In a large pot, brown the sausage over medium high heat. Once cooked, drain and gently rinse with hot water. Add onions, carrots, and zucchini to sausage. Sauté for 5 minutes. Stir in minced garlic and sauté for 1 minute more.
Add water, soup base, tomatoes, sauce, and herbs to sausage and vegetable mixture. Bring to a low boil and cook until vegetables are tender.
Add dry pasta and simmer until al dente, about 10 minutes.
Stir in chopped spinach and garnish with freshly grated Parmesan Cheese.