Cook pasta according to package instructions. In a large skillet over medium heat, add olive oil. When hot, add minced garlic and cook for a minute. Pour in drained tomatoes. Add sugar, salt, pepper, and crushed red pepper to taste. Cook for 10 to 15 minutes, stirring occasionally.
Reduce heat to low. Stir in crumbles blue cheese. Add cream and stir, then a little splash of half n half if sauce is too thick. Cook for a minute or two, tasting and adding more seasonings as needed.
At the very, very, very last minute, toss in spinach, immediately toss in the cooked and drained pasta. Serve immediately.
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