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Grill sausages over medium heat 6 to 7 minutes, turning frequently. Cool slightly. Cut sausages into slices. Keep warm.
Meanwhile, heat large cast iron skillet on grill next to sausages. Add butter and allow to melt. Add onion; cook and stir 5 minutes or until lightly browned. Add pierogi; cook and stir 6 to 8 minutes or until pierogi are browned on both sides. Stir in sliced sausage and spinach. Close grill and cook just until spinach is wilted.