Soups · Published August 28, 2026

Tortellini Soup with Sausage and Spinach

5 from 1 rating

A rich, one-pot tortellini soup with crumbled Italian sausage, cheese tortellini, and fresh spinach in a creamy tomato broth. Ready in 40 minutes and hearty enough to be the whole meal.

Prep time 10 min
Cook time 30 min
Total time 40 min
Servings 6
Cuisine Italian
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This tortellini soup is one of those weeknight dinners that looks and tastes like something you spent a lot of time on, and takes about forty minutes. The base is a creamy tomato broth built on browned Italian sausage and a can of crushed tomatoes, enriched at the end with a pour of heavy cream that turns the broth from a thin red soup into something thicker, silkier, and deeply satisfying. The tortellini goes in near the end and cooks directly in the broth, absorbing flavor as it finishes. Spinach wilts in at the very last moment and needs almost no time at all.

The sausage is the flavor anchor of the whole soup. Italian pork sausage – sweet, mild, or hot depending on what you like – gets browned and crumbled directly in the pot before anything else goes in. This step matters: the fond that forms on the bottom of the pot as the sausage browns gets lifted when the garlic, tomatoes, and broth go in, and it carries the kind of deep, meaty flavor that makes the broth taste like it has been cooking all afternoon. Do not rush this step or drain the fat entirely – a little sausage fat left in the pot is what you sauté the onion and garlic in, and it adds significantly to the overall flavor.

The tortellini is fresh or refrigerated, not dried – dried tortellini requires much longer cooking and does not hold its shape as well in a soup. Fresh or refrigerated cheese tortellini adds only about five minutes to the cook time and stays plump and tender without becoming gluey. Add it when there is still about five minutes of cooking left and keep the heat at a steady simmer, not a hard boil.

Spinach is the last thing in. Baby spinach wilts completely in under a minute in a hot broth. Add it off the heat or over very low heat, stir, and serve within a few minutes – overcooked spinach turns a dull army green and loses its texture. For a more substantial green, Tuscan kale or chard can be added earlier with the broth and simmered for 10-12 minutes instead.

For another Italian soup with a pasta element, our Classic Italian Minestrone is a lighter, vegetable-packed alternative – and if you enjoy the sausage and tomato combination, our Classic Lasagna uses those same flavors in a baked format worth saving for the weekend.

Ingredients for Tortellini Soup with Sausage and Spinach

  • 350g (12 oz) Italian pork sausage, casings removed
  • 1 large onion, finely diced
  • 5 garlic cloves, minced
  • 1 teaspoon Italian seasoning
  • 1/2 teaspoon red pepper flakes (or to taste)
  • 1 can (400g / 14 oz) crushed tomatoes
  • 1.2 liters (5 cups) chicken broth
  • 180ml (3/4 cup) heavy cream
  • 500g (18 oz) fresh or refrigerated cheese tortellini
  • 150g (5 oz) fresh baby spinach
  • Salt and black pepper, to taste
  • For serving:
  • Freshly grated Parmesan cheese
  • Crusty bread

How to Make Tortellini Soup with Sausage and Spinach

  1. 1

    Heat a large heavy pot over medium-high heat (about 180°C / 355°F). Add the sausage and cook, breaking it up with a spoon, for 6-8 minutes until browned and cooked through. Do not drain all the fat - leave about 1-2 tablespoons in the pot.

  2. 2

    Reduce the heat to medium. Add the diced onion and cook for 5 minutes, stirring occasionally, until softened and translucent.

  3. 3

    Add the garlic, Italian seasoning, and red pepper flakes. Cook for 1 minute, stirring, until fragrant.

  4. 4

    Pour in the crushed tomatoes and stir, scraping up any browned bits from the bottom of the pot.

  5. 5

    Add the chicken broth and bring to a gentle boil (100°C / 212°F), then reduce to a steady simmer at around 90°C (195°F). Simmer for 10 minutes to let the flavors develop.

  6. 6

    Pour in the heavy cream and stir to combine. Taste and adjust seasoning with salt and black pepper.

  7. 7

    Add the tortellini and cook according to the package directions, usually about 4-5 minutes, until just tender. Keep the heat at a gentle simmer - do not boil hard or the tortellini may burst.

  8. 8

    Remove from heat and stir in the baby spinach. Let it wilt for 1-2 minutes, stirring gently.

  9. 9

    Ladle into bowls and serve immediately with freshly grated Parmesan and crusty bread.

Nutrition (per serving)

Calories 450
Fat 28g
Carbs 30g
Protein 20g

Where the calories come from

  • Carbs 30g · 27%
  • Protein 20g · 18%
  • Fat 28g · 56%

Nutrition Disclosure

Tips & FAQ

Can I use dry tortellini instead of fresh?
Dry tortellini requires significantly longer cooking - typically 10-12 minutes - and needs to be added much earlier in the process, before the cream goes in. It also tends to swell more and absorb more broth, which changes the broth-to-pasta ratio by the time it is done. Fresh or refrigerated tortellini is strongly recommended for this recipe: it cooks in 4-5 minutes, holds its shape well, and stays plump without turning gluey.
What type of sausage works best?
Sweet Italian pork sausage is the standard choice and gives the soup a mild, herby flavor that works with everything else in the pot. Hot Italian sausage adds more heat - use it if you want a spicier soup, or do half sweet, half hot. Mild turkey sausage is a leaner option that works well but produces a slightly less rich broth. Avoid pre-cooked sausages - raw sausage browns and releases fat into the pot, which is where a lot of the soup's depth comes from.
Can I make this lighter?
Yes. Swap the heavy cream for half-and-half or full-fat evaporated milk for a lighter but still creamy result. For a dairy-free version, full-fat coconut milk works and adds a faint sweetness that pairs reasonably well with the tomato. You can also use turkey or chicken sausage and reduce the amount to 250g to lower the fat content without losing the soup's character.
How do I store and reheat this soup?
The soup keeps in the refrigerator for up to 3 days, but the tortellini will continue to absorb broth and swell as it sits. When reheating, add a splash of broth or water to restore the right consistency, and warm gently over medium-low heat (about 75-80°C / 165-175°F) without boiling. For best results with leftovers, store the soup and tortellini separately if you know you will have leftovers - add freshly cooked tortellini when reheating.
Can I add other vegetables?
Yes. Diced zucchini, white beans, or sun-dried tomatoes all work well and go in with the broth. Diced bell pepper can be added with the onion. Cherry tomatoes halved and stirred in at the end add a fresh, bright note. Keep additions in proportion - this soup is already quite hearty with the sausage and tortellini, so extra vegetables should complement rather than crowd it.

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