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01 -
1 pound Italian sausage, casings removed if needed
02 -
1 tablespoon olive oil
03 -
1 small onion, finely chopped
04 -
2 cloves garlic, minced
05 -
1/4 teaspoon red pepper flakes
06 -
12 ounces dried pasta, such as penne, rigatoni, or fusilli
07 -
1 cup heavy cream
08 -
Salt, to taste
09 -
Black pepper, to taste
10 -
2 cups baby spinach
11 -
3/4 cup grated Parmesan cheese, plus extra for garnish