1Brown the sausage:
Heat olive oil in a skillet over medium heat. Add sliced sausage and cook until browned on both sides, about 4–5 minutes. Remove from pan and set aside.
2Toast the orzo:
In the same skillet, add garlic and orzo. Cook for 1–2 minutes, stirring frequently, until lightly golden and fragrant.
3Simmer:
Add broth and bring to a simmer. Cook, stirring occasionally, until orzo is tender and most of the liquid is absorbed, about 8–10 minutes.
4Add cream and spinach:
Stir in cream and spinach. Cook until spinach wilts and everything is heated through. Return sausage to the pan and toss to combine.
5Finish and serve:
Season with salt and pepper. Serve warm, with Parmesan if desired.