Tuscan Tortellini Soup

Featured in: Hearty Soups & Stews

This Tuscan tortellini soup combines refrigerated cheese tortellini with browned Italian sausage, sautéed aromatics, and a velvety tomato-cream broth enriched with fresh spinach. The straightforward preparation takes just 40 minutes—brown the sausage, build the broth base, simmer the pasta, and finish with cream and greens for a restaurant-quality dish at home.

Updated on Sun, 18 Jan 2026 16:33:00 GMT
A steaming bowl of Tuscan Tortellini Soup, with cheese-filled pasta, Italian sausage, and fresh spinach in a creamy tomato broth. Save
A steaming bowl of Tuscan Tortellini Soup, with cheese-filled pasta, Italian sausage, and fresh spinach in a creamy tomato broth. | pumpkinhearth.com

The kitchen window was foggy with steam, and I could barely see the street outside as I stirred the pot one more time. My hands smelled like garlic and Italian sausage, and I realized I'd been standing there longer than I meant to, just watching the tortellini bob around like little pillows. It wasn't a special occasion, just a Tuesday that felt too cold to think about anything complicated. That's when this soup became my answer to everything.

I made this for my neighbor once after she mentioned her week had been terrible. She stood in my doorway with the bowl in her hands and said it smelled like someone's Italian grandmother lived in my apartment. I'm not Italian and I definitely don't have a grandmother's patience, but I took it as the highest compliment. She asked for the recipe before she even tasted it.

Ingredients

  • Italian sausage: This is where all the flavor starts, so don't skip browning it properly until you see those crispy brown bits on the bottom of the pot.
  • Yellow onion: I dice mine small because I don't love big onion chunks in soup, but do what makes you happy.
  • Garlic: Three cloves is the minimum for me, but I've gone as high as five when I'm feeling bold.
  • Baby spinach: It wilts down to almost nothing, so don't be shy about piling it in.
  • Chicken broth: Low sodium gives you control over the salt, especially since the sausage and Parmesan add plenty.
  • Crushed tomatoes: I use the kind that comes in a can because it's consistent and you don't have to think about it.
  • Heavy cream: This turns the broth silky and rich, but half and half works if you want something a little lighter.
  • Cheese tortellini: The refrigerated kind cooks fast and stays tender, plus it's already stuffed with cheese so every bite is a little gift.
  • Italian herbs: I keep a jar of the pre-mixed stuff because it's one less thing to measure on a busy night.
  • Red pepper flakes: Optional, but a pinch adds just enough warmth without making it spicy.
  • Parmesan cheese: Freshly grated melts into the soup and makes everything taste more expensive than it actually is.

Instructions

Brown the sausage:
Break it up with your spoon as it sizzles and don't stir it too much, you want it to get some color and develop flavor. If there's a lot of grease pooling at the bottom, spoon most of it out but leave a little for flavor.
Sauté the aromatics:
Toss in the onion and let it soften until it's translucent and sweet, then add the garlic and stir for just a minute until your kitchen smells amazing. Don't let the garlic burn or it'll taste bitter.
Build the broth:
Pour in the chicken broth and crushed tomatoes, then sprinkle in your herbs and red pepper flakes. Bring it to a gentle boil and let all those flavors start to come together.
Cook the tortellini:
Lower the heat to a simmer and add the tortellini, stirring gently so they don't stick to the bottom. Follow the package timing but start checking a minute early because nobody likes mushy pasta.
Finish with cream and spinach:
Stir in the heavy cream and watch the broth turn creamy and dreamy, then add the spinach and let it wilt for a couple of minutes. Taste it now and add salt and pepper until it's just right.
Serve:
Ladle the soup into bowls and top with a generous sprinkle of Parmesan and fresh herbs if you have them. Serve it hot with crusty bread for dipping.
Hearty Tuscan Tortellini Soup in a rustic bowl, garnished with Parmesan and herbs, served beside crusty bread for dipping. Save
Hearty Tuscan Tortellini Soup in a rustic bowl, garnished with Parmesan and herbs, served beside crusty bread for dipping. | pumpkinhearth.com

There was a night last winter when the power went out halfway through dinner. We ate this soup by candlelight, scraping our bowls clean with bread, and my kid said it tasted better in the dark. I'm not sure that's true, but I know we all went back for seconds. It's the kind of meal that makes you forget what went wrong earlier in the day.

Make It Your Own

I've swapped the sausage for ground turkey when I wanted something lighter, and I've thrown in diced carrots and bell peppers when I needed to use up vegetables before they went bad. Sometimes I add a splash of white wine after the onions for a little extra depth. This soup is forgiving, so trust your instincts and use what you have.

Storing and Reheating

This keeps in the fridge for up to four days in an airtight container, and it reheats beautifully on the stovetop over low heat. I add a splash of broth or cream when I reheat it because the tortellini soaks up liquid as it sits. You can freeze it, but I recommend leaving out the tortellini and cream, then adding those fresh when you reheat.

Serving Suggestions

I serve this with a hunk of warm, crusty bread for dunking, and sometimes a simple arugula salad with lemon and olive oil to balance the richness. A glass of Chianti or any medium bodied red wine makes it feel like a real occasion, even if you're just eating in your pajamas.

  • Pair it with garlic bread or focaccia for extra comfort.
  • Top with extra Parmesan and a drizzle of good olive oil right before serving.
  • Serve alongside a crisp green salad to lighten the meal.
Spoon lifting creamy Tuscan Tortellini Soup, revealing tender tortellini, sausage crumbles, and vibrant wilted spinach in a rich broth. Save
Spoon lifting creamy Tuscan Tortellini Soup, revealing tender tortellini, sausage crumbles, and vibrant wilted spinach in a rich broth. | pumpkinhearth.com

This soup has pulled me through more cold nights and long weeks than I can count. I hope it does the same for you.

Recipe Q&A

Can I make this soup ahead of time?

Yes, prepare the broth and sausage mixture up to 2 days in advance. Store separately and reheat gently before adding the tortellini and spinach to prevent the pasta from becoming mushy. Add fresh cream just before serving for best texture.

What sausage works best for this dish?

Mild Italian sausage is traditional and adds savory depth without excessive heat. Spicy sausage works well if you prefer more kick. For a lighter version, turkey or chicken sausage delivers similar flavor with less fat.

How do I prevent the soup from being too heavy?

Substitute half-and-half or evaporated milk for heavy cream to reduce richness while maintaining creaminess. You can also use less cream and increase broth for a brothier consistency without sacrificing flavor.

What vegetables can I add for more texture?

Diced carrots, bell peppers, celery, or zucchini work wonderfully. Add firmer vegetables like carrots when building the broth so they cook through. Delicate vegetables like zucchini should be added near the end to maintain their texture.

Is there a gluten-free option?

Use gluten-free cheese tortellini, available at most grocery stores. Verify that your sausage and broth are certified gluten-free, as some brands contain hidden gluten. All other ingredients are naturally gluten-free.

What pairs well with this soup?

Crusty bread is essential for soaking up the creamy broth. A medium-bodied red wine like Chianti or a crisp white wine complements the rich, herby flavors beautifully. A fresh green salad balances the soup's richness.

Tuscan Tortellini Soup

Hearty cheese tortellini soup with Italian sausage, spinach, and rich tomato cream broth. Comfort food made easy.

Prep duration
15 min
Time to cook
25 min
Time required
40 min
Created by Sarah Coleman


Skill required Easy

Cuisine origin Italian

Portions 6 Serves

Dietary info 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

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

Step 03

Combine broth and seasonings: 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 greens: 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.

Gear Needed

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

Allergy warning

Read over each ingredient for allergies and check with your doctor when uncertain.
  • Contains dairy (cheese tortellini, Parmesan, cream)
  • Contains gluten (tortellini)
  • Contains pork (if using pork sausage)
  • May contain egg or soy (verify tortellini and sausage ingredient labels)

Nutrition details per portion

This is for reference only. Contact your healthcare provider about any concerns.
  • Calorie count: 470
  • Fat content: 28 g
  • Carbohydrate: 34 g
  • Proteins: 20 g