start by adding your sausage and 1/3 cup water to a pan cook on med/low heat once waters evaporated do a pan fry to give color about 17-22 minutes total cook time let sit while u go to step 2

now add olive oil, garlic & onion to a pan along with all seasonings, cook down about 3-4 minutes on medium heat.Add in your flour whisk well and cook down about 2 minutes. Add wine or stock cook about 5mintes till slightly thickened. Now add in both tomatoes along with juice, and heavy cream check for seasonings. Cook about another 10minutes till thickened add 1/2 your cheese to sauce. Chop your sausage and add to sauce.

cook pasta with a pinch of salt as directed on box, drain add to your sauce stir in your spinach let sit a few minutes top with more parmesan cheese