In a medium bowl, combine the ricotta cheese, egg white, almond flour, parmesan cheese, sea salt, and black pepper, stirring until a soft dough forms.
Turn the dough onto a clean surface and roll into small, bite-sized balls, then gently press each with the back of a fork to create ridges.
Bring a large pot of salted water to a gentle boil and drop the gnocchi in, cooking for 2-3 minutes until they float to the surface.
While the gnocchi cook, melt the ghee in a large skillet over medium heat and add the sage leaves, sautéing until they are crisp and the ghee is fragrant.
Add the shrimp to the skillet, searing for 2 minutes per side until pink and cooked through.
Use a slotted spoon to transfer the gnocchi directly from the water to the skillet, add the spinach, and toss everything together until the spinach is wilted and the gnocchi are lightly golden.