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Step 1
Add olive oil in a large dutch oven over medium heat.
Step 2
Take sausage our of their casings and cook, breaking apart, in the olive oil until browned.
Step 3
Remove the sausage to a plate.
Step 4
Add onions and carrots to the dutch oven and cook over medium heat until the onions are translucent.
Step 5
Add garlic and cook one minute.
Step 6
Add Italian spices and red pepper flakes to the dutch oven and bloom the spices stirring about one minute.
Step 7
Sprinkle the flour over the onion mixture and combine. Cook stirring for a couple minutes.
Step 8
Whisk in the chicken stock. Keep whisking until the flour has incorporated into the stock.
Step 9
Whisk in tomato paste and marinara sauce.
Step 10
Add the bay leaves, the Parmesan cheese rind, cream and the cooked sausage to the dutch oven.
Step 11
Bring to a boil and reduce to a simmer. Simmer for 10 minutes.
Step 12
Add tortellini and cook until al dente, about 7 minutes. Add the spinach the last 3 minutes.
Step 13
Salt and pepper to taste.
Step 14
Serve hot and top with olive oil and shaved Parmesan cheese.
Step 15
Salt and pepper to taste.