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This Italian sausage tortellini soup recipe is loaded with flavorful sausage and cheesy pasta in an irresistible creamy tomato broth. It has very little prep time and can be on your table in just 40 minutes!

Try my fairly similar Crockpot Tortellini Soup with Sausage if you’d like an alternative cooking method.

close-up of a bowl of italian sausage tortellini soup with shaved parmesan cheese on top

Why you’ll love it

You know that feeling you get when you eat the perfect bowl of soup, and it warms you up from the inside out? Yes, this cheese tortellini soup with sausage is the best comfort food meal on a chilly day! Italian sausage and tortellini are an iconic duo, and the creamy tomato broth is so good.

One of the awesome things about this soup is that it has minimal prep time. Chop the onion and celery, crumble the sausage (or use sausage meat), and that’s essentially it. It means that a complete and filling dinner for your whole family is ready faster on busy weeknights.

What you’ll need

  • Italian sausage – this variety of sausage adds protein to the soup and has a fantastic blend of herbs and spices
  • Onion, celery, and garlic – these staples are the building blocks to any good soup
  • Flour – to thicken the broth
  • Garlic – one of my favorite ingredients to take soups to the next level!
  • Chicken broth – gives the soup additional cozy flavor versus just using water
  • Diced tomatoes – tomatoes complement the sausage, and using the juices too is important for depth of flavor
  • Italian seasoning – this blend of herbs including rosemary, oregano, and thyme makes the soup special, or you can sub with fresh herbs of your choice
  • Cheese tortellini – I use refrigerated tortellini because it cooks faster, but you’re welcome to use dried; just note that it’ll take longer to cook
  • Heavy cream – don’t skip the cream! It makes it an out-of-this-world delicious soup
  • Spinach – tossing in a handful of baby spinach sneaks in some extra veggies
ingredients for italian sausage tortellini soup in bowls and measuring cups on a marble counter

Tools for this recipe

Check out Natasha’s favorite kitchen essentials, gadgets, and cookware!

  • Use a soup pot or sturdy Dutch oven for this soup.
  • A cooking spoon made of melamine ensures you won’t scratch your pots and pans while stirring.
  • I recommend this ladle. It’s great at not spilling everywhere when dishing up soup.
  • For the other half of the onion you’ll have left, store in this cute onion saver.

How to make Italian sausage tortellini soup

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

browning sausage meat and cooking onions and celery in a soup pot for italian sausage tortellini soup

In a large soup pot or Dutch oven sauté the crumbled sausage meat until browned. Transfer to a paper towel lined plate, drain most of the fat, and then cook the chopped onion and celery.

adding flour and broth to italian sausage tortellini soup in the cooking process

Add in the flour and garlic and cook for a minute, stirring constantly. Slowly pour in the chicken broth.

last steps of making creamy sausage tortellini soup and adding cream, tortellini, and sausage meat

Add the tomatoes, Italian seasoning, and sausage meat. Bring to a boil, add in the pasta, and simmer. Finally, stir in the cream and spinach.

Substitutions and variations

  • Be careful subbing the cream because the acidity of the tomatoes may curdle anything with a lower fat content than heavy cream.
  • Try a different variety of sausage like chicken or turkey to change it up.
  • If you’re not a fan of regular diced tomatoes, use petite diced tomatoes or tomato sauce instead.
  • Craving something spicy? Throw in some crushed red pepper flakes or use hot Italian sausage.
  • If spinach isn’t your thing, try kale, but let it cook for a little bit longer.
  • This recipe is very flexible, so add in more veggies if you happen to have any on hand that need using up.

Make ahead tip

  • If you plan on having leftovers, add the cheese tortellini to individual portions instead when you reheat them. That way, the pasta will cook quickly right in the soup when you need it and won’t have gone too soft!

What to serve with sausage tortellini soup

Leftovers and storage

  • I recommend eating this soup within a couple of days. The tortellini will soak up the broth and puff up the longer it’s in the fridge.
  • You can freeze this soup, but if you want to freeze the entire batch, it’s best to leave out the cream, spinach, and tortellini and then add them when you’re reheating.
  • If you freeze leftovers as-is, the pasta may not have the same texture as when first cooked.
close-up of a ladle in a soup pot with creamy italian sausage tortellini soup

I hope you try this sausage and tortellini soup recipe! Questions? Ask me in the comments below! I’d love it if you left a star rating and review below. You can also find me on Instagram.

close-up of a bowl of italian sausage tortellini soup with shaved parmesan cheese on top
4.99 from 159 votes

Italian Sausage Tortellini Soup

This Italian sausage tortellini soup recipe is loaded with flavorful sausage and cheesy pasta in an irresistible creamy tomato broth. It has very little prep time and can be on your table in just 40 minutes!
Prep: 10 minutes
Cook: 30 minutes
Total: 40 minutes
Servings: 6


  • 16 ounces Italian sausage see note
  • 1/2 medium onion chopped finely
  • 2 sticks celery chopped finely
  • 2 tablespoons flour
  • 3-4 cloves garlic minced
  • 4 cups chicken broth
  • 1 (28 ounce) can diced tomatoes with juices
  • 1/4 teaspoon Italian seasoning
  • 2 generous cups refrigerated cheese tortellini
  • 1 cup heavy/whipping cream
  • 2 cups (packed) fresh baby spinach optional
  • Salt & pepper to taste


  • Add the sausage meat to a large soup pot. Sauté over medium-high heat, stirring occasionally, for 7-10 minutes, or until the sausage is browned all over.
  • Take the sausage out of the pot and set it aside on a paper towel lined plate. Leave about a tablespoon of the fat in the pot (drain any excess).
  • Add the onion and celery to the pot and cook for 4-5 minutes.
  • Add the flour and garlic and cook for a minute, stirring constantly. 
  • Slowly add the chicken broth and stir until the flour has completely dissolved. 
  • Add the canned tomatoes and Italian seasoning to the pot. Also add the sausage back in. Increase the heat to high and bring the soup to a gentle boil. 
  • Once it’s boiling, add the tortellini and reduce the heat so it’s gently simmering. Cook for 5 minutes.
  • Stir in the cream and cook for another 5 minutes.
  • Stir in the spinach and season with salt & pepper to taste.


  • For the sausages, anything around the 16 ounce/1 pound ballpark is fine – it doesn’t need to be exact. You can either buy ground sausage meat or, if using whole sausages, take the meat out of the casings.


Calories: 564kcal, Carbohydrates: 28g, Protein: 20g, Fat: 42g, Saturated Fat: 19g, Polyunsaturated Fat: 4g, Monounsaturated Fat: 15g, Cholesterol: 126mg, Sodium: 1511mg, Potassium: 709mg, Fiber: 3g, Sugar: 5g, Vitamin A: 1740IU, Vitamin C: 29mg, Calcium: 164mg, Iron: 4mg

Nutrition information is automatically calculated, so should only be used as an approximation.

© Salt & Lavender Inc. Content and photographs are copyrighted. Sharing this blog post is much appreciated, but copying and pasting full recipes without authorization to social media is strictly prohibited.

Leave a star rating and comment below!

This recipe was originally published on November 28, 2017. It’s been tweaked to be even easier, tastier, and has new photos!

Hi! I’m Natasha.

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4.99 from 159 votes (27 ratings without comment)

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  1. Bob says:

    5 stars
    Excellent! A new family favorite. Next time I will keep Tortellini separate, I returned in a few hours for more and the liquid was almost gone.

    1. Natasha says:

      So glad you guys liked it, Bob!

  2. Joleen Koch says:

    5 stars
    Italian Sausage Tortellini Soup – Oh my gosh. This soup is outstanding! So quick to make and so flavorful. I have just begun to explore your cookbook and I am looking forward to trying many more of the recipes. Thanks.

    1. Natasha says:

      Thank you so much, Joleen!! I’m so glad you’re enjoying the cookbook so far! 😀

  3. Marcia Smith says:

    5 stars
    A family favorite!!!

    1. Natasha says:

      Thank you, Marcia!

  4. Lisa Horan says:

    Awesome recipe! I had some Parmesan rinds in the freezer that I simmered with the soup and it turned out amazing. Thanks for the recipe I’ll definitely be using again!

    1. Natasha says:

      You’re very welcome!

  5. Tammy says:

    5 stars
    I’ve made this recipe twice already! Wonderful flavor and very satisfying Definitely a keeper!

    1. Natasha says:

      Wonderful!! Thank you, Tammy! 😀

  6. Jenny says:

    5 stars
    This was fantastic!! I did make 2 small changes—I added a full 20oz package of tortellini to make the soup stretch to feed more people & it was perfect! Also, I took the suggestion & added Parmesan cheese at the end & I would definitely recommend doing that because it made it even better! I will absolutely be making this again! 🙂

    1. Natasha says:

      I’m so happy it was a hit!! 😀 Thanks for your review, Jenny!

  7. Shellie says:

    5 stars
    This soup was delicious and so easy to make. I love the flavor of sausage but not so much the gristle-y stuff they put in it, so next time I’m trying turkey. Thats a personal preference, nothing to do with the recipe. I did chop my spinach a bit, as I dont love large cooked pieces, again, a personal preference. But thank you! I’ve already purchased the ingredients for a second batch!

    1. Natasha says:

      I’m glad you enjoyed it overall, Shellie, and I think your tweaks for next time sound delicious!

  8. Alex says:

    This soup is so good. I’ve been making it for the last couple years. I don’t measure the Italian season, whipping cream or garlic. That’s measured with your ♥️. I eat on this for a couple days.

    1. Natasha says:

      I’m thrilled it’s a fave, Alex!! 😀

  9. Kelsey Cleary says:

    5 stars
    Absolutely amazing definitely saving this recipe in the cook book!

    1. Natasha says:

      Glad you liked it, Kelsey!! Thanks for your review! 😀