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Remove the casings from the sausage if you purchased links. Preheat a large pot over medium heat. Add the sausage and cook and crumble to break it apart. Once cooked halfway through, reduce heat to medium-low and cover partially. Continue to heat, stirring occasionally, until cooked through. It’ll take around 10-12 minutes total.
Set the sausage aside on a paper towel lined plate. Reserve 1 tablespoon drippings. (Butter can be used if you don’t have drippings.)
Add the drippings to the pot along with 2 tablespoons butter over medium heat. Add the diced onions, celery, and carrots and cook for 4 minutes. Add the garlic and cook for 1 minute.
Add the flour and cook for 1-2 minutes to remove the raw flour taste.
Add the hot sauce, Worcestershire sauce, seasonings, and beans.
Add the chicken broth and use a silicone spatula to 'clean' the bottom of the pot, this will add more flavor to the soup. Bring to a boil, reduce to a simmer.
Simmer, partially covered, for 20 minutes. Add the sausage back. Simmer for 10 more minutes, then add the spinach and let it wilt for 2-3 minutes.
Stir in ¼ cup heavy cream if desired. Transfer to serving bowls and top with grated Parmesan cheese.