In a large bowl combine ground turkey, finely chopped onion, 1 clove minced garlic, spinach, 1 teaspoon salt, ½ teaspoon pepper, egg, oat flour and half of basil.

Mix meat mixture together with your hands and then form 18 meatballs. 

In a large Dutch oven or pot with a lid heat olive oil over medium high heat. Add the the meatballs and cook for 5-6 minutes turning as needed until they are browned all over. 

Add in the crushed tomatoes, tomato paste, rest of the basil, salt, pepper and last 2 cloves of garlic stir well. Add 2 cups hot water and bring mixture to a boil. 

Add pasta, breaking up if it fits better. Cover and simmer for 10-12 minutes, stirring once or twice until pasta is cooked. 

Season to taste.