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Creamy Italian Sausage & Tortellini Soup

  • Author: Molly
  • Total Time: 45 minutes
  • Yield: 6 servings 1x


This Creamy Italian Sausage & Tortellini Soup is a hearty and satisfying bowl of comfort that is sure to warm you up on the coldest of winter days. Italian chicken sausage, a savory creamy broth, and tender cheese tortellini make this one something special. We can’t get enough!


  • 1 tablespoon olive oil
  • 1-lb package sweet or hot Italian chicken or turkey sausage, removed from casings
  • 1 large onion, diced
  • 4 garlic cloves, minced
  • 2 tablespoons tomato paste
  • 1 teaspoon dried Italian herbs
  • 1 teaspoon garlic salt
  • 1 teaspoon black pepper
  • 1/2 teaspoon red pepper flakes (optional – I skip if using spicy sausage)
  • 1 (14-oz) can diced tomatoes
  • 4 cups low-sodium chicken broth
  • 2 cups of water
  • 2 bay leaves
  • 1/2 cup heavy cream or half-and-half
  • 5 oz baby spinach
  • 12 oz cheese tortellini (or any flavor you prefer)


  1. Heat the oil in a large pot or Dutch oven. Add the sausage and break it up with a spoon. Cook, stirring frequently, for about 5 minutes or until the sausage is mostly cooked through.
  2. Add the onion and cook for another 5 minutes.
  3. Add the garlic, tomato paste, herbs, and seasonings and cook for another couple minutes.
  4. Add in the canned tomatoes and chicken broth, making sure to scrape up any browned bits from the bottom of the pot. Stir in the water and the bay leaves.
  5. Bring to a simmer and then cover the pot. Simmer over low heat for about 30 minutes.
  6. Stir in the cream, spinach, and tortellini. Cover the pot and cook for another couple minutes or until the spinach is wilted and the tortellini are cooked through. Season, to taste, with additional seasonings. Serve while hot.


I prefer the leanness of chicken or turkey sausage here, but if you cannot find it, use Italian pork sausage. The flavor won’t be much different.

  • Prep Time: 5 minutes
  • Cook Time: 40 minutes
  • Category: soup

Keywords: Creamy Italian Sausage & Tortellini Soup, sausage and tortellini soup, tortellini soup with Italian sausage, tortellini soup recipe