Place a large dutch oven on a burner on the stovetop. Turn on medium heat and let the dutch oven heat up.
Spray the dutch oven with cooking grease.
Add the turkey sausage to the dutch oven. Use a wooden spoon or spatula to break up the turkey as it cooks. Cook for about 5 minutes or until there's no pink and it's cooked through.
After the meat is finished cooking, scoop the meat out of the dutch oven. Place in a bowl on the side until needed. **When scooping out the meat, leave the excess liquid in the dutch oven! Don't drain. You'll use this for the next steps**
Add the chopped pepper, onion, and garlic to the dutch oven. Sprinkle with salt and pepper, as desired. Use a spoon to stir frequently.
Cook for about 5 minutes, until the vegetables start to get soft.
Add the block of cream cheese to the dutch oven. Use a spoon to crush the cream cheese and help the melting process. Stir around until creamy and melted, about 2 minutes.
Pour the can of tomatoes, chicken broth, and meat into the dutch oven. Cook for about 10 minutes. Make sure the mixture is hot and heated all the way through!
Add the tortellini noodles into the mixture. Cook for about 5 minutes, until tortellini noodles are soft and cooked through.
Cut the heat to low and add in the full bag of spinach. Mix completely and let cook for bout 2 minutes, until the spinach leaves start to wilt.
Scoop the soup into bowls. Top with parmesan cheese and red pepper flakes for some extra flavor!