Place sausage in large pot over medium heat. Saute for 10 minutes or until well browned. Use a slotted spoon to remove sausage. Reserve 1 Tbsp fat in pan and brown garlic and onions. Return sausage to pot.

Add broth, water, wine, tomatoes, carrots, mushrooms, basil, tomato sauce, oregano, spinach. Bring to a boil, reduce heat to low and simmer 30 minutes, skimming any fat.

Add the tortellini and simmer 10 more minutes.

Serve with grated Parmesan.