
Creamy Sausage Tortellini Soup brings pure comfort to your table with very little time or fuss. It is the kind of satisfying meal that delivers on both flavor and heartiness while still being flexible enough for weeknights. After a long day, there is nothing better than watching the pot bubble and catching that first whiff of Italian herbs mingling with rich sausage and cheesy tortellini.
I first made this soup when my kids came home cold from soccer and needed something extra warming. Now they request it every time a chill hits the air and I love that it only takes pantry staples and one pot to pull it together.
Ingredients
- Italian sausage: Choose a good-quality mild or spicy sausage for your preferred flavor This is what gives the soup its savory core so opt for fresh sausage from a butcher if possible
- Onion: A medium yellow onion adds natural sweetness and rounds out the flavor Look for firm onions with no soft spots
- Garlic: Three fresh cloves minced for aromatic depth Fresh garlic boosts flavor better than jarred
- Chicken broth: Four cups of quality low sodium broth serve as the backbone of the soup Choose a brand with a rich color and no additives
- Diced tomatoes: One can undrained adds acidity and heartiness Pick Italian tomatoes if you can find them for the best flavor
- Dried basil and oregano: Classic Italian herbs that infuse depth and aroma Check for vibrant color in dried herbs which means they are still fresh
- Red pepper flakes: Add a subtle background heat Optional based on spice preference
- Cheese tortellini: These little pasta parcels are the comfort star of the soup Fresh or refrigerated tortellini cook up tender and cheesy
- Heavy cream: One cup creates signature creaminess For an ultra-luxurious texture use fresh dairy cream
- Fresh spinach: Chopped spinach adds a fresh pop of color and nutrients Choose unwilted leaves with deep green color
- Salt and pepper: The essential last touch for perfectly balanced seasoning
- Grated Parmesan cheese: Adds a nutty savory finish Buy a block to grate fresh for best quality
- Fresh parsley: Chopped parsley for a sprinkle of freshness and color when serving Use bright green flat-leaf parsley for best flavor
Step-by-Step Instructions
- Cook the Sausage:
- Start by heating a little olive oil in a large pot over medium heat Add the Italian sausage Breaking apart as it browns Sauté for about seven minutes until fully cooked and crumbly The sausage infuses oil with rich flavor which will carry throughout the soup
- Sauté Onion and Garlic:
- Add diced onion and minced garlic to the pot Sauté for about four minutes allowing the onion to turn translucent and the garlic to smell fragrant This is your base for layered flavor and makes the kitchen smell amazing
- Add Broth and Tomatoes:
- Pour in chicken broth and undrained diced tomatoes Sprinkle in dried basil oregano and red pepper flakes Stir to combine Let the pot come gently to a simmer for at least ten minutes This melding time is where the flavors fuse and deepen
- Cook the Tortellini:
- Stir in the cheese tortellini to the simmering soup Let it cook for about five minutes or until the tortellini float and are just tender Watch carefully since overcooking will turn the tortellini mushy
- Stir in Cream and Spinach:
- Lower the heat before pouring in your heavy cream The soup will instantly turn silky and luxurious Add chopped spinach next Stir until wilted Season with salt and pepper tasting to get the balance just right The spinach should still be bright green
- Serve and Enjoy:
- Ladle the steaming soup into bowls Top with grated Parmesan and a generous sprinkle of fresh parsley This final touch brings freshness and extra flavor Serve immediately while hot

My favorite ingredient here is the Italian sausage because it brings everything together and adds warmth to the whole pot. Every time I make this soup I think of Sunday afternoons when my family would stand around the stove sneaking bites of sausage before the tortellini went in.
Storage Tips
Transfer any leftovers to an airtight container Once cooled store in the refrigerator for up to four days For best texture eat the soup the next day when flavors have fully melded If you want to freeze it do so before adding tortellini and spinach Freeze up to three months then add fresh pasta when reheating
Ingredient Substitutions
Swap out Italian sausage for turkey sausage or vegetarian sausage for a lighter or meatless version Heavy cream can be replaced with half and half or even coconut milk for dairy free diets Instead of spinach try baby kale or chopped Swiss chard Diced fire roasted tomatoes are a great upgrade if they are in your pantry
Serving Suggestions
Serve this soup with a side of crusty bread or warm garlic toast If you want something fresh pair with a simple green salad dressed with lemon vinaigrette For a real Italian dinner experience top bowls with extra herbs and a drizzle of good olive oil

Cultural Context
Creamy Sausage Tortellini Soup is inspired by northern Italian comfort cooking Classic tortellini in brodo is a celebratory dish in Emilia Romagna and turning it creamy with smoky sausage adds a cozy twist that makes it appealing for American weeknight tables
Recipe FAQs
- → Can the soup be made ahead of time?
Yes, you can prepare it in advance. In fact, the flavors deepen overnight. Store in the refrigerator and reheat gently before serving.
- → Is it possible to freeze the dish?
You can freeze it, but cook the tortellini separately and add it fresh when reheating to avoid mushy pasta.
- → What dairy alternatives work for the creamy texture?
For a lighter touch, use half-and-half or whole milk. Coconut or plant-based cream is a good dairy-free substitute.
- → How can I add more heat?
Increase red pepper flakes or use spicy Italian sausage. A splash of hot sauce also brings extra warmth to the bowl.
- → What sides pair best?
Enjoy alongside crusty bread, a fresh salad, or roasted vegetables for a complete and balanced meal.