Creamy Sausage Tortellini Soup

Soup season is upon us and this Creamy Tortellini and Sausage Soup is my new go to. Cheesy tortellini with zesty sauce in a tomato based soup- It’s sure to please the whole family!

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Creamy Sausage Tortellini Soup can be done in the slow cooker or instant pot. If you haven’t tried an Instant Pot yet, they are truly amazing. 

Mine even has the ability to be a rice cooker and steamer. For a person that doesn’t want any more small appliances, I love mine!

Creamy Sausage Tortellini Soup runs very close to disobeying my strict SET IT AND FORGET IT rule of “all items need to be assembled in the slow cooker in under 10 minutes” due to browning the sausage, but this little bit of time is well worth it.

This is one of those slow cooker recipes that is actually faster on the stove top, but the crock pot might make it more convenient if you aren’t going to be home.

close up angled shot of bite of tortellini and sausage soup on spoon

Why You’ll Love This Creamy Tortellini and Sausage Soup

A hearty soup that’s full of savory sausage in a creamy broth that’s full of great flavor- what’s not to love!

  • The ultimate comfort food – There is nothing better than a warm bowl of soup on a cold day, especially one with this much flavor!
  • Perfect for a chilly day – This is one of my favorite soups to whip up on a cold, busy weeknight. It warms you straight to the core.
  • Delicious creamy texture – I love a creamy soup! The cream cheese adds such a velvety texture that is loved by all.

Ingredients

All of these simple ingredients can easily be found at your local grocery store.

  • Italian sausage links – I prefer to use sliced links, but you could use ground sausage if you prefer to.
  • Butter – Using unsalted butter when cooking is always preferred. That way you can control the amount of salt that goes into the recipe.
  • Garlic clove – I always like to mince my own garlic. The jar of pre-minced stuff doesn’t pack as big of a punch, so you end up having to use more.
  • Cream cheese – You will want this cut into 1 inch cubes. Alternatively, you can use heavy cream, but will to make a corn starch slurry to thicken it up a bit.
  • Fine sea salt – If you used salted butter, make sure to taste test before adding any more salt to this italian sausage tortellini soup recipe.
  • Italian seasoning – I just love the flavor that Italian seasoning adds to this cheese tortellini soup.
  • Dried onion – If you don’t already have this, you can certainly add fresh chopped onion to the pot of soup if you’d like.
  • Petite diced tomatoes – These you will just find in a can. I like the texture this adds rather than just using tomato sauce or tomato paste.
  • Condensed tomato soup – Another canned item. Or if you have a great homemade recipe, use that!
  • Frozen cheese tortellini – I always have a bag in the freezer, but you can use fresh cheese tortellini if you prefer to. 
  • Frozen chopped spinach – As with the tortellini, I always have some in the freezer. But feel free to use fresh baby spinach instead.
  • Pecorino reggiano cheese – I always like to grate my own cheese. We use this at the end for a garnish.
overhead shot of tortellini and sausage soup

How to Make Tortellini and Sausage Soup On the Stovetop

​Follow these simple steps to learn how easy it is to make this delicious recipe.

  1. Cook sausage. Heat a medium skillet over high heat. Cook sausage links until fully cooked. Remove to a paper towel lined plate to drain. Slice links into thin slices and set aside.
  2. Brown garlic and add cream cheese and seasonings. Heat butter in Dutch oven or large pot over medium-high heat. Add garlic to brown. Add reduced fat cream cheese through dried onion stirring continuously until cream cheese is starting to melt.
  3. Tomatoes. Add entire can, juice and all, of petite diced tomatoes and condensed tomato soup. Fill empty can of soup three times with water and pour into Dutch oven or large pot. Bring to a boil. 
  4. Add cooked sausage and tortellini. Add frozen tortellini and spinach. Stir and continue to boil until tortellini are cooked all the way through.
  5. Serve and top with cheese. Ladle into bowls and garnish with pecorino reggiano cheese.

How to Serve Tortellini and Sausage Soup

I served Creamy Sausage Tortellini Soup as an appetizer, but it was so hearty that it could have been a stand alone meal.

If serving as a main meal, I like to serve it with crusty bread and a nice leafy side salad. A side of garlic bread would also be a safe bet.

Variations

There are plenty of ways you can make this tortellini and sausage soup your own!

  • Make it in the crock pot – If you do want to make this in the crock pot, brown sausage and put everything except frozen spinach and tortellini into slow cooker on high. Cook for 3 hours. Add tortellini and spinach and continue to cook for an hour on low. 
  • Make it in the Instant Pot – Set on sauté and brown the sausage. Add remaining ingredients except for spinach. Set on manual high pressure for 8 minutes. Use quick release method, stirring in frozen spinach, replace lid and let sit for 3 minutes on “keep warm”.
  • Spice it up – If you’d like to add a little more spice to this delicious soup, try adding some red pepper flakes. You could even use hot Italian sausage. 
  • Add ins – If you’d like a little more green in your soup, consider adding some fresh spinach or even some fresh basil at the end.
  • Meat – You can totally switch up the meat in this flavorful soup. Use sweet Italian sausage, pork sausage, spicy Italian sausage, mild italian sausage, or even turkey sausage.

Storage and Freezing

Storage: Store any leftover soup in an airtight container in the refrigerator. It will stay for up to three to five days.

Freezing: This creamy tortellini soup also freezes well. Keep in an airtight freezer container or freezer bag for 3-4 months.

Frequently Asked Questions

Do I have pre cook the sausage?

I would suggest it. You want to drain off any excess grease or fat in order to get the creaminess of creamy soups. It also ensures that the sausage is cooked all the way through. 

Can I make Tortellini soup without sausage?

Sure! Just omit the sausage. It will take the flavors down a notch, but it will still be super tasty. You can also add cooked shredded chicken or even cooked ground beef

Can Sausage Tortellini Soup be made ahead?

You can make this soup ahead and reheat when you are ready to eat. 

collage of tortellini and sausage soup for pinterest

More Comforting Soups

Tis the season for a bowl of soup. Here are a few more of our favorites.

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Easy Chicken Tortilla Soup

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Healthy Cabbage Soup

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close up angled shot of spoon in bowl of tortellini and sausage soup

Creamy Sausage Tortellini Soup Recipe

5 from 8 votes
Creamy Sausage Tortellini Soup can be made in the slow cooker, instant pot or on the stove top. Cheesy tortellini with zesty sauce in a tomato based soup!
Prep Time: 20 minutes
Cook Time: 1 hour
Total Time: 4 hours 20 minutes
Servings: 4

Ingredients

Instructions

  • Heat a medium skillet over high heat. Cook the sausage links until fully cooked. Remove to a paper towel lined plate to drain. Slice the links into thin slices about 1/4 inch thick. Set aside.
  • Heat the butter in Dutch oven or large pot over medium-high heat. Add the garlic to soften, approximately 2-3 minutes. Add the cream cheese, Italian seasoning, dried onion and salt, stirring until the cream cheese starts to melt.
  • Pour in the petite diced tomatoes and condensed tomato soup. Fill the empty 10.75 ounce can of soup 3 times with water and pour into Dutch oven or large pot. Bring to a low simmer until reduced by a quarter, approximately 15-20 minutes.
  • Return the cooked sausage to the soup and heat for an additional 2 minutes. Add the frozen tortellini and spinach. Stir and continue to simmer for 5-7 minutes or until tortellini are cooked all the way through.
  • Ladle into bowls and garnish with the pecorino reggiano cheese.
  • If you've tried this recipe, come back and let us know how it was in the comments or star ratings.

Video

Notes

Crockpot Instructions: If you do want to make this in the crock pot, brown sausage and put everything except frozen spinach and tortellini into slow cooker on high. Cook for 3 hours. Add tortellini and spinach and continue to cook for an hour on low. 
 
Instant Pot Instructions: Set on saute and brown the sausage. Add remaining ingredients except for spinach. Set on manual high pressure for 8 minutes. Use quick release method, stirring in frozen spinach, replace lid and let sit for 3 minutes on “keep warm”. Stir well and serve. 

Nutrition

Calories: 948 kcal, Carbohydrates: 76 g, Protein: 40 g, Fat: 54 g, Saturated Fat: 23 g, Cholesterol: 165 mg, Sodium: 2580 mg, Potassium: 1149 mg, Fiber: 7 g, Sugar: 17 g, Vitamin A: 1430 IU, Vitamin C: 23.2 mg, Calcium: 464 mg, Iron: 6.4 mg
Author: Jessica Formicola
Calories: 948
Course: Soup
Cuisine: Italian
Keyword: slow cooker soup recipe, tortellini and sausage soup
Did you make this recipe?I’d love to see your recipes – snap a picture and mention @savoryexperiments or tag #savoryexperiments!
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Jessica Formicola in her ktichen

About the Author

Jessica Formicola

Jessica the mom, wife and food lover behind Savory Experiments. She is obsessed with butter, salt and bacon and spends all her time in the kitchen and behind a camera. Jessica is a contributor to PopKitchen by Parade, Better Homes & Gardens, The Daily Meal Food + Travel and more!

Read More About Jessica

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Recipe Rating




Questions and Reviews

  1. 5 stars
    I’ve made this on stove top and in the instant pot. Easy both ways but faster with instant pot. Creamy and delicious!! It’s a keeper.

  2. 5 stars
    This soup is so creamy and satisfying! Everyone thought it was the perfect with the cool fall weather we’ve been having lately!