Heat the oil in a Dutch oven over medium heat then cook the sausage until browned and cooked through, about 8 minutes.
Transfer the sausages to a plate and set aside.
Add the onion, celery, carrots, garlic, and yellow pepper to the pot then cover the pot and reduce the heat to medium low and cook for about 5 minutes.
Cut the sausages into 1/4-inch slices.
Add the sausage, water, chicken broth, oregano, basil, bay leaf, and crushed red pepper then bring to a boil.
Add the tortellini and spinach and stir together.
Increase the heat to medium-high and cook for about 20 minutes, stirring often.
Stir the cooked sausages into the soup.
Season the soup with salt & pepper to taste then serve garnished with the Parmesan cheese.
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