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Turn Instant Pot to saute setting and add sausage when pot is hot. Brown sausage and break up as it cooks (I used a chop-stir to break up my sausage).
Add onion flakes, minced garlic, tomatoes, tomato paste, water, sugar, oregano, basil, fennel seed, salt and pepper to Instant Pot and mix with turkey sausage.
Place lid on Instant Pot, move valve to "sealing" and press the "manual" button. Set timer for 20 minutes and let it do it's magic!
It will take a few minutes to come to pressure, then it will start the countdown timer from 20 minutes.
Once the 20 minutes of cook time are over, do a "quick release" by moving the valve on top to vent. Once all the pressure has released and the pin has dropped, remove the lid and stir the sauce.
Serve over cooked pasta and garnish with Parmesan cheese.