1. Boil pasta according to package directions.
2. Brown the Italian sausage over medium-high heat; drain.
3. Add the onions and bell peppers to a skillet and cook in olive oil. Cook until the onion is lightly brown and the peppers have softened (about 7 - 8 minutes).
4. Reduce the heat to medium, add the butter and garlic to the skillet. Once the butter melts, sprinkle in the flour and cook for about a minute; stirring well.
5. Stir in the heavy cream and Dijon mustard. The sauce should thicken quickly.
6. Add the cooked sausage and spinach to the skillet and stir/toss.
7. Toss with the cooked; drained pasta. Toss until the spinach has wilted and the pasta is coated in sauce.
8. Serve immediately with salt, pepper and parmesan cheese.
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