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This Creamy Tortellini Soup is a 25 minute, One-Pot Dinner with cheese tortellini, ground sausage, spinach, and a rich tomato-cream broth. It’s cozy, kid-approved, and perfect for busy weeknights—big flavor with minimal prep!

Why You’ll Love One-Pot Creamy Tortellini Soup Recipe!

Creamy Tortellini Soup is one of those recipes I turn to whenever I want something warm and satisfying without spending too much time in the kitchen.
It feels like comfort in a bowl, rich, creamy, and filled with tender cheese tortellini that makes every bite feel special. Whether it’s a cold winter night or a busy weeknight where you just need something easy, this soup always hits the spot and disappears fast at the dinner table!
This main dish recipe is a family favorite meal! If you love these delicious flavors then I am sure you will love Sausage Tortellini Soup, Crockpot Tortellini Soup, Instant Pot Tortellini Soup Recipe and Crockpot Sausage Tortellini Soup Recipe.
For even more family friendly recipes, you may love these Cozy Soup Recipes, Comfort Food Dinners on a Budget and Cozy Crockpot Dinners for Busy Weeknights.
Ingredients with Substitutions and Notes

- Ground Sausage – We used regular breakfast sausage, ground beef, turkey or chicken can be used instead of sausage.
- Onion – Dice onion into small pieces. Learn How to Freeze Onion
- Cloves Garlic, Minced – 1 Tablespoon pre-minced Garlic
- Butter – We used unsalted butter
- All Purpose Flour – Helps to thicken the creamy broth
- Chicken Broth – If you are out, see Chicken broth substitutes
- Tomato Sauce – Added for a tomato flavor
- Italian Seasoning – Learn How to Make Italian Seasoning Recipe
- Red Pepper Flakes – If you’re sensitive to spice, omit the red pepper flakes from the soup.
- Refrigerated Tortellini – We used cheese tortellini but you can use what you prefer
- Grated Parmesan Cheese – Use freshly grated parmesan cheese
- Fresh Spinach – Substitute with Kale
- Heavy Cream – Added for a creamy texture
Scroll to the recipe card for the full recipe details.
How to Make Creamy Tortellini Soup

Step 1 – Brown the ground sausage with the diced onion over medium high in a large stock pot or dutch oven. Break up the sausage as it browns and cook until the sausage is no longer pink (5-7 minutes).

Step 2 – Drain off any excess grease. Add in the minced garlic and cook until you can smell the garlic (approximately 1 minute).

Step 3 – Add in the butter and cook until it melts.

Step 4 – Stir in the flour and sauté for 1 more minute.

Step 5 – Add in the chicken broth, tomato sauce, Italian Seasoning, salt, pepper and Red Pepper Flakes.

Step 6 – Bring the mixture to a boil. Stir in the tortellini and cook for 3-4 minutes until tender.

Step 7 – Stir in the chopped spinach, parmesan cheese and heavy cream. Heat for a few minutes until the spinach is wilted.

Step 8 – Taste test and adjust the seasoning based on your preference. Serve immediately while warm and enjoy!


Creamy Tortellini Soup (Easy, Cozy, & Ready in 25 Minutes)
Ingredients
- 1 pound Ground Sausage
- 1 Onion Diced
- 3 cloves Garlic Minced (or 1 Tablespoon pre-minced Garlic)
- 3 Tablespoons Butter
- ¼ cup All Purpose Flour
- 3 cups Chicken Borth
- 8 ounces Tomato Sauce
- 2 teaspoons Italian Seasoning
- ¼ teaspoon Salt
- ¼ teaspoon Pepper
- ¼ teaspoon Red Pepper Flakes
- 8 ounces Refrigerated Cheese Tortellini
- ½ cup Grated Parmesan Cheese
- 1 cup Fresh Spinach roughly chopped
- ½ cup Heavy Cream
Instructions
- Brown the ground sausage with the diced onion over medium high in a large stock pot or dutch oven. Break up the sausage as it browns and cook until the sausage is no longer pink (5-7 minutes).
- Drain off any excess grease.
- Add in the minced garlic and cook until you can smell the garlic (approximately 1 minute).
- Add in the butter and cook until it melts.
- Stir in the flour and sauté for 1 more minute.
- Add in the chicken broth, tomato sauce, Italian seasoning, salt, pepper and red pepper flakes.
- Bring the mixture to a boil. Stir in the tortellini and cook for cook for 3-4 minutes until tender.
- Stir in the chopped spinach, parmesan cheese and heavy cream. Heat for a few minutes until the spinach is wilted.
- Taste test and adjust the seasoning based on your preference.
- Serve immediately while warm and enjoy!
Recipe Video
Recipe Notes
Nutrition Facts
Variations (Meatless or Veggie-Packed)
- Vegetarian Variation – You can make this soup without the sausage and use vegetable broth instead of chicken broth for a vegetarian option.
- Refrigerated Tortellini – Small raviolis can be used instead of the tortellini if they are not available in your area.
- Pack with Veggies – I love adding in more veggies to this recipe to clean out any that are about to go bad in my refrigerator. Celery, carrots, broccoli and zucchini can all be added in and sautéd with the sausage and onions.
Expert Tips & Troubleshooting
- Don’t Overcook Tortellini – Add near the end; 3–4 minutes is perfect.
- Thicker Soup – Simmer uncovered 3–5 min or add 1 tsp cornstarch slurry.
- No sausage – Use chicken/turkey as an easy substitute. Add 1 tsp fennel and ½ tsp paprika for “sausage” vibe.
- Separating cream – Remove from heat, stir in cream off heat, then return on low.
Serving and Sides
This creamy tortellini soup is a complete meal but we also love to serve with Homemade Garlic Bread and Easy Caesar Salad Recipe.
Other ideas that pair perfectly with this soup is Garlic Bread Cheese Sticks, Air Fryer Broccoli, or Roasted Zucchini.

Frequently Asked Questions
Yes, you can make Creamy Italian Tortellini Soup with Frozen Tortellini. Just add about 1-2 minutes of cooking time.
There is no need to cook the tortellini separately before adding to the soup. The cheese tortellini will cook in the broth.
Place Creamy Tortellini Soup with sausage and spinach leftovers in an airtight container in the refrigerator for up to 4-5 days. Reheat leftovers in the microwave or on the stovetop.
This creamy, pasta soup is best served fresh. But it you prefer to make ahead of time, we do recommend making the soup up to the steps before adding in the tortellini and the cream. Then once you are ready to serve, then thaw in the soup base in the fridge and reheat over the stovetop. Continue on with the steps by adding in the tortellini, cream, and cheese.
More Easy Creamy Soup Recipes
Quick and Easy Soup
Easy Creamy Vegetable Soup Recipe
Easy Slow Cooker
Crockpot Creamy Chicken Taco Soup Recipe
Quick and Easy Soup
Slow Cooker Creamy Chicken Potato Soup
We love to hear from you! If you make this Creamy Tortellini Soup with Sausage, please leave us a comment or a star review.








The perfect soup to make on a cold day! It was so delicious