This tasty and easy Italian Sausage Soup Recipe is loaded with onions, carrots, celery, zucchini, and a healthy helping of Italian Seasoning, in a chicken broth base with tomatoes, cannellini beans, and elbow noodles.

It is the perfect pick-me-up for cold, wet weather, coughs, ailments, or just because your soul needs a little warmth. This Italian Soup Recipe is one of our favorites.
Ingredient Notes and Substitutions
See the complete list of ingredients on the recipe card below.
- Italian sausage: You can use sweet or hot. Customize it to suit your taste. If you have a nearby meat market, call and ask if they make their own Italian sausage. It is well worth the added expense and trip to the market.
- Italian seasoning: Italian Seasoning or fresh herbs like thyme, rosemary, basil, and parsley
- Chicken broth: preferably low-sodium
- Canned fire-roasted tomatoes: Use canned diced tomatoes if you can not find them.
- Pasta: You can substitute any medium to small pasta in this soup, including penne, rotini, shells, farfalle, ditalini, or radiatori.
- Parmesan Cheese: A little freshly grated Parmesan cheese on the top takes this soup to an elevated level of tastiness.
- Fresh herbs: Fresh thyme is always delicious, and I usually have it on hand. However, you can substitute fresh chopped parsley or a little dried marjoram or thyme.
How to Make Italian Sausage Soup
This is a summary version; for the complete list of ingredients and instructions, please refer to the recipe card below.
- Brown the Italian sausage. When the sausage is about halfway browned, add the onions, carrots, and celery and cook for 5 minutes. Add the zucchini and cook until the onions and celery are soft.
- Reduce the heat to low and add the garlic and Italian Seasoning.
- Add the chicken broth, fire-roasted tomatoes, and cannellini beans. Bring it to a low boil.
- Stir in the elbow macaroni. Reduce the heat to a simmer or very low boil and cook the soup until the pasta is tender.
- Garnish with fresh herbs and Parmesan cheese.

Preparation Tips
- You can substitute ground beef, chicken, pork, or turkey. It will still be delicious soup, though it won’t be Italian Sausage Soup.
- For aesthetic purposes, peel the carrots. It brings out that beautiful, bright orange color.
- Store leftovers in an airtight container in the refrigerator for up to 4 days. Heat on the stovetop over low heat or in the microwave at reduced power.
- Freeze in an airtight container or heavy-duty freezer bag for up to 3 months.

Recipe Variations
- Vegetables: add spinach, kale, or arugula.
- Broth: substitute beef broth, or vegetable broth, or add a 15-ounce can of tomato sauce
- Herbs: add Italian herbs like fresh basil, dried marjoram, dried sage, or dried oregano.
- Kick up the spice: use hot Italian sausage, and add a little red pepper flakes or a little bit of ground cayenne.
More Soup Recipes

Italian Sausage Soup
Ingredients
- 1 lb. Italian sausage
- 1 medium onion chopped
- 2 carrots peeled and chopped
- 1 rib celery chopped
- 1 zucchini quartered and diced
- 2 cloves garlic minced
- 1 ½ teaspoons Italian seasoning
- 4 cups low sodium chicken broth
- 2 (14.5 ounce) cans fire-roasted tomatoes
- 1 (15 ounce) can cannellini beans, drained and rinsed
- 1 cup uncooked elbow noodles
- Fresh thyme leaves
- Red pepper flakes
- Parmesan Cheese
- Salt and pepper to taste
Instructions
- Brown the Italian sausage in a Dutch Oven or heavy stockpot over medium heat. When the sausage is about halfway browned, add the onions, carrots, and celery. Cook for 5 minutes, stirring several times.
- Add the zucchini and cook until the onions and celery are soft. Then reduce the heat to low and add the garlic and Italian Seasoning, cook for 1 minute, stirring constantly.
- Add the chicken broth, fire-roasted tomatoes, and cannellini beans. Bring the soup to a low boil. Stir in the elbow macaroni. Reduce the heat to a simmer or very low boil and cook the soup until the pasta is tender.
- Garnish with fresh thyme, red pepper flakes, and a sprinkling of shredded Parmesan Cheese. Season with salt and pepper to taste.
Notes
- Store leftovers in an airtight container in the refrigerator for up to 4 days.
- Freeze in an airtight container or heavy-duty freezer bag for up to 3 months.
Nutrition
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Dana Sandonato
I love how hearty and nourishing this soup is! Best of all, it eats like a meal. Just need a hunk of fresh bread and you’re SET!
Nikki
This hearty, comforting and flavor-packed soup was perfect for my family. They gobbled it up!
Nathan
I love a good hearty soup, and I don’t cook with Italian sausage nearly enough! Looking forward to making this for one of my dinners next week!
dina and bruce miller
Wow, this soup is a hearty and easy dish for dinner. Family asking for more!
Beth Pierce
Awesome! I love a family that has good taste!
TAYLER ROSS
I made this soup for dinner last night and it was delicious! The perfect thing to warm me to the soul!
Beth Pierce
Awesome! So glad that you liked the soup! We eat soup year-round!
McKensie
This recipe is so good! We use hot Italian sausage for a little extra kick.
Beth Pierce
Thanks! So glad that you liked the soup!
Darlene
Just made this soup today. It turned out great. The only thing I think I’ll do different is not to add the macaroni. I’ll just cook the macaroni on the side and it can be added as you want. When it’s added to the soup as it’s cooking it starts getting mushy. Now the leftovers will end up being all mushy macaroni. Will definitely make it again though. Yum!
Cheryl
I love this soup. I added hot Italian sausage for extra spicyness. Thank you for the recipe.
Beth Pierce
My pleasure!
Neely Moldovan
This actually sounds like a super delicious soup! I love finding new soup recipes!