Bring salted water to a boil in a large pot. Once the water is boiling, add pasta and cook according to the package directions. Reserve 1 cup of pasta water, drain and set the pasta aside.
While the pasta is cooking, heat olive oil in a large skillet over medium heat. Once hot, add the diced chicken sausage and cook for 3-5 minutes until slightly browned.
Next, pour in the jar of pasta or marinara sauce and bring the sauce to a boil. Shake the can of coconut milk to mix the coconut cream and water together. Add ½ of the can of coconut milk to the sauce and add in Italian seasoning, salt and black pepper. If the sauce seems too thick, add in some of the reserved pasta water.
Stir the sauce and allow to simmer for 5 minutes. Add in the spinach and pasta and turn off the heat. Stir to combine everything together.
Serve immediately with grated parmesan, if desired and enjoy!
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Nutritional information is based on third-party calculations and should be considered estimates. Actual nutritional content will vary with brands used, measuring methods, portion sizes and more.