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Creamy Tortellini Soup with Italian Sausage

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This Creamy Tortellini Soup with Italian Sausage is an absolute WINNER. It's made with a rich and creamy broth (made without heavy cream!), cheesy tortellini, zesty Italian sausage, and lots of greens and veggies. Total, delicious comfort food! |

So, yesterday I swung by Target to pick up a quick prescription…and drove away with a car overflowing with all things “Fall”.

Because, Target.

I had even promised myself that — in the 10 minutes I needed to wait before my prescription was ready — I’d just make a quick lap around the store and pickup the handful of things that I really needed. But sure enough, those brilliant Target marketing geniuses had transformed the entire store into a magical, warm, yummy burst of autumn. And within 10 minutes, somehow a pumpkin spice latte, a super-cozy gray cardigan, a pretty scarf, and — not one, not two, but — three autumn candles made their way into my basket. Then just to emphasize the point, the checker literally said, “Oooooh, so looks like you found a little something while you were waiting!”

Of course, Target.

You know what you do. ;)

I rationalized that maybe this was what was needed to finally help my summer-lovin’ self transition into this new season. So with the weather being all drizzy and cloudy once I got home, I decided I might as well go all-in and embrace the Fall-ness. So I put on my new cardigan, lit my candle, put on some autumn tunes, and pulled up Pinterest to find the most comforting, warm soup recipe I could find. The first recipe that caught my eye was a yummy-looking creamy tortellini soup recipe from my friend, Katerina. Coincidentally, I already had a leftover package of tortellini soup and some spinach in the fridge. And something about a creamy soup just sounded perfect for the day. So I decided to tinker around with the recipe and give it a try.

It was love at first bite.

This Creamy Tortellini Soup with Italian Sausage is an absolute WINNER. It's made with a rich and creamy broth (made without heavy cream!), cheesy tortellini, zesty Italian sausage, and lots of greens and veggies. Total, delicious comfort food! |

Granted, I’m not usually in the habit nowadays of adapting recipes closely from other bloggers. But this creamy tortellini soup recipe was one that has caught my eye a few times before on Pinterest and always looked sooooo luscious and comforting, so I was excited to give it a try.

That said, I’ve also had my 7-ingredient Zuppa Toscana Soup on the brain lately, and had specifically been craving a creamy soup with some good, flavorful Italian sausage. So at the last second I decided to swing by my neighborhood Italian market and pick up some of my favorite sausage to add to it. And then ended up tinker with the recipe a little bit to make it work. And the resulting soup was so dang good…that I had to share it with you!

This Creamy Tortellini Soup with Italian Sausage is an absolute WINNER. It's made with a rich and creamy broth (made without heavy cream!), cheesy tortellini, zesty Italian sausage, and lots of greens and veggies. Total, delicious comfort food! |

The main ingredient, of course, is some good tortellini. I just used a package of simple refrigerated cheese tortellini, but spinach or even something fun like butternut squash tortellini would also be delicious. (Feel free to also use frozen!)

Then I also recommend finding some good-quality Italian sausage. You can cut up some links if you’d like, but I picked up ground spicy Italian sausage and just sauteed that. (If you like spicy sausage, I highly recommend using that in this soup! Otherwise, mild sausage also works just as well.)  Then I used a little bit of the leftover grease to saute some onions, carrots and garlic. And instead of using heavy cream, I just stirred in some flour, and then added lots of chicken stock, and then poured in some milk at the end to make things nice and “creamy”.

This Creamy Tortellini Soup with Italian Sausage is an absolute WINNER. It's made with a rich and creamy broth (made without heavy cream!), cheesy tortellini, zesty Italian sausage, and lots of greens and veggies. Total, delicious comfort food! |

I mean, if you’re really feeling indulgent, you’re welcome to add half and half or some heavy cream, in place of milk. But this soup will still be nice and thick and creamy even with out it.

This Creamy Tortellini Soup with Italian Sausage is an absolute WINNER. It's made with a rich and creamy broth (made without heavy cream!), cheesy tortellini, zesty Italian sausage, and lots of greens and veggies. Total, delicious comfort food! |

Also, I’d mention that another important reason to buy some good-quality Italian sausage is that the sausage is really the main ingredient that gives this soup its flavor here. So find a good one. :)  If your sausage happens to be a extra greasy, though, feel free to rinse it through a strainer for a few seconds after it has cooked (before you add it back into the soup).

This Creamy Tortellini Soup with Italian Sausage is an absolute WINNER. It's made with a rich and creamy broth (made without heavy cream!), cheesy tortellini, zesty Italian sausage, and lots of greens and veggies. Total, delicious comfort food! |

So needless to say, this bowl full of soup with its velvety creamy broth, spicy sausage, tons of greens, and melt-in-your-mouth cheesy tortellini was bound to be a hit. And sure enough, it was (what some of you readers seem to like to call) a total Pinterest win. ;)  So big thanks to Katerina for the inspiration, and hope that you all enjoy this one on a chilly day just as much as I did.

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Creamy Tortellini and Sausage Soup

  • Prep Time: 5 minutes
  • Cook Time: 25 minutes
  • Total Time: 30 minutes
  • Yield: 6 -8 servings 1x


This Creamy Tortellini and Sausage Soup is quick and easy to make, full of great flavor, and so rich and creamy and comforting.


  • 1.25 pounds ground Italian sausage
  • 1 small white onion, peeled and diced
  • 2 large carrots, peeled and diced
  • 4 garlic cloves, minced
  • 1/4 cup white-whole wheat flour (or all-purpose flour)
  • 6 cups chicken stock
  • 1 (10-ounce) package refrigerated cheese tortellini
  • 5 ounces greens of your choice (I used a mixture of spinach, collards and baby kale)
  • 2 cups milk (*see recommendations below)
  • salt and pepper


  1. Cook Italian sausage in a large stockpot over medium-high heat until browned, crumbling it as it cooks.  Using a slotted spoon, transfer the cooked sausage to a separate plate and set aside.**  Reserve two tablespoons of grease in the pan, discarding the rest.  (Or if there’s not that much grease remaining, add olive oil to make up the difference.)
  2. Stir in onions and carrots, and saute for 4-5 minutes or until the onions are soft and translucent, stirring occasionally.  Add in the garlic and saute for an additional 1-2 minutes, or until fragrant, stirring occasionally.  Stir in the flour until it’s evenly coating the veggies, and cook for an additional 1 minute, stirring occasionally.
  3. Gradually add in the chicken stock, and stir to combine.  Continue cooking until the mixture reaches a simmer.  Then reduce heat to medium-low and simmer for 5 minutes.
  4. Stir in the cooked sausage, tortellini, spinach, and milk, and continue simmering for 4-5 minutes, or until the tortellini is al dente.
  5. Taste, and season with salt and pepper to taste.  (I added in about 1 teaspoon salt, 1/2 teaspoon black pepper.)
  6. Serve immediately.  Or refrigerate in a sealed container for up to 3 days.***


*I used low-fat milk in this recipe, but you’re welcome to sub in some half and half or heavy cream (for all, or part of the 2 cups of milk) if you’d like an even creamier soup.  :)

**If you’d like a less-greasy soup, you’re also welcome to transfer the cooked sausage to a colander and briefly rinse the sausage with water to drain off any extra grease.  Then, just use oil in place of the grease to cook the onions, etc.

***If the soup soaks up most of the broth in the refrigerator, feel free to stir in a little extra chicken stock when you reheat it.

This Creamy Tortellini Soup with Italian Sausage is an absolute WINNER. It's made with a rich and creamy broth (made without heavy cream!), cheesy tortellini, zesty Italian sausage, and lots of greens and veggies. Total, delicious comfort food! |

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Recipe rating

140 comments on “Creamy Tortellini Soup with Italian Sausage”

  1. I made this For a large group of people for a dinner party, and it was a winner! I added celery, a few diced thicken thighs and Canned milk instead of the regular milk.

  2. I made the Slow cooler Potato Soup! So delicious!

  3. Made this for a family gathering & should have saved some out ahead of time…none left! Everyone loved it. I doubled the recipe, used a combination of sweet & hot Italian sausage, half & half instead of milk & frozen spinach. Also added some Mrs Dash original blend seasoning & parmesan cheese. Pretty sure I’ll make it again & freeze individual portions to take to work for dinner.

  4. Made this for my family it was very tasty only thing is that I added some dried basil, but other then that my family and I enjoyed this recipe. Thank you.

  5. I made this a couple days ago and OMG I loved it . I made extra and froze it so i can take to work. I thought my kids who hate Greens would not like it but i was wrong they loved it.

  6. This is my new favorite soup! It’s so good and a crowd pleaser for sure!!

  7. this is a whole meal on its self.I love the use of Italian sausage and the chicken stock.the final product looks delicious.

  8. Absolute deliciousness! I used 1 cup of heavy whipping cream and 1 cup milk everything else was exactly the same as your recipe my husband said it was one of the best things I’ve ever made!

  9. I added a few things… 1 can cannellini beans, 2 ribs of celery diced, 1 tsp each of oregano, marjoram and basil, a bay leaf and 1 zucchini and 1 yellow squash chopped.
    Excellent soup!

  10. This was delicious! And so easy. I used spicy Italian sausage and porcini mushroom tortellini, because it’s what I had on hand. I added some grated parmesan at the end to make up for the lack of cheese in my pasta. I will definitely be making this again. Thanks for the great recipe!

  11. Made this yesterday and I love it!! Very easy to make and very flavorful.

  12. Delicious ! Used half and half and added a little red pepper flakes to just give a little kick. Served with warm crusty Italian bread to soak up soup- loved it will make this many times.

  13. Absolutely delicious! I get stuck in a soup rut of making the same two soups over and over again the fall and winter. I will definitely be adding this to my rotation of weekly meals! YUM!

  14. This is one of the best soups ever. It is my daughter and my favorite.

  15. This soup was great! The only change I made was using 2 cups of half and half, chicken broth and adding Italian seasoning.

  16. My fiancé asked me to make something “warm and satisfying” for dinner tonite. The weather has been wet, chilly, and gloomy for several days, so I naturally thought about a Soup or Chili. We had this pinned in our Soup board, so decided that tonight was the perfect time to try it out. Am I ever glad I did! Super easy, super tasty, and leftovers for days! Thank you for a delicious keeper!

  17. Made as posted, it is a keeper. Very tasty.

  18. I’ve now made this a few times and I have to say I LOVE IT. I usually sub out a cup or two of milk for half and half cause I enjoy extra creamy soup :) thank you for sharing!

  19. I used mild Italian sausage, added diced red pepper & used a lot of greens. I combined half & half with 2% milk. The only thing I will change when I make it again is I will use spicy Italian sausage & baby spinach instead. Delicious & simple! Thank you!

  20. Delicious! My new favorite soup.

  21. Thanks so much for this wonderful recipe! I’ve made it many times and my family always loves it. We use your recipes a lot and they are always a hit. Thanks :)

  22. I added mushrooms, crushed red peppers and used Turkey Sausage. It is a keeper. Will make again

  23. So good! I used 1/2 mild and 1/2 spicy sausage and it was perfect. Didn’t make any other changes & my family loves it.

  24. I realize this recipe is like 3 years old, but I just made this last night and it is phenomenal! I added yukon gold potatoes and it was still easy enough to make on a week night. Thanks, a new favorite!

  25. I made this last night, and we loved it! I love homemade soup, and this was delicious.

  26. I also used 2 stalks of celery for added flavor and half and half. It was delicious. I will make it again!

  27. I made this soup for Christmas eve as it was a memory meal for me from childhood, it was spectacular, and tremendously easy, my grown children loved it, thank you! Merry Christmas and Happy New Year to you and yours.

  28. This recipe is really easy and quick to make. It’s super tasty and even my kids enjoyed it. I followed it exactly and I’m really impressed.

  29. I made this soup for dinner tonight. Added some grated Parmesan, seasoned salt and red pepper flakes to give it a little more flavor. So good ?

    *I wish the nutritional content was included.

  30. I made this and it was amazing! I actually froze the left overs and had about 2-4 more servings per bag that I froze (I had about two bags to freeze). Well worth the time/money to make. One of our favorites!

  31. This soup was so delicious! Quick and easy to make too! My family really enjoyed it with yeast rolls and a little dessert. I will be adding it to the regular rotation during cold weather months. (I might even make it during mid summer as I am sure I will be craving it by then!) Thank you for this tasty soup recipe!

  32. Thoughts about adding diced tomatoes? I was thinking of adding a can.

    • I am making this soup right now and I’m adding diced tomatoes… was looking in the comments to see if anyone did it, I’ll let you know how it turns out!

  33. This has become a family favorite of ours! EVERYONE loves it, and that never happens :) This recipe is so easy to follow and not a ton of cleanup. Win-Win!

  34. Hi
    Hope all is well
    I made this soup with heavy cream and spinach
    It came out looking like your pic and the taste was a pure 10
    Froze the leftovers and the dish thawed n reheated having the same great taste it had when it went in
    Thanks for a fabulous recipe

  35. Made this soup tonight! It was absolutely delicious!!!! Love your soup recipes. Thank you for this recipe.

  36. I used turkey Italian sausage, added a little oregano and basil. Used a small amount of heavy cream and lastly a touch of nutmeg. It was divine!

  37. Made it exactly as the recipe says (except I used all kale for our greens) and my husband said this is one of the top 3 soups he has ever had in his life, and he is a big soup guy! Sooooo yummy

  38. Had seen this on my FB page for a while and tonight I gave it a go. I tried to follow the recipe but I had some baby bella mushrooms that were begging for a swim in the pot. I gave them a rough chop and added in with the carrots & onions along with a generous pinch of red pepper flakes. AWESOME addition! I did use whole milk as that is what I have on hand and topped with some fresh shaved parmesan cheese. Thanks for upping our supper on this cold wintery night!

  39. The creamy tortellini soup was so easy to make. It was quite flavorful. I will make more – shared the first batch with 2 of my best friends.

  40. Can you use frozen tortellini?

  41. Hi Ali… I made this delicious soup today for my adult children and grandchildren and they loved it. Instead of sausage I used chicken. And, since chicken is bland, I added red pepper flakes and Italian seasoning to the soup along with celery. My family likes creamy soups so I used 2 Cups of heavy shipping cream. I cooked the tortellini by it’s self in a saucepan with chicken stock and then added it to the soup once it was time for the spinach. I didn’t want the tortellini to suck up all my broth was the reason I cooked it separate. This is a tasty soup that I will make again . Thank you.

  42. Made this for dinner today. I used fresh spinach for my greens and also added a dash of red pepper flakes. The aroma in my kitchen was divine. The soup was delicious.

  43. I wish people would stop continuing to portray this idea that we need to be afraid of fat and cream. That idea was false to begin with and scientifically laid to rest a while ago. The refined grains (flour), seed oils (vegetable oil, canola oil, corn oil etc) and sugar were always the problem. Industry told us that real saturated animal fats were bad when their products became available. Replacing cream with flour is not a good thing. It just shows your lack of nutrition knowledge. It’s not your fault, it’s just sad.

  44. This was so simple to make and great tasting!! I added celery to the carrot and onion mixture. I used a cup of heavy cream and 1 cup of light cream. I also used mini tortellini. It truly was a hit.

  45. Made this once and will make it again on good Friday. It is so good, my new comfort food.

  46. This recipe is OK. I would never call it creamy as in the title. I used Heavy Cream and the result was still more soupy than creamy. All in all it was decent but not a Home Run .This recipe reminds me of the recipes you find under Campbell’s Soup labels. Easily available ingredients made to appeal to midwestern tastes.

  47. A church friend brought this soup to us one week when I was expecting. I asked her for the recipe, and now it’s one of our family’s favorites. My husband really likes it, and he’s not usually a fan of soup.