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Cook spaghetti according to instructions on box. Drain and set aside.
Heat a dash of olive oil in a pan, then saute the onion and sausage, stirring regularly until the sausage is mostly browned. Add the minced garlic for the last minute or so.
Add the chicken broth, milk, spinach, and pepper flakes and let the spinach cook down.
Add the cooked spaghetti and the Parmesan cheese. Stir everything together well and simmer for a few minutes as the broth absorbs.