This comforting creamy tortellini soup with Italian sausage and spinach turns a beloved pasta dish into a warming, one‑pot meal. Rich, savory, and easy to make, it’s perfect for cozy weeknights and makes excellent leftovers.
I was searching for new soup ideas and came across this recipe. It impressed us the first time, and we liked it so much we made it again within a week with a few small tweaks. The result is now one of our go‑to comforting soups.

How to Make Creamy Tortellini Soup with Sausage & Spinach
Ingredients you’ll need
- 1 lb Italian sausage (mild or hot, depending on your taste)
- 1 medium onion, diced
- 4 large carrots, peeled and diced
- 4 cloves garlic, minced
- 1/4 cup all‑purpose flour
- 4 cups (about 900 ml) chicken broth
- 1 package refrigerated cheese tortellini (use less if you prefer a thinner, brothier soup)
- 1 tsp salt
- 1/2 tsp freshly ground black pepper
- 1 cup fresh spinach, chopped
- 2 cups half‑and‑half (or use a lighter milk for a lower‑fat version)

Step-by-step instructions
- Prepare the sausage: If your sausage is in casings, remove them. In a large soup pot over medium heat, brown the sausage until cooked through, breaking it up as it cooks. Transfer the cooked sausage to a bowl and set aside.
- Sauté the vegetables: In the same pot, add the diced onion and carrots. Sauté about 5 minutes, or until the vegetables begin to soften. Add the minced garlic and cook an additional 1–2 minutes, stirring frequently to prevent burning.
- Make the roux and add the broth: Sprinkle the flour over the softened vegetables and stir to coat. Cook for about a minute to remove the raw flour taste. Gradually whisk in the chicken broth, scraping up any browned bits from the bottom of the pot. Bring the mixture to a boil, then reduce heat, cover, and simmer for about 6 minutes to thicken slightly.
- Finish the soup: Return the cooked sausage to the pot and add the refrigerated tortellini, salt, pepper, chopped spinach, and half‑and‑half. Simmer gently for about 5 minutes, or until the tortellini are cooked through and the spinach is wilted. Taste and adjust seasoning as needed.

Tips, variations, and serving ideas
- If you prefer a brothier soup, reduce the amount of tortellini. Using a full family‑size package creates a very hearty, stew‑like bowl; using half the package yields a lighter, more soup‑forward texture.
- Swap the spinach for baby kale or add chopped Swiss chard to vary the leafy greens.
- For extra heat, choose hot Italian sausage or add a pinch of crushed red pepper flakes while simmering.
- Change up the tortellini filling (cheese, spinach, or meat) to alter the flavor profile.
- Garnish each bowl with chopped fresh parsley, a drizzle of olive oil, or a sprinkle of grated Parmesan for a pretty finish.
- Turn this into a complete one‑pot dinner by adding a simple side salad or crusty bread to soak up the broth.

Storage, leftovers, and freezing
This soup keeps well and often tastes even better the next day. Store leftovers in an airtight container in the refrigerator and reheat gently in the microwave or on the stovetop. Note that tortellini can absorb liquid and become softer after long storage—if you plan to keep leftovers, consider cooking and storing the tortellini separately and adding them to warmed soup just before serving.
Freezing tip: Freeze this soup without the tortellini, spinach, and dairy. The cooked pasta and cream do not freeze and thaw well. Place the cooled broth and sausage mixture in freezer‑safe containers or bags. When ready to serve, thaw, bring to a boil, then add fresh spinach, cream, and freshly cooked tortellini.
Approximate nutrition information (per serving)
The following values are approximate and provided as a general guideline: Calories: ~530; Total fat: ~37 g; Saturated fat: ~17 g; Unsaturated fat: ~23 g; Cholesterol: ~95 mg; Sodium: ~1771 mg; Carbohydrates: ~24 g; Fiber: ~2 g; Sugar: ~8 g; Protein: ~25 g. Adjust portions and ingredient choices to match dietary needs.
Other hearty soup ideas
- Classic creamy potato soup — a comforting, simple choice for chilly nights.
- Chicken and gnocchi soup — a pillowy, savory option similar to popular restaurant versions.
- Pumpkin chili or slow‑cooker taco soup — great for feeding a crowd or meal prepping.
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This creamy tortellini soup with sausage and spinach is an easy, comforting meal you can make on a busy weeknight and still feel proud serving to family or guests. Adjust the tortellini amount, spice level, and greens to suit your taste, and enjoy a cozy bowl full of flavor.