Step 1

In a large Dutch oven, cook the sausage on medium heat until browned. Transfer to a paper towel-lined plate.

Step 2

Add the onion and carrots to the Dutch oven and cook for 5 minutes or until they're soft. Add the garlic and cook 1 to 2 minutes or until its fragrant. Stir occasionally to keep it from burning.

Step 3

Whisk in the flour and cook it for one minute, stirring continuously.

Step 4

Gradually add the chicken broth. Whisk to combine. Cook until the mixture almost comes to a boil. Reduce the heat to simmer and allow it to cook for 5 to 6 minutes.

Step 5

Add the sausage, pasta, salt, pepper, Italian seasoning, spinach, and heavy cream. Stir. Simmer 5 to 6 minutes.

Step 6

Serve hot with grated Parmesan if desired.