Creamy Italian Sausage Tortellini Soup

The perfect comfort food, this hearty soup is one of my family’s favorites! Loaded with flavor and filling ingredients, you can serve this soup as a complete meal — perfect for cozy nights or easy weeknight dinners.

There’s nothing quite like sitting down to a hearty bowl of soup that warms you from the inside out. This creamy cheese tortellini soup with Italian sausage delivers all the cozy comfort you crave on a chilly day. The savory sausage pairs perfectly with tender tortellini, and the rich tomato-cream broth brings it all together in the most satisfying way.

One of the best things about this recipe is how little effort it takes. With just a few minutes of prep—chopping onion, crumbling sausage, and stirring everything together—you’ll have a complete, comforting dinner that’s ready in under an hour. It’s a family favorite for busy weeknights when you want something hearty, homemade, and full of flavor.

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Table of Contents

• Why You’ll Love It
• What You’ll Need
• How to Make It
• Substitutions and Variations
• What to Serve With It
• Leftovers and Storage
• Recipe Card

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Why You’ll Love It

This creamy and comforting soup is like a warm hug in a bowl. Made with simple, wholesome ingredients that come together effortlessly, it’s a family-approved favorite that’s perfect for busy weeknights. Everything cooks in one pot for minimal cleanup, and while it’s ready in under an hour, it tastes like it’s been simmering on the stove all day.

• Creamy and comforting — this soup is like a warm hug in a bowl.
• Simple ingredients that come together easily.
• Family-approved and perfect for busy weeknights.
• One-pot recipe means minimal cleanup.
• Ready in under an hour but tastes like it simmered all day.

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What You’ll Need

To make this delicious Italian Sausage Tortellini Soup, gather:

You’ll also need:

• Measuring cups and spoons
• Cutting board and sharp knife
• Dutch oven or large soup pot
• Wooden spoon

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How to Make It

This is an overview with step-by-step instructions. Full ingredients and directions are in the recipe card below.

1. Cook the sausage:
   Form the sausage into small balls (¼–½ inch) and brown them in a large Dutch oven over medium heat until cooked through.
2. Sauté the onions:
   Remove sausage and set aside. Add diced onion to the same pot and cook for 5 minutes until softened.
3. Add garlic:
   Stir in minced garlic for 1 minute, just until fragrant.
4. Combine ingredients:
   Add cooked sausage, Italian seasoning, tomatoes, and chicken broth. Bring to a boil.
5. Add tortellini:
   Reduce heat to low and simmer for 5 minutes until pasta softens.
6. Make it creamy:
   Stir in heavy cream and simmer another 10 minutes.
7. Add spinach:
   Stir in spinach and cook until wilted. Serve hot.

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Substitutions and Variations

• Protein: Swap Italian sausage for ground turkey, chicken, or plant-based sausage.
• Pasta: Try mini ravioli, gnocchi, or penne instead of tortellini.
• Cream: Substitute half-and-half for lighter soup, or coconut milk for dairy-free.
• Add-ins: Mushrooms, zucchini, or carrots add more veggies.
• Spice: Use spicy Italian sausage or red pepper flakes for heat.

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What to Serve With It

This soup pairs perfectly with:

This soup pairs perfectly with a variety of simple sides that make the meal feel complete. Serve it with warm, buttery garlic bread or soft breadsticks for dipping into the creamy broth.

For something lighter, pair it with a crisp Caesar salad or a fresh house salad to balance out the richness of the soup.

If you’re craving extra comfort, a classic grilled cheese sandwich makes a delicious companion. And for an elegant touch, enjoy it with a chilled glass of white wine—Pinot Grigio complements the flavors beautifully.

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Leftovers and Storage

• Refrigerate: Store leftovers in an airtight container up to 3 days.
• Freeze: For best results, freeze before adding tortellini and cream. Add those fresh when reheating.
• Reheat: Warm on the stovetop over medium heat until hot.