Sprinkle the tomatoes and penne evenly over the sausage. Pour the broth and cream over the pasta Cover and bring to a boil. Reduce the heat to medium-low and continue to simmer, stirring occasionally, until the pasta is tender, about 10-12 minutes.
Stir in the spinach, a handful at at time, and cook until wilted, about 2 minutes. Stir in the Parmesan and season with salt and pepper to taste.
I used sweet Italian Sausage but will use spicy next time. We loved this but I think it would be even better with a bit of a kick from spicy sausage.