I followed the advice of others and used sweet italian sausage instead of hamburger. I added fresh basil to the sausage and cheese mixture and only used about 1/2 of the spinach. I used a bag to pipe the mixture into the noodles, I put all of the mixture into a gallon size bag. I should have used 2 smaller bags, it would have been easier to control. My DH said this tastes like it was from a restaurant. I can't believe how good this turned out. It took some time but was worth it. I will make this again.
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