Creamy Sausage Tortellini Soup is filled with tender cheese tortellini, savory sausage crumbles, and vegetables, all simmered in a rich, creamy broth that’s comforting and easy to make.

This one-pot recipe comes together quickly and delivers big flavor without hours of simmering. Ground Italian sausage gives the soup a robust savory base, while carrots, celery, and onion add classic mirepoix depth. A touch of heavy cream and a handful of fresh spinach finish the bowl, and refrigerated cheese tortellini turns it into a filling pasta soup reminiscent of Zuppa Toscana.

Ingredients You’ll Need
- Olive oil: for sautéing.
- Italian sausage: 1 pound, sweet or hot depending on preference.
- Onion: 1 small, diced (yellow or white).
- Celery: 3 stalks, thinly sliced.
- Carrots: 2 medium, peeled and sliced.
- Garlic: 4 cloves, minced.
- Salt & pepper: about 1 teaspoon kosher salt and 1/2 teaspoon freshly ground black pepper, adjust to taste.
- Dried thyme, oregano & rosemary: 1/2 teaspoon each.
- Low-sodium chicken broth: 7 to 8 cups (vegetable broth works as a substitute).
- Heavy cream: 1 cup (or half & half for a lighter option).
- Cheese tortellini: 9 to 12 ounces refrigerated tortellini (any flavor you like).
- Fresh baby spinach: about 5 ounces, added at the end.
How to Make Sausage Tortellini Soup
This recipe uses a single pot for simple cleanup and fast results.


- Sauté the sausage: Heat olive oil in a large Dutch oven or stock pot over medium-high heat. Add the Italian sausage and break it up with a spoon. Cook until browned, about 5–7 minutes.
- Add the vegetables: Stir in the diced onion, sliced celery, and carrots. Sauté until the vegetables are softened, about 4–5 minutes.
- Season: Add the minced garlic, salt, pepper, thyme, oregano, and rosemary; cook briefly until fragrant, about 20 seconds.
- Add broth and simmer: Pour in the chicken broth, bring to a boil, then reduce heat and simmer for 15 minutes to meld flavors.
- Finish with cream, tortellini, and spinach: Whisk in the heavy cream, return to a gentle simmer, then add the tortellini and spinach. Cook 5–6 minutes until the tortellini are tender but not mushy. Remove from heat, let sit for a few minutes, and adjust seasoning before serving.

Recipe Tips and Variations
- Boost umami: Simmering a Parmesan rind in the broth adds depth; remove it before serving. Grated Parmesan at the table is also a nice finish.
- Bread bowl option: Hollow small round loaves and use them as bread bowls for a fun presentation.
- Sausage swaps: Substitute kielbasa, chicken or turkey sausage, or plant-based sausage. Brown them first and add back to the soup near the end.
- Cream alternatives: Half & half makes a lighter version, while keeping some richness.
- Extra vegetables: Add potatoes, mushrooms, zucchini, or bell peppers for more texture and flavor.
Serving Suggestions
Serve this soup with crusty bread or rolls to soak up the creamy broth. A simple green salad or roasted vegetables make a bright, fresh contrast to the rich flavors.

How to Store and Reheat Leftovers
- Cool leftovers to room temperature, then store in airtight containers. Refrigerate up to 3 days or freeze for up to 1 month. Thaw in the refrigerator before reheating.
- Reheat gently on the stove over medium-low heat until warmed through. If the soup thickens after chilling, stir in a splash of broth while reheating to restore consistency.
Additional Soup Ideas
- Creamy Chicken Gnocchi Soup for a similarly rich, pasta-forward bowl.
- Italian Sausage Butternut Squash Soup for a seasonal twist with roasted squash.
- Creamy Ravioli Soup as an alternative pasta soup with filled ravioli.
Creamy Sausage Tortellini Soup
Ingredients
- 1 tablespoon olive oil
- 1 pound Italian sausage (hot or mild)
- 1 small yellow onion, diced
- 3 celery stalks, thinly sliced
- 2 carrots, peeled and thinly sliced
- 4 cloves garlic, minced
- 1 teaspoon kosher salt
- 1/2 teaspoon freshly ground black pepper
- 1/2 teaspoon dried thyme
- 1/2 teaspoon dried oregano
- 1/2 teaspoon dried crushed rosemary
- 7 to 8 cups low sodium chicken broth
- 1 cup heavy cream (or half & half)
- 9 to 12 ounces refrigerated cheese tortellini
- 5 ounces fresh baby spinach
Instructions
- Heat olive oil in a 6-quart Dutch oven or large stock pot over medium-high heat.
- Add the sausage and cook, breaking it into small pieces, until browned, about 6 minutes.
- Add onion, celery, and carrots; sauté 4–5 minutes until tender.
- Stir in garlic, salt, pepper, thyme, oregano, and rosemary; cook until fragrant, about 20 seconds.
- Pour in the chicken broth and stir to combine.
- Bring to a steady boil, then reduce heat and simmer for 15 minutes.
- Whisk in the cream, bring to a gentle boil while whisking to combine.
- Add the tortellini and spinach; cook 5 minutes, or until tortellini are tender.
- Remove from heat, let stand 5 minutes, taste and adjust seasoning, then serve.
Equipment
- Measuring cups and spoons
- Dutch oven or large stock pot
Nutrition
Nutritional info is an estimate and provided as a courtesy; values may vary by ingredients and preparation.