Creamy Sausage Tortellini Soup is one of the most beloved comfort bowls in American home cooking. This recipe delivers everything people crave in a cozy meal: rich flavors, creamy broth, tender cheese tortellini, juicy sausage, and plenty of vegetables to balance it all out. It’s a complete one-pot meal that tastes like something from a restaurant, yet it comes together in just 30 minutes.
The combination of Italian sausage cooked with onions and garlic creates a deep savory base, while cream and broth transform it into a velvety soup that pairs beautifully with the soft, cheesy tortellini. Spinach adds freshness, making each spoonful both comforting and satisfying.

Why You’ll Love This Recipe
Rich and creamy with delicious layers of Italian-inspired flavor.
One-pot and ready in 30 minutes—perfect for busy nights.
Comforting and hearty, featuring sausage & cheese tortellini.
Customizable: add mushrooms, kale, or sundried tomatoes.

Ingredients
1 lb (450 g) Italian sausage (mild or spicy)
1 medium onion, diced
3 garlic cloves, minced
3 cups chicken broth
1 can (14 oz) diced tomatoes
1 cup heavy cream
1 tsp dried basil
1 tsp dried oregano
½ tsp chili flakes (optional)
9 oz (250 g) cheese tortellini
2 cups fresh spinach
1 tbsp olive oil
1 tsp salt
½ tsp black pepper
Fresh parsley or grated parmesan for serving

Step-by-Step Instructions
- Brown the Sausage
Heat olive oil in a large pot. Add sausage and cook until browned, breaking it apart with a spoon.
- Cook the Aromatics
Add diced onion and cook for 5 minutes. Stir in garlic and cook 1 minute more until fragrant.
- Add Broth & Tomatoes
Pour in chicken broth and diced tomatoes. Add basil, oregano, pepper, and chili flakes if using.
- Simmer & Add Tortellini
Bring to a boil, then add the cheese tortellini. Cook according to package instructions (usually 5–7 minutes).
- Make It Creamy
Reduce heat and stir in the heavy cream. Simmer for 2–3 minutes until the soup thickens slightly.
- Add Spinach & Serve
Stir in fresh spinach until wilted. Adjust seasoning and serve hot, topped with parmesan.

Conclusion
Creamy Sausage Tortellini Soup is the perfect comfort food for cold evenings or when you need a fast, hearty dinner that feels restaurant-quality. The blend of spicy or mild sausage, tender tortellini, rich broth, and fresh spinach creates an unforgettable flavor profile.