Creamy Sausage and Tortellini Soup


Get ready to indulge in the ultimate comfort food with this Creamy Tortellini Soup recipe. This heartwarming dish is perfect for cozy nights. It combines rich flavors and tender pasta in a creamy, savory broth.

Serve it with a green salad and some crusty bread, and you have the perfect easy weeknight dinner. You will love this one. A great easy dinner recipe.

A close-up shot of the creamy tortellini soup in a white pot, showcasing the thick texture and the herbs sprinkled on top.

Creamy Tortellini Soup with Sausage

Quick and easy to make and oh-so-delicious. Creamy, flavorful, and filling, this soup is a warm and cozy dinner recipe you'll adore.
Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Serving Size 6 servings


  • 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 (optional)


  • Cook sausage. In a large pot or Dutch oven, cook sausage in 2 tablespoons oil over medium heat. Cook sausage until browned and no longer pink in the middle, breaking sausage into smaller pieces with a spoon as it cooks. Using a slotted spoon, remove sausage to a paper towel-lined plate and set aside.
    An image showing cooked Italian sausage pieces in the white pot, drained and set aside on a marble countertop.
  • Cook onion, garlic, and flour. Add enough oil to the fat from the sausage in the pot to equal 2 tablespoons if necessary. On medium-low heat, cook onion, 7-10 minutes until onions look more translucent and are tender, stirring occasionally and watching the heat to make sure the onion doesn’t burn. Add garlic and cook an additional 1-2 minutes. Stir in flour and cook for an additional 2-3 minutes.
    Image of a white pot with caramelized onions and minced garlic being cooked on a marble countertop next to a striped kitchen towel and wooden spoon.
  • Add liquids. Add crushed tomatoes, chicken broth, thyme, salt, and pepper.  Bring to a boil.
    Image of the same white pot on a marble countertop filled with a vibrant red tomato broth, showing bubbles on the surface, with a wooden spoon to the side.
  • Cook tortellini. Follow package instructions for cooking tortellini by adding tortellini to the soup (usually between 3-5 minutes.)
    The white pot now contains the tomato broth with cheese tortellini added, floating and distributed throughout the soup.
  • Add sausage and spinach. Remove the pan from the heat and add chopped spinach and the cooked sausage that was set aside. Stir in cream, parmesan cheese, and chopped parsley.
    The pot of tortellini soup has fresh spinach leaves added, giving a contrast of green against the red tomato broth.
  • Add remaining ingredients. Stir in cream, parmesan cheese, and chopped parsley. Garnish with basil and additional parmesan cheese, if desired, and serve soup hot.
    The soup has been transformed with the addition of heavy cream, creating a creamy orange hue, with ingredients fully incorporated.


Don’t overcook the pasta!  Check the directions for the brand you’re using 😊.

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. Enjoy!

creamy tortellini soup served in a white bowl

🥣 simple ingredients

Every ingredient is important in this recipe. But there’s definitely some flexibility if you want to make substitutions.

  • Italian Sausage: The star of the soup, it adds a rich and meaty flavor. Opt for mild or hot, depending on your spice preference. I prefer using sausage links for the bigger pieces of sausage, but you could substitute ground sausage.
  • Cheese Tortellini: I prefer Buitoni 3 cheese tortellini, but I also love Rana brand’s 5 cheese tortellini. I didn’t see the Buitoni brand at our Walmart, only at my local grocery stores. Other pasta could easily be substituted. Some nice ideas include spinach ricotta tortellini, spinach cheese tortellini, and mushroom tortellini. You could also consider other filled pastas, such as ravioli. Additionally, any medium-sized dry pasta could be used if needed. However, additional broth and cooking time would be needed.
  • Heavy Whipping Cream: It brings a luxurious creaminess to the soup, making it indulgently rich.
  • Spinach: Adds a pop of color and a dose of healthy greens. (Kale works too!)
  • Parmesan Cheese: A sprinkle of this cheese enhances the flavor with its sharp and salty profile.
A top-down image displaying all the ingredients needed for the creamy tortellini soup recipe neatly arranged on a marble surface.

In a pinch, Italian seasoning could be substituted if necessary for the thyme, parsley, and fresh basil.

Vegetable broth could be substituted for chicken broth. To add a little spice, red pepper flakes could be added.

All your tools and equipment are pretty basic 😉.

  • Large pot or Dutch oven with lid
  • Measuring spoons and cups for dry ingredients
  • Wooden spoon or spatula
  • Slotted spoon
  • Large plate
  • Paper towels
  • Cutting board
  • Sharp knife
  • Can opener
  • Cheese grater

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Everything you need is budget-friendly and easy to find.

✨ Tips for the best tortellini soup

This recipe is so easy you’ll be just fine.

  • Sausage Selection. Choosing mild or hot Italian sausage can significantly change the soup’s flavor. If you prefer a spicy kick, go for the hot variety.
  • Tortellini Tips. Be careful not to overcook the tortellini. Adding it towards the end of cooking ensures it remains al dente.
  • Creamy Consistency. For a lighter version, you can substitute half-and-half or milk for heavy cream. But, this will change the soup’s richness.
  • Vegetable Variations. Feel free to experiment with more vegetables. You can try carrots, celery, or mushrooms for added nutrition and flavor. I do not like any of these, but you might.
  • Storage and Reheating: This soup can thicken in the fridge. Add a little broth or water while reheating to regain the desired consistency.
  • Crock pot method. Cook soup on high for 3-4 hours. Wait to add the pasta until the last 30 minutes or so and add in the cream, spinach, parmesan and fresh parsley just towards the end.

It’s a soup, not rocket science. Change it up if you want to!

🥫 Storage and make ahead instructions

This is always better the day it’s made because as. you reheat it, the tortellini gets softer. But the leftovers are still great.

  • Soup can be safely stored in the fridge, covered for 3-4 days, or kept in a freezer-safe container in the freezer for 2-3 months.
  • To freeze the soup, only prepare it through step 5, adding back the sausage. After freezing, thaw the soup, bring to a boil and add the tortellini to cook continuing with steps 6-9.

Do not freeze it after you’ve added the tortellini!

❤️ More cozy dinner recipes you’ll love

Cool nights mean recipes that have tons of flavor and stick to your ribs. Here are some of the best.

  • Dive into a unique twist on a classic dish with Lasagna with No Ricotta. It features layers of savory meat sauce and melted cheese that even your picky eaters will love.
  • Chili Hashbrown Casserole is a perfect blend of spicy chili and crispy hashbrowns. It’s baked together for a hearty and satisfying meal.
  • Nothing beats the comfort of Creamy Tomato Soup. It’s a velvety blend of ripe tomatoes and rich cream. It’s perfect for cozy evenings or as a warming lunch.
  • Smoky Chicken Pasta has tender chicken tossed with a creamy, smoky sauce.

Hope you love this easy, filling soup. I know you will.

An overhead shot of the creamy tortellini soup served in a white bowl with a sprinkle of parmesan cheese on top, garnished with basil, beside fresh tomatoes, cheese, and a piece of bread.
Creamy Sausage and Tortellini Soup

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Recipe Rating


  1. 5 stars
    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!!