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Cook the sausage: Heat the olive oil in a Dutch oven or soup pot and add the sausage. Cook the sausage until browned, breaking it up into crumbles as it cooks. Transfer the sausage to a plate.
Cook the vegetables: Add the onion, celery, carrot to the pot and stir. Cook for 3 to 5 minutes, until the onion softens. Add the garlic and cook for another 30 seconds until aromatic.
Add Flour and broth: Sprinkle the flour over the veggies, stir and cook for another minute. Pour in the chicken broth to the pot, stir well and bring to a simmer. Reduce the heat to low and cook for 5 more minutes.
Combine all ingredients: Add the sausage back to the pot, tortellini, spinach and cream. Stir everything together and continue cooking for another 5 minutes or until the tortellini is cooked through. Season with salt and pepper as needed.
Serve: Serve immediately.