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Preheat the oven to 400 degrees F (200 degrees C).
Crumble sausage into a large skillet over medium-high heat. Cook until browned, about 3 minutes. Drain.
Meanwhile, bring water to a boil in a large saucepan. Boil ravioli for 2 minutes; drain.
Spread drained sausage in the bottom of a 3-quart casserole dish. Top with ravioli.
Layer spinach over ravioli. Pour vodka sauce evenly over spinach. Spoon pesto evenly over the top. Top with shredded mozzarella cheese.
Bake in the preheated oven until cheese is melted and ravioli is heated through, about 35 minutes. Let stand for 5 minutes before serving.