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A true family favorite. My husband begs for me to make this for him. Special enough to serve to company!
Squeeze sausage meat from casings. Add to a large pan over medium-high heat along with the onion and garlic. Cook until sausage is cooked through, breaking up the meat as you cook. Once the sausage is browned, add tomatoes and their juice to the pan. Simmer sauce for 10 minutes, stirring occasionally until slightly thick. Stir in pesto. Season with salt and pepper.
Preheat oven to 375 degrees F. Coat a large glass casserole dish with cooking spray.
Combine cooked pasta, spinach, mozzarella and 1/3 cup Parmesan in a large bowl. Add the tomato sauce and stir. Transfer to baking dish and sprinkle the remaining parmesan over the top. Bake for about 30 minutes until bubbly.