Creamy Sausage Tortellini Soup
This creamy sausage tortellini soup is a hearty, comforting dish perfect for chilly days. Sausage and ground turkey brown with onion, red pepper and garlic, then simmer with diced tomatoes and broth before cheese tortellini, mushrooms, cream and spinach go in. This creamy tortellini soup is rich, cozy and ready in about 45 minutes.
Soup season favorites: Chicken Pot Pie Soup and Easy 30 Minute Italian Meatball Soup.

Why You’ll Love This Sausage Tortellini Soup
- Hearty and filling.
- Cheese tortellini in every bite.
- Creamy broth with veggies.
- One pot.
Ingredients for Sausage Tortellini Soup
The Meat
Ground sausage (mild or spicy), ground turkey and olive oil.
The Soup Base
Yellow onion, red pepper, garlic, salt, pepper, garlic powder, optional red pepper flakes, diced tomatoes and chicken broth.
The Creamy Finish
Heavy cream, cheese tortellini, sliced mushrooms, fresh spinach and Parmesan.
Swap note: Use half-and-half instead of heavy cream for a lighter soup.
How to Make Sausage Tortellini Soup
Step 1: Brown the meat
Heat olive oil in a large pot. Brown the sausage and turkey, breaking them up, and season. Remove and set aside.
Step 2: Sauté the veggies
Cook the onion and red pepper 3 to 4 minutes, then the garlic 1 to 2 minutes.
Step 3: Simmer
Add the tomatoes and broth, scraping up the browned bits. Bring to a gentle boil, then simmer 5 to 10 minutes.
Step 4: Add the tortellini
Stir in the mushrooms, meat and tortellini and simmer 5 to 7 minutes until tender.
Step 5: Finish
Lower the heat, stir in the cream and spinach until wilted. Top with Parmesan and adjust the seasoning.
Carly’s Expert Tips
- Don’t overcook the tortellini or it gets mushy.
- Add cream on low heat so it does not curdle.
- Use spicy sausage for extra kick.
- Scrape the pot for more flavor.
Make It Your Own
- Kale: Swap spinach for kale.
- Chicken sausage: Use chicken sausage.
- Ravioli: Use ravioli instead of tortellini.
- Lighter: Use half-and-half.
Make-Ahead and Meal Prep: Make the soup base ahead and add the tortellini when reheating so it stays tender.
What to Serve With Tortellini Soup
Serve with crusty bread, garlic bread or a Caramelized Onion Grilled Cheese.
Storing and Reheating
Store leftovers in the fridge for up to 4 days.
Reheat gently, adding broth since the tortellini absorbs liquid.
What People Ask About Sausage Tortellini Soup
Can I freeze tortellini soup?
Freeze it without the tortellini and cream for best texture.
Can I use frozen tortellini?
Yes. Add a couple extra minutes.
How do I make it lighter?
Use half-and-half and turkey sausage.
Can I make it in a slow cooker?
Yes. Add tortellini and cream in the last 30 minutes.

Creamy Sausage Tortellini Soup
Ingredients
Method
- Heat olive oil in a large soup pot over medium heat. Add sausage and turkey, cooking until browned and breaking it apart into small pieces. Season with salt, pepper, and garlic powder. Remove from the pan and set aside.
- Add diced onion and red peppers to the pot. Cook until softened, about 3–4 minutes. Add garlic and cook for another 1–2 minutes until fragrant.
- Pour in diced tomatoes and chicken broth. Stir, scraping up any browned bits from the bottom of the pot. Bring to a gentle boil, then lower the heat and simmer uncovered for 5–10 minutes to let the flavors meld.
- Stir in mushrooms, cooked meat, and tortellini. Simmer for 5–7 minutes, just until the pasta is tender.
- Reduce heat to low. Stir in heavy cream, then add spinach and let it wilt for 2–3 minutes. Top with freshly grated parmesan. Taste and adjust seasoning with salt and pepper as needed.
Nutrition
Notes
- For a spicier kick, use spicy sausage and add extra red pepper flakes.
- If you prefer a lighter soup, use half-and-half instead of heavy cream.
- Serve with crusty bread for a complete meal.

