One Pot Italian Sausage Tortellini Soup is a comforting and flavorful soup loaded with Italian sausage, tomatoes, cheese tortellini, and fresh spinach. And, it is as delicious as it is easy to make, coming together in less than 30 minutes! Top off each bowl with some shaved parmesan cheese for serving. If you love tortellini, I also have a Crockpot Tortellini Soup you will want to try.

Ingredients & Substitutions

Italian Sausage: I used mild Italian sausage in the soup. You could certainly substitute spicy Italian sausage, ground pork sausage, turkey sausage, ground chicken, or even ground beef, but it may change the flavor profile of the soup.

Tomatoes: This soup definitely has a tomato taste, which I love. Add a can of diced tomatoes (no need to drain) and tomato paste. For more of a kick, add a can of diced tomatoes with green chilis (or your favorite variety).

Chicken Broth: This soup has a both broth and cream base. You could substitute chicken stock for chicken broth, but the stock may give the soup a richer flavor.

Tortellini: I love cheese tortellini, but you could definitely use meat-filled (beef or pork) tortellini or vegetable tortellini like spinach and mushroom. If using frozen tortellini, you can add it to the pot in the final few minutes of cooking or boil it ahead of time.

Spinach: Use fresh or frozen spinach in the soup. If using fresh, you will need 2 cups. If substituting frozen spinach, use a 10-ounce bag, thawed and squeezed of excess liquid.

Steps for adding ingredients to One Pot Italian Sausage Tortellini Soup.

Crockpot Sausage Tortellini Soup

Yes, you can make this soup in a slow cooker, but you will have to brown the Italian sausage first. After that, let the crockpot do the rest of the work. To the bowl of your slow cooker, add the browned sausage. Next, add the onion, tomatoes, tomato paste, chicken broth, garlic, Italian seasoning, salt, pepper, and heavy cream. Cover and cook on low for 3-4 hours. After 3-4 hours, add the spinach and tortellini to the crockpot and cook for an additional 7-8 minutes. The tortellini should be cooked through and the spinach will be wilted.

Bowls of One Pot Italian Sausage Tortellini Soup.

How to Store Tortellini Soup

One Pot Italian Sausage Tortellini Soup can be stored in an airtight container in the refrigerator. It will last up to 3-4 days. Reheat the soup in a pot on the stovetop or in the microwave.

Bowls of One Pot Italian Sausage Tortellini Soup.

Freezing & Reheating Sausage Tortellini Soup

Soups are great to make ahead of time and store for a later date. (Keep in mind that pasta dishes and soups can sometimes have a change in texture and quality when frozen and thawed.) To freeze this soup, first, let it cool completely. Next, use a ladle to transfer the soup into freezer-safe plastic containers, leaving a little room at the top of each container for expansion. Seal the containers, label them, and store them in the freezer for up to 3 months. When ready to enjoy, let the soup thaw in the refrigerator for at least 8 hours. Then, heat it up on the stovetop or in the microwave.

Pot of Simmering Sausage Tortellini Soup with Ladel.
4.98 from 42 votes

One Pot Italian Sausage Tortellini Soup

Prep Time 5 minutes
Cook Time 20 minutes
Total Time 25 minutes
One Pot Italian Sausage Tortellini Soup is a comforting and flavorful soup loaded with Italian sausage, tomatoes, cheese tortellini, and fresh spinach.


  • 1 pound ground mild Italian sausage
  • ½ medium yellow onion, diced (approximately ½ cup)
  • 1 can (28 ounces) diced tomatoes
  • 2 tablespoons tomato paste
  • 3 cups (720 g) chicken broth
  • 2 teaspoons garlic, minced
  • 2 teaspoons Italian seasoning
  • 1 teaspoon kosher salt
  • ½ teaspoon black pepper
  • 1 bag (20 ounces) fresh cheese tortellini, refrigerated
  • 1 cup (238 g) heavy cream
  • 2 cups fresh spinach
  • parmesan cheese, shaved, for garnish


  • In a large heavy-bottomed pot over medium heat, add the Italian sausage. Cook, stirring occasionally and breaking up the meat as you go, for about 8-10 minutes, or until the meat is no longer pink. Drain excess grease if necessary.
  • Add diced onions to the pot. Cook until they are translucent (about 3-5 minutes).
  • Add the tomatoes, tomato paste, chicken broth, garlic, Italian seasoning, salt, and pepper. Stir to combine and bring to a simmer.
  • Add tortellini, heavy cream, and spinach. Stir to combine.
  • Allow the soup to simmer until the tortellini is tender and the spinach is wilted (about 8-10 minutes).
  • Serve garnished with shaved parmesan.


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Reader Comments

  1. Love, love, LOVE this recipe!!! I didn’t have heavy cream on hand and substituted 1 cup half and half with 2 tablespoons sour cream. DELISH!!
    Paired this with some easy homemade yeast bread and it was a winner!!!!

  2. 5 stars
    Wow! Very tasty & very easy!! I used ground Italian sausage and tortellini that wasn’t refrigerated because that’s what I had on hand. We will definitely be adding this to our rotation! Served it to a guest who also loved it. Thanks for another great recipe!!

  3. 5 stars
    This one was a hit with my family. I added more liquid to make it stretch a little more and frozen spinach…cause that’s what I had. It will definitely be making into the rotation during the winter months. Thank you!

  4. 5 stars
    This turned out amazing and was so easy to make. I used hot Italian sausage, added some red pepper flakes and a little bit of sugar. I might add a little more broth next time. Definitely adding this to my rotation

  5. Omg!!!! Just love this. Came across this recipe while searching for ideas for dinner last minute. Surprised my family with this and they all Loved it so much. Flavors are amazing and the dish was defiently filling. I will make again! Thanks for sharing

    1. It’s not disgusting to an entire nation, it seems to be disgusting to you, who has failed to understand that I am not labeling this as an Italian dish. I have a main ingredient in the recipe, Italian sausage. Try not to take this recipe so personally, Rita.

  6. This recipe is delicious! So flavorful! I’ve made it with both hot and sweet sausage. Either twist offers a different spin, depending upon your preference. I also use frozen tortellini and not fresh. LOVE this soup! Thanks for sharing the recipe.

  7. 5 stars
    My daughter makes this soup and taught me how to make it. I know she follows you so, thank you, it’s a wonderful dinner. The only problem is no leftovers! We probably need to make a double batch.

  8. I have been making a similar recipe that I created, for the last 30 years. The only thing extra….I add frozen Chinese vegetables. I use ground beef and also the Rotel tomatoes. It’s a big hit.

  9. 5 stars
    Absolutely love it!! My son even said he like it, and he doesn’t like soup! lol I added parm to the soup as it simmered… !!

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