This is a great recipe. I've made it several times changing little things here and there. I've come up with what works best for our family. I use Hot Italian Sausage, casings removed, add onions, garlic, diced green and red peppers and I use heavy cream and Parmesan to make my own sauce as opposed to jarred Alfredo sauce. Frozen or canned spinach works just as well, though I admit fresh gives it a bit better flavor - especially if you cook it up with minced garlic! I've also tried it with angel hair, rotini and penne. Thank you! This meal has remained in our weekly rotation!
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