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Start by sautéing carrots and onions in olive oil over medium heat until they start to soften, 5-8 minutes.
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Add garlic and sauté about a minute more.
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Add salt and pepper.
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Increase heat to medium high and add turkey sausage, breaking up as it cooks.
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Once sausage is cooked through, add chicken broth and canned tomatoes.
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Bring to a boil, then turn down to a simmer.
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Add tortellini and let simmer gently until cooked through, about 5-8 minutes.
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Remove from heat and stir in spinach.