01 - 
                Heat olive oil in a large pot over medium heat. Add the Italian sausage, breaking it into small pieces, and cook until browned. Remove with a slotted spoon and set aside.
              
              
              
                02 - 
                In the same pot, sauté the onion until softened, about 3-4 minutes. Add garlic and cook for 1 minute until fragrant.
              
              
              
                03 - 
                Pour in the chicken broth and bring to a boil. Add diced tomatoes and reduce the heat to medium-low.
              
              
              
                04 - 
                Stir in the uncooked ditalini pasta and cook for 8-10 minutes, or until al dente, stirring occasionally.
              
              
              
                05 - 
                Reduce the heat to low and mix in the heavy cream and Parmesan cheese until fully incorporated. Return the cooked sausage to the pot.
              
              
              
                06 - 
                Add fresh spinach (or kale) and cook for 2-3 minutes, or until wilted. Adjust salt and pepper to taste.
              
              
              
                07 - 
                Serve hot with additional Parmesan cheese and crusty bread on the side.