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Start by cooking the pasta al dente, according to the package directions.
While the pasta is cooking, saute the sausage meat, breaking up with a wooden spoon until almost cooked through. Add the garlic and a drizzle of olive oil to the sausage and cook until fragrant and the sausage meat is no longer pink.
Add the chopped tomatoes to the sausage and garlic, with a sprinkling of paprika and cayenne pepper. Once those have cooked nicely, stir in the tomato puree and add the spinach, letting it wilt.
When the pasta is cooked, drain and stir it into the sausage, tomato, and spinach sauce. Serve the tomato spinach sausage pasta with lots of black pepper and chili flakes. Enjoy!