Add 6 bouillon cubes to 6 cups of water
Heat oil in a large pot
Chop onions and garlic
Sautee onions and garlic in hot oil for a few minutes
Add the Italian turkey sausage
brown stirring often
Add the black pepper, cayenne pepper, and cumin
Add the crushed tomatoes stir a few minutes
add the spinach and chicken broth
cover and turn up the heat to boiling
when its boiling add the tortellini
cook for 6 minutes
in a small mixing bowl add 1 cup skim milk, 1 cup parmesan cheese, and 1 tbs flour mix until smooth
add milk and cheese mixture to the pot and stir well
Serve and enjoy