Build the base. Add the olive oil, diced chicken, red onion, garlic, salsa, fajita seasoning, salt, and chicken broth to the Instant Pot. Stir well to make sure nothing is stuck to the bottom of the pot — this prevents a burn notice.
Layer the pasta on top. Pour the rotini evenly over the liquid and press it down gently so the broth just covers it. Do not stir. If the pasta isn't fully submerged, add 1–2 tablespoons of water.
Pressure cook. Lock the lid in place and set the valve to sealing. Cook on HIGH PRESSURE for 4 minutes. The pot will take 8–10 minutes to come to pressure before counting down.
Quick release. When the timer beeps, carefully move the valve to venting for a quick pressure release. Wait until the float pin drops, then open the lid.
Add peppers, cream, and cheese. Stir in the diced bell peppers, then the heavy cream, then the shredded cheese. Stir until the cheese is melted and the sauce coats the pasta.
Rest. Place the lid back on (no need to pressurize) and let everything sit for 3–5 minutes. The residual heat softens the peppers just enough while the sauce finishes thickening.
Serve. Garnish with fresh cilantro, a squeeze of lime, and your favorite toppings. Serve hot.