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A classic family comfort food that my Mom grew up on. This dish is very versatile. You can omit the sausage, or substitute shrimp, ground beef, turkey, or pork.
Prepare the macaroni or pasta according to the package directions. Then drain the pasta, rinse it in cold water and set aside.
Heat the same pot over medium heat. Add oil to the pan, then add the onion and garlic and saute until they just begin to turn clear, about 2 minutes. Add the sausage and cook until sausage is browned, about 5 minutes. Add tomatoes and Italian seasoning, then simmer for about 10 minutes. Reduce heat to low. Fold in the spinach, and stir and heat until spinach is wilted. Taste, and season with salt, pepper, and crushed red pepper as needed. Add the macaroni, then serve. You can sprinkle on a little Parmesan or Romano cheese if you like.
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