Brown the sausage and onion in a large pot over medium-high heat. Use a spoon to break up the sausage and crumble it. Once it's no longer pink, drain off any excess fat and return the pot to the stove top.
Add in the garlic, tomato paste, Italian seasoning and red pepper flakes and cook until fragrant and combined, about 30 seconds.
Pour in the marinara sauce and chicken broth and bring the mixture to a boil. Add in the broken lasagna noodles and reduce heat to a simmer. Cook, stirring occasionally, until the noodles are tender, about 15 to 18 minutes.
Stir in the spinach until it wilts into the soup.
For The Cheese Dumplings
Meanwhile, combine the ricotta, mozzarella and parmesan cheeses in a small bowl.
Ladle the soup into a bowl and scoop a large tablespoon full of the cheese mixture on top of the serving of soup. Garnish with fresh basil if desired. Enjoy!