Brown the sausage

• Brown the Italian sausage in a skillet, breaking it up.
• Season with salt, pepper and garlic.
• Remove the sausage from the pan and set aside.

Cook the spinach

• Melt the butter in the skillet.
• Add the spinach and minced garlic.
• Cook until the spinach has cooked down.

Build the creamy sauce

• Pour in the heavy cream, tomato sauce and tomato paste.
• Season with the Italian seasoning and stir in the Parmesan.
• Bring to a simmer.

Cook the tortellini

• Add the tortellini to the sauce.
• Cover and cook until the pasta is tender.

Finish and serve

• Stir the browned sausage back into the skillet.
• Serve hot.