Tuscan Tortellini Soup

Featured in: Main Dishes

This Tuscan dish blends tender cheese tortellini with savory Italian sausage, fresh spinach, and a rich tomato cream broth. Quick to prepare, it starts by browning sausage and sautéing onion and garlic for a flavorful base. Simmering crushed tomatoes and herbs infuse the broth with warmth, while the addition of cream and spinach creates a velvety texture and vibrant green color. Served hot with Parmesan and herbs, this comforting bowl suits a satisfying lunch or dinner.

Updated on Sun, 11 Jan 2026 12:40:00 GMT
Steaming Tuscan Tortellini Soup with Italian sausage and fresh spinach, ready to serve with Parmesan. Save
Steaming Tuscan Tortellini Soup with Italian sausage and fresh spinach, ready to serve with Parmesan. | cheerfulchefs.com

There's something about a soup pot that makes a kitchen feel instantly lived-in. I discovered this Tuscan tortellini soup on a particularly gray afternoon when I had sausage thawing and an almost-forgotten bag of frozen spinach calling from the back of my fridge. What started as an improvisation to avoid waste turned into something I now make deliberately, often enough that my partner jokes he can smell it coming from a block away. The cream swirls into the tomato broth like something between comfort and elegance, and somehow it never feels like I'm making an effort.

I made this for my friend Marco one cold Tuesday, and he sat at my kitchen counter just watching the spinach melt into the cream, making this small satisfied sound. He asked for the recipe before he even finished eating, which never happens with Marco—he's the type to say \"that was great\" and move on. The next week he texted me a photo of his own pot, the same soup, made in his tiny apartment kitchen with the radiator hissing in the background. That's when I knew it was really good.

Ingredients

  • Italian sausage: The backbone of everything—I use mild because I like the herbs to shine through, but spicy works beautifully if you want heat.
  • Yellow onion and garlic: These two form the quiet base that holds the whole thing together, so don't rush the cooking.
  • Fresh baby spinach: It wilts down to almost nothing, so don't be shy with the amount.
  • Chicken broth and crushed tomatoes: The broth should taste good on its own, and the tomatoes should be the kind that don't taste tinny or sharp.
  • Heavy cream: This is what transforms it from ordinary tomato soup into something that feels like a restaurant made it for you.
  • Cheese tortellini: Refrigerated, not frozen—it cooks faster and has a better texture, and the cheese filling doesn't get gluey.
  • Italian herbs, red pepper flakes, salt and pepper: Season in layers, not all at the end, and you'll taste the difference.
  • Parmesan and fresh basil: The final scatter that makes it feel intentional rather than rushed.

Instructions

Brown the sausage:
Heat your pot over medium and crumble the sausage with a wooden spoon, letting it break into small pieces as it browns—this takes about 5 to 7 minutes. You want it thoroughly cooked with no pink remaining, and the kitchen will smell impossibly good.
Build the base:
Add the onion and let it soften into translucence, about 3 minutes, then add the garlic and let it become fragrant for just a minute. This short sequence is easy to mess up by rushing, so resist the urge.
Add the liquids:
Pour in the broth and tomatoes, stir in the herbs and red pepper flakes, and bring everything to a gentle boil. The soup should smell like a warm Italian kitchen now.
Cook the pasta:
Lower the heat and add the tortellini, letting it simmer according to package directions, usually 4 to 6 minutes, until tender but not falling apart. Taste one to be sure.
Finish with cream and spinach:
Stir in the heavy cream and spinach, and let it all simmer together for just 2 to 3 minutes—long enough for the spinach to surrender completely and the cream to marry with the tomato broth. The color will shift from rust to a soft coral.
Taste and adjust:
Add salt and pepper, taste, add more, taste again. This is the moment where soup becomes your soup, so don't skip it.
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My neighbor Mrs. Chen came over one evening when I was making this, ostensibly to borrow cream, and stayed long enough to watch the whole thing come together. She'd never had tortellini before, and I remember her surprise when the pasta released that little cloud of cheese flavor into the broth. She took a bowl home with her, and I never got the bowl back, which I think is the highest compliment.

Why This Soup Works

The genius of this soup is that it doesn't try to be complicated. The sausage brings salt and fat and umami without you having to build a fond or make stock from scratch. The cream doesn't make it heavy because there's enough acidity from the tomatoes to keep it bright. The spinach contributes iron and texture but melts away fast enough that you're not eating a salad. It's a soup that respects your time but doesn't taste like it.

Variations Worth Trying

I've made this soup with half-and-half instead of heavy cream when I wanted something lighter, and it's still excellent—not quite as silky, but somehow more interesting because you taste the other elements more clearly. Turkey sausage works if you're going that direction, though you might need a pinch more salt. Sometimes I add diced carrots or roasted red pepper when I have them, and they add sweetness without changing what the soup fundamentally is.

Serving and Pairing Ideas

Ladle it into bowls and let people scatter their own Parmesan and basil—it feels generous and gives them ownership over how much they want. A piece of good crusty bread for soaking up the broth at the end of the bowl is essential. A medium-bodied red wine like Chianti makes sense, or honestly, just pour something light and cold and let the soup be the star.

  • Make it on a Sunday and you'll have lunch for three days, and it tastes even better on day two when the flavors have settled and deepened.
  • If you're cooking for people who don't like heat, skip the red pepper flakes or pass them at the table.
  • This soup freezes well for up to two months if you leave out the cream and stir it in fresh when you reheat it.
Creamy homemade Tuscan Tortellini Soup, pictured with a swirl of rich broth, perfect for a cold evening. Save
Creamy homemade Tuscan Tortellini Soup, pictured with a swirl of rich broth, perfect for a cold evening. | cheerfulchefs.com

This is the kind of soup that people return to, the one you make without thinking too hard about it, the one that tastes better than it should for how simple it is. That's worth something.

Recipe FAQs

Can I use turkey sausage instead of Italian sausage?

Yes, turkey sausage is a great leaner substitute and works well without compromising flavor.

How do I prevent the tortellini from overcooking?

Simmer the tortellini just until tender, usually 4–6 minutes, following package instructions closely.

What can I use instead of heavy cream?

Half-and-half or evaporated milk are suitable lighter alternatives that maintain creaminess.

Can I add more vegetables to the soup?

Absolutely, diced carrots or bell peppers add texture and color while enhancing nutrition.

What herbs complement this dish best?

A mix of dried basil, oregano, and thyme provides a classic Italian flavor profile.

Is it necessary to drain the sausage fat?

Draining excess fat keeps the broth from becoming greasy and balances the richness.

Tuscan Tortellini Soup

A comforting bowl of tortellini with Italian sausage, spinach, and creamy tomato broth for a cozy meal.

Prep Time
15 minutes
Cook Time
25 minutes
Overall Time
40 minutes
Creator Ruby Smiles

Recipe Type Main Dishes

Skill Level Easy

Cuisine Background Italian

Portions 6 Serves

Dietary Preferences 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 3 1/3 cups low-sodium chicken broth
02 1 can (14 oz) crushed tomatoes
03 1 cup heavy cream

Pasta

01 10 oz refrigerated cheese tortellini

Seasonings

01 1 tsp dried Italian herbs blend (basil, oregano, thyme)
02 1/2 tsp crushed red pepper flakes (optional)
03 Salt and freshly ground black pepper, to taste

Finishing Touches

01 1/4 cup grated Parmesan cheese, for serving
02 Fresh basil or parsley, chopped (optional)

Step-by-Step Guide

Step 01

Brown 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 to 7 minutes. Drain excess fat if necessary.

Step 02

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

Step 03

Add Liquids and Seasoning: Pour in the chicken broth and crushed tomatoes. Add the dried Italian herbs and crushed red pepper flakes. Bring the mixture to a gentle boil.

Step 04

Cook Tortellini: Reduce heat to a simmer. Add the cheese tortellini and cook according to package instructions, typically 4 to 6 minutes, until tender.

Step 05

Incorporate Cream and Spinach: Stir in the heavy cream and fresh spinach. Simmer for 2 to 3 minutes until the spinach wilts and the broth becomes creamy.

Step 06

Season and Serve: Adjust seasoning with salt and freshly ground black pepper. Serve garnished with grated Parmesan cheese and fresh herbs if desired.

Tools You’ll Need

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

Potential Allergens

Inspect ingredients for specific allergens and contact a professional for concerns.
  • Contains dairy (cheese tortellini, Parmesan, cream) and gluten (tortellini).
  • Contains pork (if using pork sausage).
  • May contain egg or soy depending on tortellini and sausage brands; verify labels.

Nutritional Details (Per Serving)

Provided as supportive info; always cross-check with your healthcare provider.
  • Calories: 470
  • Fats: 28 grams
  • Carbohydrates: 34 grams
  • Proteins: 20 grams