Prepare cabbage leaves: Remove the core of the cabbage, and stick a large fork into the center. Bring a large pot of water to a boil, and immerse the cabbage, leaving the fork in. When the outer leaves turn bright green, or are soft enough to remove for cabbage head easily remove the outer leaves. Return to pot and repeat until all cabbage leaves have been removed.
Preheat oven to 325 degrees.
Prepare the stuffing: Combine pear, apple, brussle sprouts, & sausage add generous amounts of salt & pepper. *Keep some pear to side for topping.
Prepare rolls: For large rolls, place 4 heaping tablespoon of filling 1 inch from the thick end of the cabbage leaf. Fold the bottomover the filling, fold the sides in, and roll up. Cook for 40 minutes on non stick cookie sheet.
Topping: In saucepan with stovetop on low combine 3 Tbs. balsamic vinegar with 2 Tbs. olive oil and leftover pear chunks smashed with a fork in the saucepan. Cook about 10 minutes until balsamic is caramelized.