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Step 1
Preheat the oven to 350 F. Drizzle some olive oil into a large oven safe skillet with lid and heat over medium high. Add in the Italian sausage, diced onion, diced carrot and minced garlic. Cook until veggies are tender and the sausage is browned and cooked through, using a wooden spoon to break it apart and stirring frequently. *See notes below for alternative cooking dish.*
Step 2
Once the meat is fully cooked pour in the marinara sauce, water (or broth) and add the chopped spinach. Cook until the spinach is slightly wilted. Then taste and add salt and pepper as necessary. Then add in the fresh tortellini along with 1.5 cups of the shredded mozzarella and 1/4th cup of shredded parmesan. Mix to combine then turn the heat off. Spread the mixture evenly in the pan then top with the remaining 1.5 cups of mozzarella.
Step 3
Cover the dish with a lid (or tin foil) and bake covered at 350 F for about 40 minutes until the cheese is very melty and golden brown. *If desired you can broil uncovered for a minute or two at the end to really brown the cheese. Just keep an eye on it so it doesn't burn!* Remove from the oven and allow to rest for at least 5 minutes before serving. Enjoy!