Add oil to a large skillet over medium heat. Once hot add onion and garlic and cook for about 5 minutes, stirring often.
Add chicken sausage into the pan and saute for another 5-6 minutes or until golden.
Add orzo to the pan and toss for 1 minute to toast and then add the chicken broth, coconut milk, salt, pepper and Italian seasoning. Bring the orzo to a boil and then cover and reduce to a simmer. Cook for 10-12 minutes or until orzo is cooked.
Add spinach and parmesan. Mix well until spinach is wilted and parmesan has melted. Serve with extra parmesan cheese, fresh basil and crushed red pepper, if desired.
