We are lucky in my area because we have many good local sausage makers. Wardynskis in Buffalo has the finest Polish sausage anywhere fresh or smoked. Hartmanns and Ralfs in Rochester make some fine german and hungarian style sausages. Zweigles in Rochester makes the best white hots (veal and pork hotdog) IMO. Then in Syracuse you have the fresh sausage power house of Gianellis. They make IMO the best sweet Italian sausage anywhere. The garlic and cheese is pretty amazing too. They also make a traditional Bratwurst that rivals anything from Wisconsin. All these are available in most grocery stores here. Plus independent meat markets here are awesome and make some incredible small batch and family recipe sausages. Western NY in the harvest season is an awesome place!