"Cook pasta at a rolling boil with salt for 10 minutes. Remove and strain, set aside. In a large high pan add sausage and cook until brown. Add in mushrooms, spinach, and red peppers. Cooking for 3 minutes on medium heat. Reduce heat to medium low. Add in water, cream of mushroom soup, heavy cream, and Parmesan cheese. Stir and reduce. Add in seasonings (garlic powder, onion powder, red pepper flakes, Italian seasoning, oregano, & parsley)When sauce has cooked for 5-6 minutes add in pasta and cook for 2 more minutes and stir. "