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Heat a large skillet over medium-high heat. Add the sausage and cook, breaking it into small crumbles with a spoon, until browned and cooked through with no pink remaining, about 6–8 minutes. Transfer the sausage to a plate, leaving about 1 tbsp of drippings in the skillet.
Return the skillet to medium heat. Add the onion and red bell pepper and cook, stirring occasionally, until softened and the onion is translucent, about 5 minutes. Add the spinach, garlic powder, and smoked paprika and cook until the spinach is wilted, about 1–2 minutes. Season with salt and pepper. Remove from heat.
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