Stovetop Soup

Creamy Sausage Tortellini Soup

No tomato in it at all. The broth is finished pale ivory with cream and Parmesan, and the sausage goes in as browned rounds rather than crumbled.

45 min · 6 servings · Stovetop

Cheese tortellini and browned sausage rounds in a pale ivory creamy broth with wilted spinach, grated Parmesan and red pepper flakes in a white bowl

About Darleen

on Recipesdarleen

Darleen is a mom who turned her slow cooker into a lifesaver, sharing cozy, easy-to-make recipes that bring comfort to busy days.

268 recipes by Darleen Vance

Published September 12, 2025

How Recipesdarleen publishes recipes

Eleven ingredients and forty-five minutes in one pot. The sausage is browned whole first and cut afterwards.

What defines this soup is a short list of what stays out: no tomato, no carrot, no celery, no chicken and no feta.

Why This Recipe Works

  • Browning the links whole keeps their juices in until they are cut.
  • Cooking the onion in the same pot picks up what the sausage left.
  • Adding the tortellini to a simmer rather than a boil keeps them intact.
  • Reducing the heat before the cream goes in stops it splitting.
  • Parmesan stirred in at the end thickens the broth without flour.

Ingredient Notes

Italian sausage links
A pound and a half, browned whole to 160 degrees Fahrenheit and then cut into thick rounds rather than crumbled.
Cheese tortellini
An eighteen to twenty ounce package, cooked to its own package timing in the broth. It is the defining component of this soup.
Heavy cream and Parmesan
A cup and half a cup, both stirred in over reduced heat. Together they take a clear broth to pale ivory.
Baby spinach
Two cups, wilted in at the end. The only vegetable in the pot besides the onion.

How to Make It

  1. Links browned whole to 160F, then cut

    Brown sausage links in a soup pot until cooked to 160 degrees Fahrenheit. Rest briefly and cut into thick rounds.

  2. Onion four minutes, garlic thirty seconds

    In the same pot cook onion 4 minutes and garlic 30 seconds.

  3. Broth to a simmer, then the tortellini

    Add broth and bring to a simmer. Add tortellini and cook according to package timing.

  4. Heat down, then everything else

    Reduce heat. Stir in sausage rounds, spinach, cream, and Parmesan until the broth becomes pale ivory and creamy.

  5. Flakes and parsley, and nothing red

    Finish with red pepper flakes and parsley. Do not add tomato, carrot, celery, chicken, or feta.

How a Clear Broth Becomes Ivory

The timeline below is partly a method and partly a set of refusals - and the last entry is the list of what stays out.

  1. First, and whole

    1 1/2 lb of Italian sausage LINKS

    Browned in the soup pot itself until cooked to 160F, RESTED BRIEFLY, then cut into THICK ROUNDS. Whole first is what keeps the juices in; sliced raw, the cut faces render out and the rounds come back dry. The sausage is served in rounds rather than crumbled.

  2. 4 minutes, then 30 seconds

    1 small diced onion, then 3 minced garlic cloves

    In the SAME pot, so the fond the sausage left goes into the broth rather than being washed out. Onion first because it needs the time; garlic last because it does not.

  3. To a simmer

    6 cups low-sodium chicken broth

    A simmer, not a boil - the tortellini go into this next, and fresh pasta parcels split open in a rolling pot.

  4. Package timing, and no longer

    1 package (18 to 20 oz) cheese tortellini

    The defining component of the soup. Fresh tortellini keeps softening in hot liquid after the heat goes off, so the package time is a ceiling rather than a target.

  5. Heat REDUCED first

    The sausage rounds, 2 cups baby spinach, 1 cup heavy cream and 1/2 cup grated Parmesan

    The heat comes down BEFORE the dairy - a cup of cream at a hard simmer can split. This is the step that turns a clear broth PALE IVORY AND CREAMY, and the Parmesan thickens it without any flour. The spinach wilts in the residual heat.

  6. Off the heat

    1/4 tsp red pepper flakes and 2 tbsp chopped parsley

    And then what stays out: NO tomato, carrot, celery, chicken or feta.

Success Tips

  • Brown the links whole; sliced first they render dry in the pot.
  • Watch the tortellini — fresh pasta keeps softening after the heat goes off.
  • Lower the heat before the cream, or a hard simmer can split it.

Serving Ideas

Six servings in white bowls, the cheese tortellini and browned sausage rounds in the pale ivory creamy broth with wilted spinach, grated Parmesan, red pepper flakes and parsley.

Frequently Asked Questions

Should there be tomato in it?

No — step 5 leaves out tomato, along with carrot, celery, chicken and feta.

Rounds or crumbled sausage?

Rounds. The links are browned whole to 160 degrees Fahrenheit, rested, and then cut, which is what the finished bowl shows.

How is this different from the creamy Parmesan Italian sausage soup?

That one has no tortellini. Cheese tortellini is the defining component here, and the sausage is in rounds rather than crumbled.

Recipesdarleen

Creamy Sausage Tortellini Soup

No tomato in it at all. The broth is finished pale ivory with cream and Parmesan, and the sausage goes in as browned rounds rather than crumbled.

Prep
15 min
Cook
30 min
Total
45 min
Yield
6 servings

Stovetop

EquipmentLarge soup pot · Chopping board · Tongs · Instant-read thermometer

Before you startBrown the sausage links whole and cut them after they rest. Reduce the heat before the cream goes in.

Ingredients

Instructions

  1. Brown sausage links in a soup pot until cooked to 160°F. Rest briefly and cut into thick rounds.
  2. In the same pot cook onion 4 minutes and garlic 30 seconds.
  3. Add broth and bring to a simmer. Add tortellini and cook according to package timing.
  4. Reduce heat. Stir in sausage rounds, spinach, cream, and Parmesan until the broth becomes pale ivory and creamy.
  5. Finish with red pepper flakes and parsley. Do not add tomato, carrot, celery, chicken, or feta.