Creamy Tortellini Soup is pure heavenly comfort. It features Italian sausage, vegetables, tomatoes, and cheese tortellini in a creamy tomato base, seasoned with Italian herbs and fresh Parmesan Cheese.

This is, without a doubt, one of our favorite soups and go-to comfort-food recipes. Sometimes we forgo the sausage and make it vegetarian. Or we swap it for shredded chicken or slices of smoked sausage, like Polska Kielbasa or smoked chicken sausage. Enjoy this tasty soup with cheese garlic bread, sweet potato cornbread, or a simple garden salad.
Ingredients Notes with Substitutions
See the complete ingredients on the recipe card below.
- Italian Sausage: Substitute ground beef, ground turkey, or ground pork for the Italian sausage. Try bite-size pieces of Polska Kielbasa, smoked chicken sausage, or shredded or diced rotisserie chicken.
- Vegetables: Onion, carrots, garlic, fire-roasted canned tomatoes, baby spinach.
- Seasonings: Italian seasoning, salt, black pepper, fresh parsley or basil.
- Vegetable broth: Low-sodium chicken broth will also work.
- Cheese tortellini: Use refrigerated, frozen, or dried tortellini.
- Parmesan cheese: Use freshly grated.

How to Make Creamy Tortellini Soup
This is a summary; for the full list of ingredients and instructions, see the recipe card below.
- Brown the Italian sausage over medium heat in a Dutch oven or large pot.
- Toss in the onions, celery, and carrots, and cook until the sausage is browned and the onions and celery are tender.
- Reduce heat to low, add the garlic and Italian seasoning. Cook for 1 minute, stirring constantly.
- Remove all but 2 tablespoons of excess grease. Sprinkle in the flour and cook for 2 minutes, stirring.
- Stir in the vegetable broth, fire-roasted tomatoes, and tomato paste. Bring the mixture to a gentle boil and cook until the carrots are fork-tender.
- Reduce heat to a simmer, add the cheese tortellini, and cook until tender.
- Add the spinach and continue cooking until the spinach wilts and the tortellini are tender. Remove the pot from the heat and stir in the cream.

Tips for Tortellini Soup
- The simmering time will vary depending on which ones you use. Simmer for 2-3 minutes for fresh tortellini, 3-5 minutes for frozen tortellini, or 10-11 minutes for dried tortellini. Do not overcook the tortellini.
- I like to use baby spinach, but kale and arugula work well too. Kale will take about 5 minutes to wilt and nearly 15 minutes to soften. In contrast, the arugula will wilt in less than 2 minutes.
- Remove the pot from the heat and slowly stir in the cream.

More Soup Recipes

Creamy Sausage Tortellini Soup Recipe
Ingredients
- 1 lb. ground Italian sausage, sweet or mild
- 1 medium onion, chopped
- 2 ribs celery, chopped
- 2 large carrots, chopped
- 2 cloves garlic, minced
- 2 teaspoons Italian seasoning
- 2 tablespoons all-purpose flour
- 4 cups vegetable broth or chicken broth, low-sodium
- 1 can (14.5 ounces) fire-roasted tomatoes
- 3 tablespoons tomato paste
- 9 ounces refrigerated three-cheese tortellini
- 4 cups fresh baby spinach
- ½ cup heavy cream
- kosher salt and fresh ground black pepper
- freshly grated Parmesan cheese, garnish
- chopped fresh parsley or basil garnish
Instructions
- Brown the Italian Sausage over medium heat in a large Dutch Oven or pot. After about 3 minutes, add the onions, celery, and carrots, and continue cooking until the Sausage is browned and the onions and celery are tender.
- Reduce the heat to low and add the garlic and Italian seasoning. Cook for 1 minute while stirring constantly. Remove all but 2 tablespoons of excess grease. Sprinkle in the flour and continue cooking for 2 minutes, stirring constantly.
- Stir in the vegetable broth, fire-roasted tomatoes, and tomato paste. Bring the mixture to a gentle boil and cook until the carrots are fork-tender.
- Reduce the heat to a simmer and add the cheese tortellini. Cook for 2-3 minutes for fresh tortellini, 3-5 minutes for frozen tortellini, or 10-11 minutes for dried tortellini.
- Add the spinach and continue cooking until the spinach wilts and the tortellini are tender. Remove the pot from the heat and stir in the cream.
- Season with kosher salt and freshly ground black pepper to taste. Garnish with freshly grated Parmesan Cheese and chopped fresh parsley or basil.
Notes
- Store leftovers in an airtight container in the refrigerator for up to 3 days. Reheat on the stovetop over low heat or in the microwave on low power.
- If you know before you make this soup that you’ll save a portion for leftovers, remove that portion before adding the tortellini and spinach. When reheating, add the tortellini and spinach as directed in the recipe.
Nutrition
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Tara
Such an incredibly comforting soup! I especially love the addition of the Italian sausage. So many wonderful flavors.
Beth Pierce
Thank you, Tara!
Paula
This tortellini soup was so creamy and cheesy! We loved it!
Beth Pierce
Thank you, Paula!
Wanda
The balance of flavors in this soup is wonderful! The creamy broth complements the savory tortellini perfectly – a keeper!
Beth Pierce
Thank you, Wanda! So glad that you liked it!
suja md
This was amazing and such a treat! Thank you!
Charah
I love this recipe, easy to make and delicious. Thanks for sharing, I’m making this for my fam
Lauren Kendall
Hi Beth,
This recipe is delicious and a perfect winter food! I see there are six servings in the recipe. What did you count as a serving?
Thank you!!!
Beth Pierce
Thanks Lauren! This recipe makes 6 bowls.
Khush
This was perfect. It is so darn cold here and this really hit the spot with great flavor. Thanks for the great recipe.
Beth Pierce
You are most welcome!
Candie
I made this awesome soup! So much flavor and so easy to make. I love soups with tortellini in them!
Beth Pierce
Me too!
Sandra
I love how comforting this is! Such an amazing meal!
Julia
This soup was really filling and your recipe was so easy to follow! Thank you so much for sharing such a warming meal.
Beth Pierce
Thank you, Julia! So glad that you liked it!