Note from my kitchen: I always “break in” soup season with this recipe. First fall evening that requires a sweatshirt, I’m making this. It’s super filling from the tortellini and sausage, and it’s ready fast. A personal favorite of mine.

This is creamy and has tons of flavor. You can use any kind of tortellini you’d like.
Table of Contents
Ingredients and Tools You’ll Need
The flavor of the soup depends on the type of sausage you use. Mild or hot both work depending on whether you want some heat or not. To get the creamiest soup, use full fat heavy cream and freshly grated Parmesan cheese (not the Kraft stuff).

This will make 6 servings. If you’d like to double or triple this recipe, you can make adjustments in the recipe card at the bottom of this post.

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- 3 tablespoons vegetable oil (divided)
- 1 pound Italian mild sausage (casings removed)
- 1 medium onion (peeled and chopped)
- 1 tablespoon minced garlic
- 2 tablespoons all-purpose flour
- 1 can crushed tomatoes (28 ounces)
- 5 cups low-sodium chicken broth
- ½ teaspoon thyme
- ½ teaspoon salt
- ½ teaspoon pepper
- 15 ounces refrigerated cheese tortellini
- 2 cups packed spinach (roughly chopped)
- 1 cup heavy whipping cream
- ½ cup freshly grated parmesan (plus additional serving)
- 2 tablespoons chopped fresh parsley
- 2 tablespoons fresh basil (for garnish)
How to Make
Step One: Cook the Sausage
Heat 2 tablespoons of oil in a large pot over medium heat. Add the sausage and break it up as it cooks until it’s browned all over. Use a slotted spoon to move it to a paper towel-lined plate. Leave the drippings in the pot.

Step Two: Cook the Aromatics
Add the remaining oil to the pot – you want about 2 tablespoons total with the drippings. Turn heat to medium-low and add the onion. Cook 7-10 minutes until soft, stirring occasionally. Add garlic and cook 1-2 minutes more. Sprinkle in the flour and stir for 2-3 minutes.

Step Three: Add the Base
Pour in the crushed tomatoes and chicken broth. Add thyme, salt, and pepper. Bring to a boil over higher heat.

Step Four: Add Tortellini
Once boiling, add the tortellini. Cook according to package directions, usually 3-5 minutes.

Step Five: Finish the Soup
Remove from heat. Stir in the spinach and cooked sausage. Add the cream, parmesan, and parsley. Mix well.

Step Six: Serve
Ladle into bowls. Top with extra parmesan and basil if you want.

Serving & Storing
Store any leftover soup in the fridge for 3-4 days in a sealed container. Reheat it on the stove over medium heat, stirring occasionally, until it’s heated through.
You can’t really freeze this because of the tortellini and cream, but you could make the soup base without the pasta or cream and freeze that for up to 2 months. Then you just need to thaw the base out overnight, reheat it, and add the tortellini and cream.
But honestly eating this right away is better.

More Cozy and Filling Dinners
For the days when you have more time and want something comforting.
- Buy some extra sausage and make my stuffed peppers!
- When you want chicken pot pie, but quickly, on a weekday night, make this chicken and biscuits casserole instead.
- Baked stuffed shells are so simple but so good! And a truly good freezer meal!
- Chicken Alfredo lasagna roll ups are in my top five favorite meals – it’s so cheesy and good.
Printable Recipe

Creamy Tortellini Soup with Sausage
Ingredients
- 3 tablespoons vegetable oil (divided)
- 1 pound Italian mild sausage (casings removed)
- 1 medium onion (peeled and chopped)
- 1 tablespoon minced garlic
- 2 tablespoons all-purpose flour
- 1 can crushed tomatoes (28 ounces)
- 5 cups low-sodium chicken broth
- ½ teaspoon thyme
- ½ teaspoon salt
- ½ teaspoon pepper
- 15 ounces refrigerated cheese tortellini
- 2 cups packed spinach (roughly chopped)
- 1 cup heavy whipping cream
- ½ cup freshly grated parmesan (plus additional serving)
- 2 tablespoons chopped fresh parsley
- 2 tablespoons fresh basil (for garnish)
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Instructions
- Cook sausage. In a large pot or Dutch oven, heat 2 tablespoons of vegetable oil over medium heat. Then, add the sausage and cook until browned and no longer pink in the middle, breaking it into smaller pieces with a spoon as it cooks. Transfer the sausage to a paper towel-lined plate using a slotted spoon and set aside.
- Cook onion, garlic, and flour. Add the rest of the oil to the pot, along with the sausage fat. If needed, add more oil to make it 2 tablespoons in total. Lower the heat to medium-low, put in the chopped onion, and cook for 7-10 minutes until the onion is see-through and soft, stirring now and then to avoid burning. Next, add the minced garlic and cook for an extra 1-2 minutes. Stir in the flour and cook for 2-3 more minutes to make a roux.
- Add liquids and seasonings. Add the crushed tomatoes, chicken broth, thyme, salt, and pepper. Turn up the heat and let it all come to a boil.
- Cook tortellini. Put the cheese tortellini in the boiling soup and cook for 3-5 minutes following the instructions on the package until the tortellini are soft.
- Combine. Remove the pot from heat. Stir in the chopped spinach and the cooked sausage. Mix in the heavy whipping cream, grated Parmesan cheese, and chopped parsley.
- Serve. Ladle the soup into bowls. Garnish with additional Parmesan cheese and fresh basil, if desired. Serve hot and enjoy!
Notes
Nutrition
Love,

Hi Katie!! Been following you for about a year, and I need to comment more but this was yet another home run, slam dunk recipe for another subzero night here in Michigan. Thank you for such incredible inspiration. I feel spoiled as I think I was making the same old, same old after 25 years but everyone gives two thumbs up to everything I have made so far from you. Looking forward to adding to my repertoire and the rotation. You are amazing!!
hey erin! thank you sooooo much i needed to hear this tonight and wish we could enjoy a bowl together! much love to you and stay warm 🙂
Made this tonight. Was very yummy! Thanks for the great recipe.
hi alicia! thanks so much for letting me know! glad you enjoyed it!