Creating Creamed Pearl Onions is simple when you follow these easy steps:

1. Prepare the Onions: In a large pot, bring water to a boil. Add the peeled pearl onions and cook for about 5 minutes until they are slightly tender. Drain and set aside.

2. Sauté the Onions: In a large skillet over medium heat, melt the butter. Add the boiled pearl onions and sauté them for about 5 minutes until they are golden brown.

3. Make the Cream Sauce: Reduce the heat to low. Pour in the heavy cream, and add the sugar, salt, pepper, and thyme. Stir well to combine.

4. Simmer: Allow the mixture to simmer gently for about 10-15 minutes, stirring occasionally. The sauce will thicken as it cooks.

5. Add Cheese: If using, stir in the grated Parmesan cheese, allowing it to melt into the sauce for extra creaminess.

6. Adjust Seasoning: Taste and adjust the seasoning as needed, adding more salt or pepper if desired.

7. Serve: Once the sauce has thickened and the onions are fully coated, remove from heat and transfer to a serving dish.