Sausage and Spinach Tortellini Soup

"My husband’s grandmother used to make this soup with her own homemade sausage and tortellini. Since the recipe has been passed down, we don’t hand make those ingredients, but this version is almost as good as hers. It's also an excellent way to get the kids to eat spinach!—Joyce Lulewicz, Brunswick, Ohio..."

INGREDIENTS
1/2 pound bulk Italian sausage
1 small onion, thinly sliced
1 garlic clove, minced
1 can (14-1/2 ounces) reduced-sodium chicken broth
1/2 cup water
1-1/2 cups torn fresh spinach
3/4 cup refrigerated cheese tortellini
2 tablespoons shredded Parmesan cheese
Crushed red pepper flakes, optional
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