of dough to be thin enough to almost see your hand through it. Place the pasta sheets on a lightly floured sheet pan and repeat with the other half of the dough.
If using a ravioli press, place a sheet of pasta loosely over the press and push down the centers to form indentations. Fill the centers with a spoonful of the sausage mixture. Place another sheet of pasta over the filled sheet. Using a rolling pin, roll the top sheet to fuse and close the ravioli. Flip the ravioli out onto your work surface and slice between each filled portion to separate them. Transfer the ravioli to a lightly floured sheet pan.
If you are using a ravioli cutter stamp, place a sheet of pasta on your lightly floured work surfaces. Place spoonsful of filling in 2 lines on the sheet, about 1/2-inch apart. Top the filling loosely with another sheet of pasta and press down with your fingers around the filling to encase each spoonful. Use your stamp or a rolling ravioli cutter to make individual ravioli. Place these on the floured sheet pan.
Bring a large pot of water and 2 Tbsp of kosher salt to a boil over medium-high heat. Carefully drop the ravioli into the water and cook until al dente, approximately 1-1/2 to 3 minutes.
Using a spider or slotted spoon, transfer the pasta to a serving bowl. Spoon the pesto over the pasta and toss gently to coat all of it. Serve while warm.