Creamy Sausage and Tortellini Soup (Easy, Creamy, Cozy)
Make your weeknights warm and cozy with this creamy sausage and tortellini soup. It’s the perfect dish for those snug nights at home, combining rich flavors and tender pasta in a creamy, savory broth.
In just 40 minutes, you can treat your family to a comforting and hearty meal packed with sausage, tender tortellini, and fresh spinach. Don’t forget to pair it with a fresh green salad and crusty bread, and voilà, one of the best easy dinners ever!
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 28 ounce can crushed tomatoes
- 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
- Garnish: 2 tablespoon fresh basil (cut chiffonade but optional)
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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. 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 the ingredients. 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
More Tips:
Once the sausage is browned, use a bit of the chicken broth to scrape off the flavorful bits stuck to the bottom of the pot. This adds depth to your soup.
Always taste your soup before serving. Adjust the seasoning with more salt and pepper if needed, as the flavors vary based on the sausage and broth used.
If you want a thicker soup, let it simmer a bit longer after adding the liquids. For a thinner consistency, add a bit more chicken broth or water.
For a lighter version, you can use half-and-half or milk instead of heavy cream. But this will change the richness of the soup.
Cook the soup on high for 3-4 hours. Add the pasta during the last 30 minutes and the cream, spinach, parmesan, and fresh parsley towards the end.

Key Ingredients and Tools
Here are the essential items and ingredients you’ll need for making a successful soup:

- Large pot: A sturdy pot that ensures even cooking and simmering.
- Mild Italian sausage: Choose mild or hot sausage based on your spice preference. I like using sausage links for larger pieces, but you can also use ground sausage. Look for it in the meat section for a balanced flavor. You can also buy some extra sausage and make my stuffed peppers!
- Cheese tortellini: Found in the refrigerated pasta section, these cook quickly and add a cheesy bite. I like Buitoni 3 cheese tortellini, but I also enjoy Rana brand’s 5 cheese tortellini. I couldn’t find the Buitoni brand at Walmart, only at my local grocery stores.
- Heavy cream: Provides the soup with its creamy texture; half-and-half can be used as a lighter option.
- Freshly grated Parmesan cheese: Offers a richer flavor compared to pre-grated cheese.
- Fresh parsley: Adds a fresh, herby note to the soup and is available in the produce section.
These tools and ingredients will help you create a flavorful and easily prepared soup.
Here are some alternative ingredients for this recipe:
- Italian mild sausage: You can use turkey sausage or chicken sausage for a lighter option.
- Heavy whipping cream: Use half-and-half or whole milk for a less rich soup.
- Refrigerated cheese tortellini: If you can’t find refrigerated tortellini, try dried or frozen, but remember to adjust the cooking times.
- Fresh spinach: You can swap it with kale or Swiss chard for a different texture and flavor.
- Freshly grated Parmesan cheese: You can use pre-grated Parmesan or Pecorino Romano for a similar taste.
These substitutes may slightly change the result, but feel free to experiment with them and see what works best for you.
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Hope you love this easy, filling soup. This sausage tortellini soup with spinach is perfect in fall and winter, but we also love it in early spring when schedules are busy, and spinach is ready in the garden.
With its rich flavors and hearty ingredients, it’ll surely become a family favorite. Give it a try and enjoy a cozy, delicious dinner with your loved ones.

By Katie Shaw

Katie shares simple, reliable recipes from her home in Virginia, where she lives with her husband, three daughters, a chocolate lab, and over thirty chickens.
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!