Comforting Crockpot Tortellini Sausage

Section: Simplify Dinner with One-Pot Wonders

This comforting slow cooker dish combines Italian sausage, cheese tortellini, and a blend of vegetables including tomatoes, carrots, celery, and spinach. Slowly cooked for tender flavors, it finishes with a splash of cream to enhance richness. Perfect for a hearty meal, it’s simple to prepare and fills the kitchen with inviting aromas.

The sausage is browned and combined with sautéed garlic before adding to the slow cooker along with fresh vegetables and broth. Cheese tortellini and spinach join near the end, preserving texture, while cream adds a silky finish. Seasoning with salt and pepper balances the flavors beautifully.

Ideal for a cozy gathering, this dish offers a satisfying blend of textures and tastes, with the warmth of the sausage and the delicate bite of tortellini making every spoonful delightful.

A woman cooking in a kitchen.
Created By Sarah Lynn
Updated on Tue, 11 Nov 2025 11:02:59 GMT
A bowl of soup with pasta and sausage. Highlight
A bowl of soup with pasta and sausage. | satisfymeals.com

This Crockpot tortellini soup with sausage is the perfect blend of hearty flavors and comforting textures that make slow cooker meals so satisfying. Designed for easy preparation with layers of Italian sausage, tender vegetables, rich tomatoes, cheese tortellini, a splash of cream, and fresh spinach, this soup comes together with minimal effort and maximum taste. It’s ideal for busy days when you want a warm homemade dinner waiting for you at the end of the day.

I first made this during a chilly weekend and was amazed by how simple it was to prep and how deeply flavorful it turned out. Now it’s a go-to whenever I want comforting but fuss-free dinner that feeds a crowd.

Gather Your Ingredients

  • Italian sausage: for a savory, slightly spicy protein element. Choose good quality sausage from your butcher or market for best flavor
  • Onion: provides a sweet aromatic base. Use a firm onion without soft spots
  • Garlic: adds pungent depth. Fresh cloves work best over pre-minced
  • Carrots: bring subtle sweetness and texture. Opt for firm and bright orange carrots
  • Celery: lends crunch and earthy notes. Fresh celery stalks with crisp leaves make a difference
  • Crushed tomatoes: give the soup body and acidity. Full flavor comes from high-quality canned tomatoes
  • Diced tomatoes with juices: add bursts of tomato flavor and moisture
  • Chicken broth: gives the soup its broth base. Choose low sodium if you prefer to control salt levels
  • Refrigerated cheese tortellini: brings comforting, cheesy bite to the soup. Fresh refrigerated packs yield tender pasta without added cooking
  • Heavy cream or whipping cream: adds smooth richness for a velvety finish. Use fresh cream or skip for lighter version
  • Fresh baby spinach: adds a pop of color and fresh vitamin boost. Use packed, vibrant leaves for best results
  • Salt and pepper: for seasoning to taste

How to Make It

Sauté the Sausage and Onions:
Cook Italian sausage meat and chopped onions over medium heat for about 7 to 8 minutes, breaking up the sausage with your spoon until browned and cooked through. This browning step develops savory flavor. If the pan gets too greasy, carefully spoon out some excess fat.
Add Garlic:
Stir in minced garlic and cook for approximately 30 seconds just until fragrant. Avoid burning the garlic as it becomes bitter. Transfer this sausage mixture into your Crockpot.
Combine Vegetables and Liquids:
Add the sliced carrots, finely chopped celery, crushed and diced tomatoes with their juices, and chicken broth into the Crockpot with the sausage mixture. If you plan to cook the soup on low for 7 to 8 hours or on high for 4 to 5 hours, chunkier vegetables work fine. For a quicker 3 to 4 hour cook, chop carrots smaller so they soften fully.
Slow Cook:
Cover the Crockpot and let the soup cook until vegetables are tender and flavors are melded, setting the time according to your chosen method.
Add Tortellini, Cream, and Spinach:
About 30 minutes before serving, stir in the cheese tortellini, cream, and packed fresh spinach. Switch the slow cooker setting to high to ensure the tortellini cooks through and the spinach wilts properly. Stir occasionally so pasta does not stick.
Season and Serve:
Taste the soup and add salt and pepper as needed before serving warm.
A bowl of soup with noodles and sausage.
A bowl of soup with noodles and sausage. | satisfymeals.com

I love the combination of cream and spinach that gets stirred in last. It brightens the soup and adds creaminess without making it too heavy. One cherished moment was making this soup on a snowy day when a friend dropped by—the warm aroma filled the house and we all enjoyed bowls piled high with crusty bread.

Flavor Boosters

Try spicy Italian sausage for a bolder heat level or turkey sausage for a lighter version. Use vegetable broth if you want a meatless soup and swap tortellini for another filled pasta like ravioli or even small dumplings. Fresh baby kale works well instead of spinach for a heartier green.

Serving Suggestions

Serve with warm crusty bread or garlic toast so you can soak up the flavorful broth. A sprinkle of grated Parmesan cheese and a drizzle of olive oil on each bowl finish it beautifully. Pair with a simple green salad for a complete meal.

Creative Twists

In cooler months this hearty soup is a warming meal. In warmer seasons, lighten it by skipping the cream and adding fresh herbs like basil or oregano at the end. Roasted summer tomatoes can be substituted for canned for a fresh twist.

A bowl of soup with pasta and meat.
A bowl of soup with pasta and meat. | satisfymeals.com

This soup perfectly balances hearty and fresh flavors for an easy, crowd-pleasing meal that can adapt to your schedule and tastes.

Common Questions About the Recipe

→ Can I use spicy sausage instead of Italian sausage?

Yes, using spicy sausage will add a wonderful kick and enhance the depth of flavor.

→ When should I add the tortellini during cooking?

Add cheese tortellini about 30 minutes before serving to prevent overcooking and maintain its texture.

→ Is it necessary to brown the sausage first?

Browning the sausage adds richer flavor and improves texture before slow cooking.

→ How can I keep the spinach from wilting too much?

Add fresh spinach shortly before serving to keep its vibrant color and tender texture.

→ Can I make this dish faster?

Cooking on high for 4-5 hours works well if you chop the vegetables finely to speed softening.

→ How should leftovers be reheated?

Reheat gently and add extra broth or toss in tortellini again to restore creaminess and texture.

Crockpot Tortellini Sausage Soup

Slow cooker dish featuring Italian sausage, cheese tortellini, tomatoes, spinach, and cream for rich flavor.

Preparation Time
20 minutes
Time to Cook
480 minutes
Overall Time
500 minutes
Created By: Sarah Lynn

Type of Recipe: One-Pot Dinners

Level of Difficulty: Simple to Make

Cuisine Category: Italian-American

Makes: 6 Portions

Dietary Options: ~

Ingredients List

→ Meat

Ingredient 01 16 ounces Italian sausage, casings removed

→ Vegetables

Ingredient 02 1/2 medium onion, chopped
Ingredient 03 4 cloves garlic, minced
Ingredient 04 2 medium carrots, sliced or chopped
Ingredient 05 2 celery stalks, finely chopped
Ingredient 06 2 cups packed fresh baby spinach

→ Canned Goods

Ingredient 07 1 (28 ounce) can crushed tomatoes
Ingredient 08 1 (14 ounce) can diced tomatoes with juices

→ Liquids

Ingredient 09 4 cups chicken broth
Ingredient 10 3/4 cup heavy cream (optional)

→ Pasta

Ingredient 11 2 (9 ounce) packages refrigerated cheese tortellini

→ Seasonings

Ingredient 12 Salt and black pepper, to taste

How to Make It

Step 01

Heat a skillet over medium heat. Add Italian sausage and chopped onions. Cook, breaking up the sausage with a spoon, for 7 to 8 minutes until browned. Drain excess fat if necessary.

Step 02

Stir in minced garlic and sauté for 30 seconds. Transfer sausage mixture to the slow cooker.

Step 03

Add sliced carrots, chopped celery, crushed tomatoes, diced tomatoes with juice, and chicken broth to the slow cooker. Stir to combine.

Step 04

Cook on low for 7 to 8 hours or on high for 4 to 5 hours. For shorter cooking times, chop carrots finely to ensure tenderness.

Step 05

About 30 minutes before serving, stir in cheese tortellini, heavy cream (if using), and fresh spinach. Increase heat to high and cook until tortellini is tender, stirring occasionally.

Step 06

Season with salt and pepper to taste before serving.

Extra Information

  1. For best flavor and texture, consume soup fresh. Leftovers tend to absorb broth; reheat with additional chicken broth or add tortellini upon reheating if necessary.
  2. Use spicy Italian sausage for a bolder taste.

Essential Tools

  • Slow cooker (minimum 7-quart capacity)
  • Skillet
  • Stirring spoon

Allergen Details

Always verify the ingredients for potential allergens and consult your doctor if needed.
  • Contains dairy and gluten (cheese tortellini)
  • Contains pork (Italian sausage)

Nutritional Info (Per Serving)

This info should only be used for general guidance and isn’t meant to replace professional medical advice.
  • Calorie Count: 350
  • Fat Content: 18 grams
  • Carbohydrate Content: 28 grams
  • Protein Content: 15 grams