Tuscan Tortellini Soup

Featured in: Light Greens, Pastas & Bowls

This Tuscan tortellini soup brings together tender cheese tortellini, seasoned Italian sausage, and fresh spinach in a luscious creamy tomato broth. Brown the sausage, sauté aromatics, then simmer with broth and tomatoes before adding the pasta and cream for a luxurious finish. Ready in just 40 minutes, it's the perfect cozy comfort meal.

Pro tip: Pair with crusty bread and a glass of Chianti for an authentic Italian dining experience.

Updated on Sun, 18 Jan 2026 16:30:00 GMT
Creamy Tuscan Tortellini Soup with sausage and spinach, garnished with Parmesan and herbs in a rustic bowl. Save to Pinterest
Creamy Tuscan Tortellini Soup with sausage and spinach, garnished with Parmesan and herbs in a rustic bowl. | basilhollow.com

The smell of browning sausage mixed with garlic always makes my kitchen feel like someone's Italian grandmother just walked in. I started making this soup on a particularly gray Wednesday when I had half a package of tortellini in the fridge and no real plan for dinner. What came together in under an hour became the kind of meal my family now requests by name. It's rich without being heavy, satisfying without putting you to sleep, and honestly tastes like you spent way more time on it than you did. That first bowl, eaten standing at the stove, convinced me this was going into regular rotation.

I made this for my neighbors after they helped us move furniture in the rain, and they showed up the next week asking if I'd written the recipe down yet. There's something about handing someone a warm bowl of soup that makes you feel like you've done something genuinely kind. My youngest, who usually picks at anything green, surprises me every time by finishing the spinach without complaint. I think the cream and cheese tortellini trick her into thinking it's indulgent, which I suppose it is. It's become my go-to when I want to feel like I'm taking care of people without spending my whole evening in the kitchen.

Ingredients

  • Italian sausage: The foundation of flavor here, use mild if you're feeding kids or spicy if you want a little kick that builds as you eat.
  • Yellow onion: Diced small so it melts into the broth and adds sweetness without chunks that people might pick around.
  • Garlic: Three cloves give you that aromatic punch without overpowering the tomato and cream.
  • Baby spinach: Wilts down to almost nothing but adds color and a bit of earthiness that balances the richness.
  • Chicken broth: Low sodium is key because the sausage and Parmesan bring plenty of salt on their own.
  • Crushed tomatoes: One standard can creates a hearty base that's thick enough to coat everything.
  • Heavy cream: This is what turns the soup creamy and luxurious, you can go lighter but you'll lose some of that silky texture.
  • Cheese tortellini: Use the refrigerated kind for the best texture, frozen works but takes a few extra minutes.
  • Italian herbs: The dried blend is convenient and gives you that classic Italian flavor without measuring three separate jars.
  • Crushed red pepper flakes: Optional, but a half teaspoon adds warmth without making it spicy.
  • Parmesan cheese: Freshly grated melts into the hot soup and adds a salty, nutty finish.
  • Fresh basil or parsley: A handful of chopped herbs on top makes it look and taste like you really tried.

Instructions

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Brown the sausage:
Break up the sausage with a wooden spoon as it cooks over medium heat until no pink remains and the edges get a little crispy. If there's more than a tablespoon of fat pooling in the pot, tip most of it out so the soup doesn't get greasy.
Sauté the aromatics:
Toss in the diced onion and let it soften for about three minutes, stirring occasionally, then add the garlic and cook just until your kitchen smells amazing. Don't let the garlic brown or it turns bitter.
Build the broth:
Pour in the chicken broth and crushed tomatoes, then stir in the Italian herbs and red pepper flakes if you're using them. Bring everything to a gentle boil so the flavors start mingling.
Cook the tortellini:
Lower the heat to a simmer and add the tortellini, cooking them according to the package time, usually around five minutes. They'll puff up and float when they're ready.
Finish with cream and spinach:
Stir in the heavy cream and spinach, letting the soup simmer for another two to three minutes until the spinach wilts and everything looks silky. Taste and add salt and pepper as needed, remembering the Parmesan will add more saltiness.
Serve:
Ladle the soup into bowls and top each one with a generous sprinkle of Parmesan and a handful of fresh herbs. Serve it hot with crusty bread for dipping.
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Ideal for slow-simmered sauces, braised vegetables, baked dips, and cozy one-pot meals with even heat.
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Hearty Tuscan Tortellini Soup served with crusty bread, showcasing the creamy tomato broth and melted Parmesan. Save to Pinterest
Hearty Tuscan Tortellini Soup served with crusty bread, showcasing the creamy tomato broth and melted Parmesan. | basilhollow.com

There was one night when I served this to a friend who'd just had a rough day at work, and she got quiet halfway through her bowl in that good way where you know someone's actually relaxing. She told me later it reminded her of a trip to Florence, which I'll take as the highest compliment even though I've never been. Food has this sneaky way of becoming a memory you didn't know you were making. Now whenever I make it, I think about her sitting at my table, finally exhaling.

Making It Your Own

I've swapped the sausage for ground turkey when I wanted something lighter, and while it's not quite as rich, it still works beautifully. Adding a diced carrot or red bell pepper with the onion gives you extra sweetness and texture if you're in the mood for more vegetables. Some people in my family prefer it spicier, so I keep the red pepper flakes on the table and let everyone adjust their own bowl. You could even skip the meat entirely and use white beans for a vegetarian version, though you'd want to add a little smoked paprika to make up for the sausage's depth.

Storing and Reheating

This soup keeps in the fridge for about three days, and I actually think it tastes even better the next day once everything's had time to get friendly. The tortellini will soak up some of the broth as it sits, so you might want to add a splash of chicken broth or water when you reheat it. I usually warm it gently on the stove rather than the microwave because it heats more evenly and doesn't make the cream separate. If you're planning to freeze it, I'd leave out the tortellini and cream, then add those fresh when you reheat the base.

Serving Suggestions

A crusty baguette or some garlic bread is basically mandatory for soaking up every last bit of that creamy broth. I've served this with a simple arugula salad dressed in lemon and olive oil, which cuts through the richness nicely. If you're feeling fancy, a medium-bodied red wine like Chianti or Montepulciano makes it feel like a real Italian dinner even on a weeknight.

  • Pair it with a crisp green salad to balance the creaminess.
  • Serve with crusty bread, garlic knots, or even cheesy breadsticks for dipping.
  • A glass of red wine turns this into a cozy date night meal without any extra effort.
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Steamy bowl of Tuscan Tortellini Soup featuring cheesy tortellini, browned sausage crumbles, and wilted spinach leaves. Save to Pinterest
Steamy bowl of Tuscan Tortellini Soup featuring cheesy tortellini, browned sausage crumbles, and wilted spinach leaves. | basilhollow.com

This soup has a way of turning an ordinary Tuesday into something that feels a little special, and that's worth more than any complicated recipe. Make it once, and I bet it ends up in your regular lineup too.

Recipe FAQs

Can I prepare this soup ahead of time?

Yes, you can make the soup up to the point of adding the tortellini, then store it in the refrigerator for up to 3 days. Add the pasta and cream just before serving to maintain optimal texture.

What's the best way to prevent the cream from curdling?

Ensure the soup is at a gentle simmer, not a rolling boil, when adding the cream. Stir it in slowly and avoid rapid temperature changes. This keeps the dairy smooth and creamy.

Can I use frozen tortellini instead of refrigerated?

Absolutely. Frozen tortellini works well and may require an extra 2-3 minutes of cooking time. Add it directly without thawing for best results.

How can I make this soup lighter?

Substitute half-and-half or evaporated milk for the heavy cream, use turkey or chicken sausage instead of pork, and add extra vegetables like carrots or zucchini for volume without excess calories.

What sausage varieties work best?

Mild or spicy Italian sausage are traditional choices. For leaner options, try turkey or chicken sausage. Ensure the sausage is removed from its casing and crumbled before cooking.

Can I add other vegetables to this soup?

Definitely. Diced carrots, bell peppers, zucchini, or mushrooms complement the flavors beautifully. Add them when you sauté the onion to ensure they're tender by serving time.

Tuscan Tortellini Soup

A hearty Italian soup combining cheese tortellini, sausage, and spinach in a rich, creamy tomato broth.

Prep Time
15 minutes
Time to Cook
25 minutes
Overall Time
40 minutes
Recipe by Charlotte Adams


Skill Level Easy

Cuisine Type Italian

Makes 6 Number of Servings

Diet Considerations None specified

What You'll Need

Meats

01 1 lb Italian sausage (mild or spicy), casings removed

Vegetables

01 1 medium yellow onion, finely diced
02 3 cloves garlic, minced
03 4 cups fresh baby spinach, roughly chopped

Broth & Dairy

01 3⅓ cups low-sodium chicken broth
02 1 can (14.5 oz) crushed tomatoes
03 1 cup heavy cream

Pasta

01 10 oz refrigerated cheese tortellini

Seasonings

01 1 teaspoon dried Italian herbs (basil, oregano, thyme mix)
02 ½ teaspoon crushed red pepper flakes (optional)
03 Salt and freshly ground black pepper, to taste

Finishing Touches

01 ¼ cup grated Parmesan cheese, for serving
02 Fresh basil or parsley, chopped (optional)

Directions

Step 01

Brown the sausage: In a large soup pot or Dutch oven, cook the Italian sausage over medium heat, breaking it apart with a spoon until browned and cooked through, approximately 5–7 minutes. Drain excess fat if needed.

Step 02

Sauté aromatics: Add the diced onion and sauté until translucent, about 3 minutes. Stir in the garlic and cook for 1 minute until fragrant.

Step 03

Build the broth base: Pour in the chicken broth and crushed tomatoes. Stir in the Italian herbs and red pepper flakes. Bring to a gentle boil.

Step 04

Cook the tortellini: Lower the heat and add the tortellini. Simmer according to package instructions, usually 4–6 minutes, until the pasta is tender.

Step 05

Finish with cream and spinach: Stir in the heavy cream and spinach. Simmer for 2–3 minutes, just until the spinach wilts and the soup reaches a creamy consistency.

Step 06

Season and serve: Season to taste with salt and pepper. Ladle into bowls and garnish with Parmesan and fresh herbs, if desired.

Equipment Needed

  • Large soup pot or Dutch oven
  • Wooden spoon
  • Knife and cutting board
  • Ladle

Allergy Notice

Review the ingredient list for possible allergy risks. If needed, check with a medical expert.
  • Contains dairy (cheese tortellini, Parmesan, heavy cream)
  • Contains gluten (tortellini)
  • Contains pork (if using pork sausage)
  • May contain egg or soy (verify tortellini and sausage ingredient labels)

Nutrition Details (per serving)

This data is for reference—always check with your doctor for health matters.
  • Calorie Count: 470
  • Total Fat: 28 g
  • Carbohydrates: 34 g
  • Proteins: 20 g