Preheat oven to 350. Cook noodles according to package and drain. Cook sausage, garlic, and onion over medium heat until cooked through. Drain. Add mushrooms, oregano, basil, and pepper and stir through.

Next, add in spinach. In a big mixing bowl, combine sausage mixture and noodles. Add in sour cream and Alfredo sauce and stir. Add in half of the shredded cheese and mix through.

Pour into a greased 9X13 dish, cover, and bake for 10-15 minutes. Take out of the oven, remove the cover and sprinkle with the remainder of the cheese. Broil for 1-2 minutes until cheese is melted. Serves 8. Enjoy!