Sausage Tortellini Soup

While we have provided a jump to recipe button, please note that if you scroll straight to the recipe card, you may miss helpful details about ingredients, step-by-step tips, answers to common questions and a lot more informations that can help your recipe turn out even better.
Bold truth: if comfort food had a personality disorder, this Sausage Tortellini Soup would be it — loud, clingy, and deeply offended if you call it “just a soup.” It’s the kind of bowl that makes you unbutton your jeans apologetically and then text your sibling a photo because you need witnesses. Also: I will fight anyone who says canned tomatoes aren’t emotional.
The time I set the Thanksgiving table on fire (and learned soup forgiveness)
There was a year I tried to make everything from scratch for Thanksgiving and ended up microwaving rolls while panicking about gravy that looked like motor oil — long story short: the turkey was fine, the table was not, and I discovered soup is the only thing that will forgive you after that level of domestic chaos. I remember standing in my kitchen with smoke alarm strobing like a nightclub flash, clutching a pot of limp tortellini while my Aunt Marge asked if we were doing “rustic” on purpose. Rustic, I decided, is just a polite word for “I totally burned it but we’re calling it trendy.”
I’ve learned to make things resilient: meals that survive a crying fit, a missed ingredient, or a toddler’s artistic interpretation of a spice rack. This Sausage Tortellini Soup is one of those — humble, dramatic, and impossible to ruin beyond a generous amount of Parmesan.
ANYWAY — let’s pivot to actual cooking before I spiral into more family folklore
Before I emotionally relive the lemon bars disaster of 2019 (don’t ask), let’s get practical: this soup is quick, rich, and yes, it uses sausage that is not a pig (we’re doing chicken or turkey here — bless). You can riff on heat, go creamy or brothy, and it forgives weird substitutions. If you’re feeling particularly nostalgic, grab some artisan bread and dunk aggressively. If you’re feeling cheap-and-proud (me on most Tuesdays), Trader Joe’s has refrigerated tortellini that sing for their price and Aldi does sausage steals — both valid life choices. Also if you want to revisit my shameless glazed-sausage inspiration, see my oddly related glazed sausage and potatoes post for mood and memory.
Ingredients you’ll toss together like a culinary improv set
- 1 pound chicken or turkey Italian sausage (mild or spicy)
- 1 small onion, diced
- 3 cloves garlic, minced
- 1 (14-ounce) can diced tomatoes
- 6 cups chicken broth
- 1 cup heavy cream
- 1 teaspoon Italian seasoning
- 1/4 teaspoon red pepper flakes (optional, for drama)
- 1 (9-ounce) package refrigerated cheese tortellini
- 3 cups fresh spinach, roughly chopped
- Salt and pepper to taste
- Grated Parmesan cheese (for garnish)
Mini-rants: I will always choose fresh garlic over jarred — taste difference 10/10 (honestly, do the peel-and-slice therapy). Fancy sausage? Great for impressing dinner guests. Cheap sausage? Also great if you plan to hide a lot of cheese on top. Trader Joe’s refrigerated tortellini = weekday miracle. Also pro tip: frozen spinach is fine in a pinch but fresh wins the texture battle.
Cooking Unit Converter — quick helpful thing because measuring is political
Need a unit swap? This little helper saves arguments about cups vs. grams at midnight.
A technique rant (but useful, the way urgent texts are useful)
Listen: the number one thing I learned the hard way is do not rush the browning — flavor comes from char and patience and the tiny flecks that stick to the bottom of the pan like little flavor trophies. Also, don’t drown tortellini in arrogance (or broth) — it needs room to swim but not a full ocean.
- In a large pot or Dutch oven, cook the sausage over medium heat until browned. Break it into small pieces as it cooks, then drain excess grease if necessary.
- Add the diced onion and minced garlic to the pot. Cook for 2–3 minutes until softened and fragrant.
- Stir in the diced tomatoes, chicken broth, Italian seasoning, and red pepper flakes if using. Bring the soup to a simmer.
- Stir in the tortellini and cook according to the package instructions, usually 4–6 minutes, until tender.
- Lower the heat to medium-low. Stir in the heavy cream and spinach, cooking for an additional 2–3 minutes until the spinach wilts and the soup is heated through.
- Taste the soup and adjust salt and pepper as needed. Ladle into bowls, garnish with grated Parmesan cheese, and serve hot.
Also: drain grease if you want less guilt; keep it if you’re leaning into decadence (I judge you gently but mostly join you). If your tortellini gets too soft, I will not be angry — just slightly wistful.
Why this cooking thing matters (a small emotional paragraph — cue violins)
Cooking anchors me to family voices, Sunday afternoon kitchens, and the smell of butter that means “people will come over.” It’s how I send love without texting a 12-paragraph manifesto (though sometimes I do both). When I make this soup I think of being tiny, stealing Parmesan shavings, and how my mom used to rescue every burned holiday with soup and a song.
A tiny humiliating kitchen micro-anecdote
Once I tried to impress a date by flipping a spoon like a baton and flung garlic into the chandelier. He applauded, I cried into tortellini, and we both agreed it was “memorable.” He texted later to say he loved my laugh. The soup saved everything.
Frequently Asked Questions: chaotic & real
Yes — use what the recipe suggests (turkey or chicken sausage) and I will not judge (much), though I might raise an eyebrow if you go plant-based and call it the same thing — honor the texture differences, but do what your heart says.
Nope. Heavy cream gives silk and richness; if you want lighter, stir in a splash of milk and a cornstarch slurry to thicken — or skip it entirely for a brothy, honest vibe.
Sort of: tortellini can get mushy after freezing. Freeze the soup base and add fresh tortellini when reheating if you want texture that doesn’t sob into mush.
Absolutely. Add more red pepper flakes or use spicy sausage. I recommend confidence and a side of bread to temper the drama.
Crusty bread, a salad that doesn’t pretend to be complicated, and someone who will eat the leftovers and validate your life choices.
Okay, I’ll stop talking now (for approximately 4 minutes). This soup is forgiving, loud, and excellent at fixing bad days. Make it, eat it, text me a picture if you want to make me feel seen. And if you burn the garlic into the chandelier — well, at least you’ll have a story.

Sausage Tortellini Soup
Ingredients
Method
- In a large pot or Dutch oven, cook the sausage over medium heat until browned. Break it into small pieces as it cooks, then drain excess grease if necessary.
- Add the diced onion and minced garlic to the pot. Cook for 2–3 minutes until softened and fragrant.
- Stir in the diced tomatoes, chicken broth, Italian seasoning, and red pepper flakes if using. Bring the soup to a simmer.
- Stir in the tortellini and cook according to the package instructions, usually 4–6 minutes, until tender.
- Lower the heat to medium-low. Stir in the heavy cream and spinach, cooking for an additional 2–3 minutes until the spinach wilts and the soup is heated through.
- Taste the soup and adjust salt and pepper as needed. Ladle into bowls, garnish with grated Parmesan cheese, and serve hot.





