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Creamy Italian Sausage Tortellini Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4 from 49 reviews
  • Author: Diane
  • Prep Time: 10 minutes
  • Cook Time: 20 minutes
  • Total Time: 30 minutes
  • Yield: 4 servings
  • Category: Main Course
  • Method: Stovetop
  • Cuisine: Italian-American

Description

This Creamy Italian Sausage Tortellini recipe is a comforting and easy one-pan dinner perfect for busy weeknights. Featuring savory Italian sausage, tender cheese tortellini, and a luscious creamy tomato sauce with spinach and Parmesan cheese, this dish combines rich flavors with simple preparation. Ready in just 30 minutes, it’s a satisfying Italian-American main course that the whole family will enjoy.


Ingredients

Scale

Meat and Dairy

  • 1 pound Italian sausage (mild or spicy, casings removed)
  • 1 cup heavy cream
  • 1/2 cup grated Parmesan cheese

Vegetables and Aromatics

  • 2 cloves garlic (minced)
  • 1 small onion (diced)
  • 2 cups fresh baby spinach
  • 1/4 teaspoon red pepper flakes (optional)
  • Chopped fresh parsley for garnish (optional)

Pasta and Canned Goods

  • 1 (20-ounce) package refrigerated cheese tortellini
  • 1 (14.5-ounce) can diced tomatoes (drained)

Liquids and Seasonings

  • 1/2 cup chicken broth
  • 1/2 teaspoon Italian seasoning
  • Salt and black pepper to taste


Instructions

  1. Cook the sausage: In a large skillet or sauté pan over medium heat, cook the Italian sausage until browned and cooked through, breaking it into crumbles as it cooks. Drain excess fat if needed.
  2. Sauté onion and garlic: Add the diced onion to the skillet and cook for 3–4 minutes until softened. Stir in the minced garlic and cook for another 30 seconds until fragrant.
  3. Add tomatoes and liquids: Stir in the drained diced tomatoes, heavy cream, chicken broth, Italian seasoning, and red pepper flakes if using. Combine well and bring the mixture to a gentle simmer.
  4. Cook the tortellini: Add the refrigerated cheese tortellini to the skillet. Cook for 4–6 minutes, stirring occasionally, until the tortellini is tender and cooked through.
  5. Add spinach and cheese: Stir in the fresh baby spinach and grated Parmesan cheese. Cook for 1–2 more minutes until the spinach wilts and the sauce becomes creamy.
  6. Season and serve: Taste the sauce and adjust seasoning with salt and black pepper as needed. Garnish with chopped fresh parsley if desired and serve hot.

Notes

  • You can use frozen tortellini instead of refrigerated; just add a couple of extra minutes to the cooking time.
  • Substitute kale or arugula for spinach for a different leafy green option.
  • Adding sliced mushrooms can provide extra heartiness and flavor.