I use spicy Italian sausage for this to give it a bit of a kick. Feel free to use mild if you don’t like it spicy.

Ingredients:
- 1 pound pasta, a short tube of some variety works well here
- 1 pound Italian sausage meat
- 1 onion
- 4 cloves garlic
- 2 cups heavy cream
- 1 cup chopped spinach
- 1 cup grated pecorino or parmesan
- Salt and pepper
Method:
- Boil pasta in salted water until al dente.
- Brown sausage in a heavy-bottomed skillet.
- Reduce heat, add onions, and saute until soft and translucent.
- Add garlic and saute until fragrant.
- Increase heat and add preheated heavy cream and stir.
- When the cream is simmering, add the spinach and cook for 3 minutes.
- Add cheese and stir to combine. Reduce heat. Season to taste.
- Drain the pasta when it reaches al dente, reserving a small amount of the pasta water.
- Add the pasta to the sauce. Add pasta water as necessary to achieve the consistency you like.
Top with more grated cheese and serve immediately.