Cook pasta according to package directions and drain.

While pasta cooks, in a large skillet over medium-high heat brown the ground Italian sausage and diced onion until the sausage is cooked through.

Add the garlic and saute for an additional 1-2 minutes.

Add the thawed and drained spinach, parmesan cheese, Alfredo sauce, and pesto. Stir to combine and heat through over low heat.

Mix the sauce In with the pasta. I mix it together in the big pasta pot!

Serve hot with garlic bread and a salad!