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This Tortellini Soup recipe has sweet Italian sausage, fresh cheese tortellini, and leafy green spinach in a rich tomato broth. Finished off with a crispy, cheesy crostini, this is definitely not your run-of-the-mill tomato soup!
My Sausage Tortellini Soup is a delicious meal on its own, but you can pair it with some garlic bread and a copycat Olive Garden Salad and add a few more guests to dinner.

Table of Contents
The Best Tortellini Soup Recipe
Everyone loves my tortellini soup! It’s like your favorite pasta and sauce in a delicious creamy soup. The spinach, tomatoes, sausage, and pasta are so delicious together and really make this soup a complete meal!
- Rich flavors of tomato, sausage and cheese: I have always been a fan of tomato soup. I love the creaminess, rich tomato flavor, and brightness of the tomatoes. This creamy Tortellini soup with sausage highlights that tomato-y goodness while incorporating savory sausage and tender, cheesy pasta.
- Hearty, filling main course: A lot of people like to serve soup as part of a meal, typically the first course. But here we savor soup as our main course. It’s got everything you need – meat, veggies, and this one even has yummy, cheesy pasta.
- Simple and quick: It’s super simple to make in just a few steps and it’s ready in about 40 minutes. Of course, the longer you let it simmer, the better the flavor. Just make sure not to add the tortellini and spinach until just before you’re ready to eat, so they don’t overcook.
- Instant upgrades: I love to sprinkle a little fresh grated Parmesan cheese on top for even more flavor. I love this soup as is, but if you love a creamier soup, stir a cup of heavy cream when you add the tortellini.

What’s in Tortellini Soup?

- Italian Sausage – You need a pound of ground sausage, which you can buy in a package like other ground meat, or as links and just remove from the casing. I like using a mild Italian sausage.
- Onion – Chopped white onion adds a nice bite when cooked with the sausage.
- Garlic – I like lots of garlic with my Italian dishes so I used a whole tablespoon of minced garlic, which is about 3-4 cloves garlic. Feel free to cut it back a little.
- Crushed Tomatoes – San Marzano are the best tomatoes when it comes to canned varieties. If you don’t have crushed tomatoes, 3 ½ cups of tomato sauce would also work.
- Vegetable Broth – Low sodium Chicken broth or beef broth works too, but will alter the flavor a little bit.
- Basil – a handful of fresh basil adds a lovely flavor and aroma.
- Salt and Pepper – to taste.
- Cheese Tortellini – One small package of refrigerated tortellini. It’s usually found where the lunch meat and cheeses are found. Frozen or dried pasta will also work, you just may need to add cooking time.
- Fresh Spinach – I used two cups of fresh baby spinach, but you can use as much as you like. Kale is a great substitution.
How to Make Tortellini Soup
Get a detailed list of ingredients & instructions in the recipe card below.

I love when I can whip up a super hearty and delicious soup that requires very minimal effort and is ready in less than an hour. Makes me feel good about feeding my family something delicious and comforting, and that has some veggies too.
- Cook the Italian sausage. In a large stock pot or dutch oven heat a small amount of olive oil. Saute some chopped onions and add them to the pot. Saute for a few minutes then add a pound of Italian Sausage and some minced garlic. I use mild but you could use spicy if your family likes that. Cook until the sausage is no longer pink. Sometimes I’ll add some Italian seasoning or a bay leaf for more flavor.
- Make the soup base. Add a large can of crushed tomatoes, vegetable or chicken stock, fresh basil, and a bit of salt. I like to add a pinch of sugar to combat the acidic tomatoes as well, but that’s a personal choice. Bring the soup to a boil, then cover and reduce the heat to low. Simmer for about 20-30 minutes.
- Cook the tortellini. Add tortellini to the pot and cook for a few of minutes before adding the spinach. The pasta will cook fairly quickly, as will the spinach so don’t overcook and become mushy.
- Add spinach. Add the spinach, cover and turn off the heat. The spinach wilts rather quickly and then you can serve the soup.
Serving Suggestion: Top your soup with a cheesy crispy crouton!

- Slice up a french baguette, butter it and grill in a hot skillet.
- Top with parmesan cheese and as the bottom side cooks, the cheese will melt.
- Transfer to a plate and add a piece to each bowl when serving, so it can soak up all the tomato goodness.
FAQs
I get asked this question a lot. The answer is yes you can, but you will need to adjust the cooking time based on the package instructions.
Yes, you can freeze this soup before adding the tortellini. Soups in general freeze really well but those with pasta in them do not. The pasta tends to get very mushy as it thaws so I do not recommend freezing it.
Sure! You’ll want to make sure you have a 7-quart pot so it’s big enough to hold the soup.
Absolutely! First, saute the sausage in a skillet on the stovetop with diced onion and garlic and drain the grease. Add the sausage, tomatoes, broth, and seasonings to the crockpot and cook on LOW for 3-4 hours. Add the tortellini, cover and cook for 30 minutes or until the tortellini is soft and tender. Add the spinach and cook for another 5-10 minutes.

How to Store Leftovers
Storage: Store leftover soup in an airtight container in the fridge for up to 3-4 days. Reheat on the stovetop over low heat. Keep in mind that the tortellini may continue to absorb the liquid and become slightly mushy when reheated.
If you plan to have a lot of leftovers I recommend cooking the tortellini separately and just adding a little to each bowl. Store it in a separate container and reheat in the soup.
Freezing: Freeze the tomato soup with the sausage in a freezer bag or other freezer container for up to 3 months, then add fresh tortellini when you cook it. Thaw in the fridge overnight and reheat in a pot on the stove.
Reheating: For best results, reheat in a saucepan on the stove. You can also reheat in the microwave.
Expert Tips
- We don’t like Italian Sausage. That’s totally fine! You can use ground beef, ground chicken, or no meat at all.
- We don’t like spinach. Leave it out! You do not need to add spinach to the soup if your family doesn’t like it. Likewise, if you love spinach, you could add as much as you like. Some will pour in a whole big bag from the produce department! You could also use kale.
- Add some heat: For a spicier soup, use spicy Italian sausage and add half a teaspoon of red pepper flakes.
- Add more veggies: When you saute the onions, add some carrots and celery too.

More Delicious Soup Recipes to Try
- Easy Beef & Macaroni Soup
- Loaded Baked Potato Soup
- Homemade Chicken Soup
- Hamburger Soup
- Bacon and Bean Soup
- Creamy Chicken Tortellini Soup Recipe

Tortellini Soup with Italian Sausage & Spinach
Ingredients
Soup
- 1 tablespoon vegetable oil
- 1 pound ground Italian Sausage
- 1/2 cup diced onion about ½ medium sized onion
- 1 tablespoon minced garlic
- 28 ounces canned crushed tomatoes
- 32 ounces vegetable broth chicken works too
- 2 tablespoons fresh chopped basil
- salt and pepper to taste
- 9 ounces refrigerated tortellini
- 2 cups packed fresh spinach
Crostini
- 6 Baguette slices (about ⅓ of a baguette)
- 1 tablespoon Butter
- 2 tablespoons Freshly shredded Parmesan Cheese
Instructions
Soup
- Heat a large, heavy bottomed pan over medium-high heat. Heat vegetable oil and add diced onion. Saute until onions are beginning to softed; 3-4 minutes
- Crumble Italian Sausage and garlic with the onion. Cook until sausage is no longer pink; about 4-5 minutes. Drain any excess grease.
- Stir in crushed tomatoes, vegetable (or chicken) broth, basil, salt and pepper. Bring to a boil, cover and reduce heat to low. Simmer for about 20 minutes.
- Add tortellini and spinach and simmer for about 5-10 minutes, or until pasta is tender.
- Garnish with shredded Parmesan and serve with a cheesy crostini crouton.
Crostini
- Slice baguette into ½ inch thick slices. Butter one side and place butter side down in a hot skillet until golden brown. Flip bread slices over and sprinkle with Parmesan while the other side gets golden brown. Transfer to a plate and immediately cover loosely with foil if cheese has not completely melted.
My family loves this soup! I make it just as written and serve it with crusty bread. It’s a hit every time. Thank you for sharing it!
You are so welcome Lisa! Awesome feedback, thanks for stopping by.
I made this tonight and it was delicious. I did add some Italian seasoning, black pepper, crushed red pepper, heavy whipping cream and Parmesan cheese on top.
Awesome feedback Lisa! Thanks for stopping by.
I really enjoyed the soup. I added half a cup Greek yogurt at the end and I am not a big fan. I think it’s better without the yogurt. However if I add some Italian herbs I think it’ll taste more the way it was originally. Overall excellent taste
Awesome feedback Christie! Thanks for stopping by.
Family favorite!! We all love it.
Awesome! Thanks for stopping by Delena.
I’ve made this several times. I’m making it again tonight. It is delicious, wholesome & very easy to make. Serve this to your family and they will love it.
Awesome feedback Papa! Thanks for stopping by.
Is there something you can substitute for Mimi marshmallows in most of the desserts made with cool whip – sour cream – fruit. My husband doesn’t like marshmallows. THANX
You can leave them or add more fruit, but generally, that’s a common ingredients in those types of desserts.
This was really good. Crustini were the perfect addition. Husband said to put it in the rotation. I did add the other half if my bag of tortellini to the leftovers.
That’s awesome Cyndi! Thanks for stopping by.
This was one of the first meals I made for my husband after we got married. Seven years later, it’s still in our regular rotation. So easy and so flavorful!
Love the comment Amanda! Thanks for stopping by.
Great dish, the only thing I wasn’t sure of is in step 2, where you make the soup base. Do you do that in a separate pot or do you continue with the same pot as the sausage is cooked in. I used two pots and drained the sausage fat(bit more fat free), but I can only imagine how much more flavor that fat/grease will add would add to the soup base!
You can use the same pot, and feel free to drain off the grease or use it.
This is a staple for my family! It is simple and quick to make and tastes delicious every time. It’s so good I’ve shared it among family and friends!
Nice! Thank you for stopping by kathi.
My personal opinion of this recipe. I loved it.
Nice! Thanks for stopping by Doug.
One of our go to meals at least once or twice a month. So good!
That’s awesome Amber! Thanks for stopping by.
Hi! I’m curious when it says it makes 6 servings, how big your serving size is?
My own serving size is roughly 2 ladlefuls. It can vary a bit so I usually say it will serve 5-6.
OMG, so good and so quick. Would not have imagined that much flover with minimal simmering!
Thank you cwa! Love the feedback.
Went mostly by recipe….didn’t read close enough and used diced tomatoes instead of crushed so I added small can of tomatoes sauce….was delicious…my picky taster loved it to. Thanks will definitely make again
You are so welcome John! Love the feedback, thanks for stopping by.
My family loves this recipe! My husband and son have celiac so I boil their tortellini and the regular kind separately and add to each bowl so everyone has what they need.
Does the nutrition info include the crostini or just the soup?
Thank you!
So great that you were able to accommodate their food issues. Yes, the nutritional information includes the crostini.