Hey friend!
If you’re looking for something super comforting and cozy but also really easy, this Crockpot Sausage Tortellini Soup is a must-try. It’s creamy, cheesy, a little bit spicy (if you want it to be), and full of hearty flavor. The best part? You just toss everything in the slow cooker and let it do its thing. Perfect for busy days when you still want a homemade meal that tastes like you put in way more effort than you actually did.

🍲 Why I Love This Recipe
This one takes me back to when I first moved into my own place and was learning how to feed myself with more than just frozen pizza. A friend gave me her mom’s tortellini soup recipe, and over the years, I added a little sausage here, swapped a few things there… and now this version is a total go-to.
Here’s why I love it:
- The creamy tomato broth is rich and cozy.
- Cheese tortellini = little pillows of joy.
- One pot, no fuss. The crockpot handles most of the work.
- Great for leftovers. It tastes even better the next day.
🍅 What You’ll Need
- 1 lb Italian sausage (mild or spicy)
- 1 yellow onion, diced
- 3 cloves garlic, minced
- 4 cups chicken broth
- 1 (14.5 oz) can diced tomatoes
- 1 (8 oz) can tomato sauce
- 1 tsp dried basil
- 1 tsp dried oregano
- ½ tsp crushed red pepper flakes (optional)
- Salt & pepper to taste
- 1 (9 oz) package refrigerated cheese tortellini
- 4 cups fresh spinach
- ½ cup heavy cream
- Grated parmesan cheese, for serving

🛠️ Tools You’ll Need
- Crockpot/slow cooker
- Medium skillet
- Cutting board & knife
- Wooden spoon
- Ladle
👩🍳 Pro Tips
- Brown the sausage first. Adds way more flavor to the soup!
- Don’t overcook the tortellini. Add it near the end so it doesn’t get mushy.
- Use fresh spinach. It wilts perfectly into the hot soup.
- Make it spicy. Use hot Italian sausage and more red pepper flakes if you like a kick.
- Cream goes in last. Wait until the end so it doesn’t curdle.
🔁 Substitutions & Variations
- No sausage? Try ground turkey or plant-based sausage.
- Spinach swap: Kale works great too.
- Dairy-free: Use coconut cream and skip the cheese topping.
- Tomato-free: Sub a creamy broth instead of tomato products for a white version.
⏳ Make-Ahead Tips
- You can brown the sausage, chop the onions, and mince the garlic the night before. Store in the fridge and dump everything into the crockpot in the morning.
- Don’t add tortellini or cream until just before serving to avoid soggy pasta or separation.
🍽️ Servings & Time
- Servings: 6
- Cook Time: 6–7 hours on low, or 3–4 hours on high
🧪 Why This Recipe Works (Quick Science)
- Browning the sausage first triggers the Maillard reaction—that deep, savory flavor you get from seared meat.
- Tortellini cooks fast, so adding it later keeps the texture just right.
- Adding cream at the end keeps it from curdling and gives the broth a smooth, rich finish.
👨🍳 How to Make Crockpot Sausage Tortellini Soup
Step 1: Brown the Sausage
Heat a skillet over medium heat. Add sausage and cook until browned, breaking it up with a spoon.

Step 2: Add to Crockpot
Transfer cooked sausage, diced onions, minced garlic, chicken broth, diced tomatoes, tomato sauce, basil, oregano, red pepper flakes, salt, and pepper into the crockpot.

Step 3: Cook
Cover and cook on low for 6–7 hours or high for 3–4 hours until onions are soft and broth is flavorful.
Step 4: Add Tortellini
Stir in the cheese tortellini and cook for another 20–30 minutes on high, until tortellini is tender.

Step 5: Add Spinach and Cream
Stir in fresh spinach and heavy cream. Let wilt for 5 minutes. Stir again and taste for seasoning.

Step 6: Serve and Top
Ladle into bowls and top with shredded parmesan and fresh herbs if you like!

🧊 Leftovers & Storage
- Fridge: Store in an airtight container for 3–4 days.
- Reheat gently over the stove or in the microwave.
- Freezer tip: Freeze before adding tortellini and cream for best texture.
🍽️ What to Serve With
- Crusty garlic bread
- Simple green salad
- Roasted veggies
- A glass of red wine or sparkling water with lemon
🗓️ Meal Plan Ideas
- Day 1: Serve with garlic bread and salad.
- Day 2: Leftover soup with a grilled cheese sandwich.
- Day 3: Pour over cooked rice or quinoa for a twist.
- Freeze a portion for a quick lunch later in the week.
⚠️ Common Mistakes
- Overcooking the tortellini. Add it near the end to avoid mushy pasta.
- Adding cream too early. It can curdle if cooked too long.
- Using low-fat cream or milk. Won’t give you the same richness.
❓ FAQ
Can I use frozen tortellini?
Yep! Just add a few extra minutes to the cook time.
Can I skip the sausage?
Sure, it’ll still be good—but consider adding beans or mushrooms for extra flavor.
Can I make this on the stovetop?
Yes! Just simmer everything in a large pot for about 30–40 minutes, then add tortellini and cream as directed.
💬 Final Thoughts
This Crockpot Sausage Tortellini Soup is one of those recipes that just hits the spot every time. It’s hearty, creamy, and so simple to make. I hope it becomes one of your favorites too. If you try it out, leave a comment below and let me know how it turned out—or ask any questions if something comes up. Happy cooking! 🍲💛