Creamy Sausage Tortellini Soup

Category: Cozy, Hearty Recipes That Feel Like Home

This dish brings together Italian sausage, cheese tortellini, and leafy spinach in a velvety broth, creating a warm and satisfying meal for any night. Quickly browned sausage forms the flavor base, while onion and garlic add comforting depth. Tomatoes and herbs simmer into a rich stock before tender tortellini and fresh spinach join the pot. Finished with a splash of cream and topped with grated Parmesan, this bowl is hearty yet balanced, perfect for quick dinners or cozy evenings. Serve with crusty bread and a simple salad for a memorable family meal.

A woman with a smile on her face.
Created By Melanie Carter
Updated on Wed, 30 Jul 2025 22:01:48 GMT
A bowl of creamy sausage tortellini soup. Pin
A bowl of creamy sausage tortellini soup. | mellierecipes.com

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
A bowl of creamy sausage tortellini soup. Pin
A bowl of creamy sausage tortellini soup. | mellierecipes.com

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

A bowl of creamy sausage tortellini soup. Pin
A bowl of creamy sausage tortellini soup. | mellierecipes.com

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.

Creamy Sausage Tortellini Soup

Sausage, tortellini, and spinach in a creamy broth deliver warmth and rich Italian-inspired flavors in every bite.

Prep Time
10 minutes
Cooking Duration
25 minutes
Overall Cooking Time
35 minutes
Created By: Melanie Carter

Recipe Category: Comfort Food Classics

Skill Level: Beginner-Friendly

Cuisine Style: Italian

Result Amount: 6 Portions (Approximately 2 litres (serves 6 bowls))

Diet Preferences: ~

What You’ll Need to Make This

→ Main Ingredients

01 500 g Italian sausage, casings removed (mild or spicy as preferred)
02 1 medium onion, diced
03 3 cloves garlic, minced
04 960 ml chicken broth
05 400 g canned diced tomatoes, undrained
06 1 teaspoon dried basil
07 1 teaspoon dried oregano
08 1/2 teaspoon red pepper flakes (optional)
09 300 g cheese tortellini, fresh or refrigerated
10 240 ml heavy cream
11 60 g fresh spinach, roughly chopped (about 2 cups)
12 Salt, to taste
13 Ground black pepper, to taste

→ Garnishes

14 Grated Parmesan cheese, for serving
15 Fresh parsley, chopped, for garnish

How to Prepare

Step 01

Heat a splash of olive oil in a large pot or Dutch oven over medium heat. Add Italian sausage, breaking it into small pieces, and cook until thoroughly browned and cooked through, about 5 to 7 minutes. Drain excess fat if necessary.

Step 02

Add diced onion and minced garlic to the pot. Sauté until onion is translucent and fragrant, for approximately 3 to 4 minutes, stirring occasionally.

Step 03

Pour in chicken broth and add undrained diced tomatoes. Stir in dried basil, dried oregano, and red pepper flakes if desired. Bring the mixture to a gentle simmer and cook for 10 minutes to allow the flavors to meld.

Step 04

Add cheese tortellini to the pot. Cook according to package instructions, usually 3 to 5 minutes, until the tortellini are tender and float to the surface. Avoid overcooking to maintain texture.

Step 05

Reduce the heat to low and stir in heavy cream. Add chopped spinach and cook for 1 to 2 minutes until wilted. Season with salt and ground black pepper to taste.

Step 06

Ladle the soup into bowls. Top each serving with grated Parmesan cheese and a sprinkle of fresh parsley. Serve hot.

Extra Tips

  1. Using quality Italian sausage will elevate the overall flavor.
  2. Allowing the soup base to gently simmer enhances the depth of taste.
  3. For a lighter version, substitute half of the cream with whole milk or use half-and-half.
  4. Additional vegetables such as carrots or bell peppers can be incorporated for nutritional variety.
  5. The soup can be prepared in advance and tastes richer the next day after flavors develop.
  6. If freezing, add tortellini freshly when reheating to preserve texture.

Tools Required

  • Large pot or Dutch oven
  • Wooden spoon
  • Measuring cups and spoons
  • Soup ladle

Allergen Info

Review ingredients carefully for allergens. Reach out to your healthcare provider if you’ve got specific concerns.
  • Contains dairy from cheese and cream.
  • Contains gluten from tortellini.
  • May contain egg in tortellini and cheese.

Nutritional Information (Per Serving)

Remember, this info is purely for reference and isn’t meant to replace dietary guidance.
  • Caloric Value: 470
  • Fat Content: 28 grams
  • Carbohydrate Content: 37 grams
  • Protein Content: 20 grams