Cook the pasta from box instructions, drain and set aside.
In a large saucepan over med heat, brown and break apart the sausage. Remove excess grease. Lower the heat and add in the cream. Simmer for 3 minutes (while whisking frequently) to start to thicken the sauce, add in the spinach cooking for another 3 minutes to wilt the spinach, salt, and pepper. Stir in the parmesan cheese followed by the noodles. Serve hot and enjoy!