Cook pasta according to package directions. Meanwhile, in a Dutch oven, cook beef or turkey over medium heat until no longer pink. Add garlic; cook 1 minute longer. Drain. Stir in the tomato puree, broth, Italian seasoning, Worcestershire sauce, salt and pepper.
Bring to a boil. Reduce heat; simmer, uncovered, for 10-15 minutes or until slightly thickened. Add spinach; cook for 1-2 minutes or until wilted.
Drain pasta; stir into beef mixture. Serve in individual bowls and sprinkle with Parmesan cheese.