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Creamy Tortellini Soup with Sausage Recipe

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Looking for comfort food in a bowl? This tortellini soup with sausage is it! This tortellini soup recipe is simple and definitely family-approved. Flavorful Italian sausage is browned with veggies and turned into a creamy tomato soup with plenty of tortellini, then topped with grated Parmesan and fresh basil. It’s easy to see why everyone loves tortellini soup with Italian sausage!

Be sure to tag me (@myeverydaytable) when you make it, I love to see your creations! And if you’ve made it, will you please leave it a ⭐️ rating below? It helps me out a ton!❤️

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Three bowls of tortellini soup with sausage and fresh basil

How to Make Tortellini Soup with Sausage:

This easy tortellini soup with sausage comes together in one pot! (YAY for less dishes!) Here’s how to make it:

  • Prep ingredients. Dice onion, celery, and carrots. Mince garlic.
Ingredients to make tortellini soup Italian sausage

PRO TIP: If you’re a speedy chopper, you can start browning the sausage and then chop the vegetables.

  • Brown sausage. Heat oil in a dutch oven and brown Italian sausage, breaking it up with a wooden spoon.
  • Saute mire poix. Add onion, celery, and carrots to pot and stir to combine. Cook until veggies are soft.
Italian sausage browned with carrots celery and onion in dutch oven
  • Saute garlic and tomato paste. Push veggies to the sides of the pot and add garlic and tomato paste to the center. Let sizzle a bit before stirring into Italian sausage and veggies.
Dutch oven with tomato paste and garlic ready to sizzle
  • Make roux. Sprinkle flour over mixture and stir to combine so the flour coats everything and none of it is dry looking. Pour broth and crushed tomatoes in, bring to a boil, then simmer until thickened.
  • Finish tortellini soup with sausage. At the end of cooking, add in tortellini, and cook for just 2-3 minutes. Stir in heavy cream and season with salt and pepper to taste.
Dutch oven with cooked tortellini soup recipe
  • Serve with grated Parmesan cheese, red pepper flakes, and fresh basil ribbons.

Tortellini Soup Recipe FAQs:

What kind of tortellini should I use?

You have some options! My first choice is a spinach and cheese tortellini, but you could also use plain cheese, or really any tortellini that has Italian flavors that will work well with Italian sausage and tomatoes.

Is tortellini already cooked?

Refrigerated tortellini is a fresh pasta, which means it cooks very quickly (just a few minutes!) and you want to be especially careful to not overcook it as it will start to disintegrate.

It will take just a few minutes to heat through, which is why we are just throwing it into the tortellini soup with Italian sausage right before serving.

Bowls of creamy tortellini soup with sausage and fresh basil

How to Store Leftover Tortellini Soup with Italian Sausage:

How long will tortellini soup last?

Store leftover soup in the refrigerator for 1-2 days. Because it’s got pasta, the pasta will swell and eventually get mushy.

I didn’t think leftovers would be any good, but the tortellini didn’t get as much as I imagined and the leftovers were good for 1-2 days.

Reheat in the microwave or in a saucepan, just until hot.

Can you freeze tortellini soup?

I would not recommend freezing this soup as the pasta will get mushy if you freeze/thaw/reheat it. If you want to freeze a portion of it, one option is to cook the tortellini separately and the spoon soup mixture over it for serving. Then freeze the soup mixture separately.

How to Serve Creamy Tortellini Soup to the Whole Family:

Soup can be tricky for younger kids to eat, so I always recommend serving less of the broth and more of the larger chunks. This way they can get it on the spoon without the broth spilling off. Even soup can be served for one family meal.

Creamy Tortellini Soup Recipe Nutrition + Substitutes:

If you want to swap out any of the ingredients and toppings, here are a few ways you can add even more nutrition into this meal:

  • Lighter – Want to lighten up this soup a bit? Skip the heavy cream and use less pasta, it will still be filling.
  • Vegetarian – You could omit the Italian sausage for a vegetarian version, but the sausage adds a deep layer of flavor, so you may need to add some Italian seasoning and fennel seeds to make up for it.
  • Gluten-free – Skip the flour for the roux and use your favorite 1:1 gluten-free flour blend instead. Finish with gluten-free tortellini.
  • Dairy Free – You can skip the heavy cream and Parmesan to make this one pot creamy tortellini soup dairy-free. It’s still creamy from the roux, but won’t be as light in color.
Bowls of tortellini soup Italian sausage and fresh basil

More Healthy Soup Recipes:

If you like this tortellini tomato soup with Italian sausage, you might also like some of these other healthy soup recipes:

  • Sausage and Lentil Soup – It’s time to pull out that bag of lentils in the back of the pantry. And of course, made with my (not-so-secret) favorite soup ingredient.
  • Easy Minestrone Soup – Vegetarian, but you don’t have to tell the meat-eaters! This nutritious and satisfying soup is loaded with produce, a rich broth, and plenty of beans.
  • Pasta Fagioli Soup – Hearty in a good way, this soup is great to make ahead. Add as much or as little pasta as you like – right before serving!
  • Mexican Chicken Taco Soup – This quick soup is ready in 30 minutes, thanks to my favorite (not-so-secret!) soup ingredient.
  • Chicken Pho – It’s easier to make pho at home than you think, thanks to a shortcut ingredient!

Helpful Tools to Make Tortellini Soup with Sausage:

  • Dutch Oven – This heavy-bottomed pot is perfect for stews and soups like this creamy tortellini soup recipe.
  • Chef Knife – Truly the best knife I’ve ever used! Makes chopping the onion, carrots, and celery for this creamy tortellini soup with sausage quick and easy.

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Three bowls of tortellini soup with sausage and fresh basil

Tortellini Soup with Sausage Recipe

  • Author: Emily Dingmann of myeverydaytable.com
  • Prep Time: 10 minutes
  • Cook Time: 30 minutes
  • Total Time: 40 minutes
  • Yield: 6 servings 1x
  • Category: Soup
  • Method: Stove Top
  • Cuisine: Italian
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This tortellini soup with sausage recipe is comfort food in a bowl! Made with basic ingredients + a simple technique, it’s a family favorite!


  • 1 small yellow onion
  • 2 stalks celery
  • 2 carrots 
  • 4 cloves garlic 
  • 1 Tbsp. olive oil
  • 8 oz. Italian sausage
  • 6 oz. tomato paste
  • 2 Tbsp. flour
  • 6 cups chicken broth 
  • 28 oz. crushed tomatoes
  • 20 oz. tortellini (refrigerated)
  • 1/2 cup heavy cream
  • grated Parmesan cheese
  • red pepper flakes
  • fresh basil 


  1. Prep ingredients: 
    Dice onion. 
    Dice celery. 
    Dice carrots. 
    Mince garlic. 
  2. Heat olive oil in a 6 qt. Dutch oven over medium heat. Add sausage to pan and brown for about 4-5 minutes, breaking up with a wooden spoon. 
  3. Add onion, celery, and carrots to pot and stir to combine. Cook, stirring occasionally, for about 4-5 minutes, until veggies have softened. 
  4. Push the sausage and veggies to the side and add garlic and tomato paste to the center of the pot. Let sizzle and cook for about a minute, or until fragrant and then stir into the veggies and sausage and cook another minute to caramelize flavors a bit. 
  5. Sprinkle flour over sausage and veggies and stir to combine. Pour broth and crushed tomatoes into pot, mix well and bring to a boil. Lower heat, and simmer for about 10-15 minutes, until thickened. 
  6. Add tortellini to the soup mixture and cook for an additional 3-4 minutes, until cooked through. Stir in heavy cream and season with salt and pepper to taste. 
  7. Serve with grated Parmesan cheese, red pepper flakes, and fresh basil ribbons. 


  • Serving size: 2 cups. Makes 12 cups total. 
  • Nutrition facts do not include toppings. 

Keywords: tortellini soup with sausage, tortellini soup recipe, tortellini soup Italian sausage

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