Tuscan Tortellini Soup

Featured in: Everyday Meal Choices

This classic Tuscan soup combines tender cheese tortellini with browned Italian sausage in a velvety tomato broth enriched with heavy cream. Fresh spinach wilts into the pot at the end, adding color and nutrition. The entire dish comes together in under 45 minutes, making it ideal for weeknight dinners.

Brown the sausage first, then sauté aromatics before adding broth and tomatoes. Once simmering, add tortellini and cook until tender, then finish with cream and spinach. Season generously with salt, pepper, and Italian herbs. Top with Parmesan and fresh basil for an authentic touch.

Updated on Sun, 18 Jan 2026 09:02:00 GMT
Creamy Tuscan Tortellini Soup in a bowl with fresh basil garnish. Save
Creamy Tuscan Tortellini Soup in a bowl with fresh basil garnish. | axxamkitchen.com

The steam rising from this pot always fogs up my kitchen window, and I never bother wiping it clear. I was chasing comfort on a drizzly Tuesday when I first threw this together, using whatever was in the fridge and a package of tortellini I'd forgotten about. The sausage sizzled, the cream swirled into the tomatoes, and suddenly the whole house smelled like a trattoria. My neighbor knocked on the door just to ask what I was cooking. That's when I knew this soup was a keeper.

I made this the night my sister came over unannounced, exhausted from a long week. She sat at the counter, shoes still on, and I ladled her a bowl without saying much. She finished it, asked for seconds, and then finally started talking. Sometimes a warm bowl is better than any advice, and this soup has that kind of magic.

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Ingredients

  • Italian sausage: I prefer mild, but spicy adds a nice kick if you're feeling bold. Remove the casings and let it crumble as it browns, releasing all that fennel and garlic flavor into the pot.
  • Yellow onion: Dice it small so it melts into the broth and sweetens everything without being too obvious.
  • Garlic: Fresh is non-negotiable here. Minced garlic from a jar just doesn't have the same bright, sharp punch.
  • Chicken broth: Low-sodium gives you control over the salt level, especially once the sausage and Parmesan join the party.
  • Crushed tomatoes: The texture is key. Crushed tomatoes give body without chunks, blending beautifully with the cream.
  • Heavy cream: This is what turns the soup luscious and ties all the flavors together in a silky embrace.
  • Cheese tortellini: Use the refrigerated kind, not frozen. They cook faster and have a tender bite that feels homemade.
  • Baby spinach: It wilts in seconds and adds color and a hint of earthiness without any bitterness.
  • Italian herbs: A blend of basil, oregano, and thyme brings that classic Tuscan warmth to every spoonful.
  • Crushed red pepper flakes: Optional, but a pinch wakes up the whole pot if you like a little heat.
  • Parmesan cheese: Grate it fresh if you can. The nutty, salty finish is what makes each bowl feel complete.
  • Fresh basil or parsley: A handful chopped on top adds brightness and makes the soup look like it came from a restaurant.

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Instructions

Brown the sausage:
Cook the Italian sausage in a large pot over medium heat, breaking it into bite-sized crumbles with a wooden spoon until it's browned and no pink remains, about 5 to 7 minutes. If there's a pool of grease, drain most of it but leave a little for flavor.
Sauté the aromatics:
Toss in the diced onion and cook until it turns soft and translucent, about 3 minutes. Add the minced garlic and stir for just a minute until your kitchen smells incredible.
Build the broth:
Pour in the chicken broth and crushed tomatoes, then stir in the Italian herbs and red pepper flakes if you're using them. Bring everything to a gentle boil, letting the flavors start to mingle.
Cook the tortellini:
Lower the heat to a simmer and add the tortellini. Let them cook according to the package directions, usually 4 to 6 minutes, until they're tender and floating happily on top.
Add cream and spinach:
Stir in the heavy cream and chopped spinach, simmering for another 2 to 3 minutes. The spinach will wilt down fast and the soup will turn beautifully creamy.
Season and serve:
Taste and adjust with salt and pepper. Ladle into bowls and top with freshly grated Parmesan and a sprinkle of basil or parsley if you have it.
Spoonful of cheesy tortellini in a creamy tomato broth with wilted spinach. Save
Spoonful of cheesy tortellini in a creamy tomato broth with wilted spinach. | axxamkitchen.com

The first time I served this to friends, someone asked if I'd been to Italy recently. I laughed and said no, just my grocery store on a Wednesday. But that's the thing about this soup, it transports you without a passport, and everyone at the table feels a little more cared for.

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Making It Your Own

You can easily swap the heavy cream for half-and-half or even evaporated milk if you want something lighter. I've also used turkey sausage when I'm trying to keep things leaner, and it still tastes rich and satisfying. Toss in diced carrots or bell pepper with the onion if you want more vegetables hiding in there.

What to Serve Alongside

A hunk of crusty bread is all you really need to soak up every last bit of that creamy broth. I like to pour a glass of Chianti or another medium-bodied red wine, something with a little acidity to balance the richness. A simple green salad with lemon vinaigrette on the side keeps things bright and fresh.

Storing and Reheating

This soup keeps well in the fridge for up to three days, though the tortellini will soak up some of the broth as it sits. Reheat gently on the stove over low heat, adding a splash of chicken broth or cream to loosen it up if it's gotten too thick. I don't recommend freezing it because the cream and pasta don't thaw gracefully.

  • Store leftovers in an airtight container and label it with the date.
  • If you're meal prepping, cook the tortellini separately and add them fresh when you reheat.
  • A sprinkle of fresh Parmesan right before serving brings it back to life.
Hearty Tuscan Tortellini Soup topped with Parmesan cheese, served with crusty bread. Save
Hearty Tuscan Tortellini Soup topped with Parmesan cheese, served with crusty bread. | axxamkitchen.com

This soup has become my go-to when I need to feed someone I care about without making a fuss. It's warm, it's easy, and it always feels like a hug in a bowl.

Recipe FAQs

Can I use frozen tortellini instead of refrigerated?

Yes, frozen tortellini works well. Add them directly to the simmering broth without thawing, but extend cooking time by 2-3 minutes. Check the package for specific cooking instructions.

How can I make this soup lighter?

Substitute half-and-half or evaporated milk for heavy cream to reduce fat content. You can also use turkey or chicken sausage instead of pork for a leaner protein option.

What vegetables pair well with this soup?

Diced carrots, bell peppers, or zucchini complement the existing flavors beautifully. Add firmer vegetables like carrots when sautéing the aromatics so they soften properly.

Can I prepare this soup ahead of time?

Prepare the broth and sausage mixture up to 2 days ahead and refrigerate. Add tortellini and cream just before serving to maintain the pasta's texture and prevent sogginess.

What wine pairs with this soup?

A medium-bodied red wine like Chianti or Barbera complements the creamy tomato broth and sausage flavors. White wine such as Pinot Grigio also works for a lighter pairing.

How do I store leftovers?

Store in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stovetop over medium heat, adding a splash of broth to restore creaminess if needed.

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Tuscan Tortellini Soup

Creamy Italian soup with cheese tortellini, sausage, and spinach in a rich tomato broth. Serves 6 in just 40 minutes.

Prep time
15 minutes
Cook time
25 minutes
Total duration
40 minutes
Created by Monica Blake


Skill level Easy

Cuisine Italian

Serves 6 Number of servings

Diet preferences None specified

What You 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, about 5–7 minutes. Drain excess fat if needed.

Step 02

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

Step 03

Build the Broth: 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 is creamy.

Step 06

Season and Serve: Season to taste with salt and pepper. Ladle into bowls and garnish with Parmesan and fresh herbs if desired.

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Tools Needed

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

Allergy info

Please double-check all items for potential allergens, and reach out to health experts with questions.
  • 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 (each serving)

Nutrition details are for general information. Always get medical advice if needed.
  • Calories: 470
  • Fats: 28 g
  • Carbohydrates: 34 g
  • Proteins: 20 g

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