Unleash your taste buds with Creamy Sausage and Tortellini Soup, a rich blend of sausage, and tender, creamy tortellini, in a bowl of irresistible warmth.

I love this soup. It is no wonder why it is one our top soup recipes. It’s creamy without being heavy, packed with veggies, and loaded with pillowy cheese tortellini. Plus it stores great in the fridge or even freezer for later on. The ultimate comfort food on a cool night – it’s hard not to love this delicious soup.
Table of Contents
Reasons to Love This Soup
- This Creamy Tortellini Soup is infused with savory sausage and cheesy tortellini that is bursting with flavor.
- Ready in just 45 minutes, this tortellini soup with spinach is a hassle-free meal for busy days.
Recipe Ingredients

- Italian Sausage: Adds bold, savory flavor and a crumbly, meaty texture.
- Cheese Tortellini: Contributes creamy, cheesy taste and tender texture.
- Chicken Broth: Offers a savory, umami base, enhancing richness.
See the recipe card for full information on ingredients and quantities.
How to Make Sausage and Tortellini Soup
Step 1: In a large soup pot set over medium-high heat, cook the sausage until browned. Using a slotted spoon, transfer the cooked sausage to a paper towel-lined plate; set aside.

Step 2: Add the onion, shallot, and carrot; sauté for 5 minutes or until the vegetables are soft. Add the garlic and sauté for an additional 2 minutes, or until fragrant, stirring occasionally to prevent it from burning.

Step 3: Whisk in the flour and cook for 1 minute. Gradually add in the chicken broth, whisking to combine. Continue cooking until the mixture reaches a simmer, then reduce the heat to medium-low and simmer for 6 minutes.

Step 4: Pat as much grease as possible off the sausage, then add it along with the tortellini pasta, salt, pepper, Italian seasoning, spinach, and half & half. Simmer for 5 minutes, or until the tortellini is fully cooked.

Step 5: Serve immediately with freshly grated Parmesan cheese, if desired.

FAQs
Of course! You can experiment with adding any additional vegetables. Some I would recommend would be celery, zucchini, kale, fresh baby spinach, or leeks for added depth and complexity to this recipe.
Absolutely! You can personalize your Italian seasoning blend by using dried herbs like oregano, basil, thyme, sage, and rosemary from your pantry. This allows you to adjust the flavor to your preference and experiment with different herb combinations for a unique twist on the dish.
Storage Info
To STORE Creamy Sausage Tortellini Soup leftovers, allow them to cool to room temperature, then refrigerate them in an airtight container for up to 3-4 days. If you’d like to extend its shelf life, freezing is a great option. To FREEZE, place it in a freezer-safe container for up to 2-3 months.
When REHEATING, do so gently over low to medium heat on the stovetop to preserve the creamy texture. You can also use a microwave, but stir frequently to ensure even heating. Adding a splash of additional broth or cream while reheating can help restore the soup’s consistency and prevent it from becoming too thick.
More Tortellini Soups that You’ll Love

Creamy Sausage and Tortellini Soup Recipe
Ingredients
- 1 lb Italian sausage
- 1 small yellow onion - diced
- 1 small shallot - diced
- 2 large carrots - peeled and diced
- 4 cloves garlic - minced
- 1/4 cup all-purpose flour
- 5 cup chicken broth
- 14 oz refrigerated cheese tortellini*
- 1 tsp kosher sea salt
- 1/2 tsp ground black pepper
- 1/2 tsp Italian seasoning
- 6 oz fresh spinach - chopped
- 2 cup half and half - or heavy cream
Instructions
- In a large stockpot set over medium-high heat, cook the sausage until browned. Using a slotted spoon, transfer the cooked sausage to a paper towel-lined plate; set aside.
- Add the onion, shallot, and carrot; sauté for 5 minutes or until the vegetables are soft. Add the garlic and sauté for an additional 2 minutes, or until fragrant, stirring occasionally to prevent it from burning.
- Whisk in the flour and cook for 1 minute. Gradually add in the chicken broth, whisking to combine. Continue cooking until the mixture reaches a simmer, then reduce the heat to medium-low and simmer for 6 minutes.
- Pat as much grease as possible off the sausage, then add it along with the tortellini, salt, pepper, Italian seasoning, spinach, and half & half. Simmer for 5 minutes, or until the tortellini is fully cooked.
- Serve immediately with freshly grated Parmesan cheese, if desired.











Without a doubt, one of the most delicious soups I’ve ever had. My family couldn’t get enough. Served it with a warm crusty baguette and Amish butter. This is the ultimate cold weather comfort food.
Thank you for sharing this recipe!c
Awe, thank you for saying that! That sounds yummy! So glad you like it!
My husband is not a soup fan and he loves this. I absolutely love this. I could eat it every day! I use venison Italian sausage, so there isn’t enough grease, but I add a little butter and it works fine. It isn’t enough to make a roux, but the flour mixed in with the veggies works just fine. I’m thinking about just leaving the flour out next time and see how it does. I also tried only 1 cup of half n half instead of two. it was thinner, but worked fine. Seems like you can’t go wrong no matter how you fix this! Thanks for this recipe!
You are so welcome! Yes, there are so many options! Glad you both like this! Thank you!
Our church Life Group enjoyed this on January 23. I mean ENJOYED it! We Minnesotans need hot soup in January to sustain us. I’ll be looking at more of your recipes, Natalie. Thanks for this one. I’ve shared your website with all the members including those who could not be there.
Awe, thank you so much!! That means a lot! I would need soup if I lived there, too!
This soup is so rich & delicious! I made it exactly like the recipe except that I used one can of evaporated milk in lieu of the 2 cups of heavy cream. I used frozen cheese tortellini that I thawed out before adding to soup. Easy to make but also impressive enough to serve to guests! I cant say enough about how good this is!
I am so glad you liked it. Thank you for sharing what you did. That sounds perfect!
Any meal with Tortellini in it my entire family will eat! Now thats a win,win!
Love the flavors in this!! I love adding tortellini in soups! It’s hearty, but not heavy & so good!