Tuscan Tortellini Soup

Featured in: Simple Comfort Dinners

This Tuscan tortellini soup combines tender cheese tortellini with browned Italian sausage in a silky creamy tomato broth enriched with fresh spinach. The preparation takes just 40 minutes total, making it ideal for weeknight dinners. The soup comes together quickly: sauté sausage with aromatic onions and garlic, add broth and tomatoes, simmer tortellini until tender, then finish with heavy cream and wilted spinach. Each bowl is garnished with Parmesan and fresh herbs for authentic Italian flavor.

Updated on Sun, 18 Jan 2026 10:19:00 GMT
A cozy bowl of Tuscan Tortellini Soup with creamy tomato broth, cheese-filled pasta, and wilted spinach. Save
A cozy bowl of Tuscan Tortellini Soup with creamy tomato broth, cheese-filled pasta, and wilted spinach. | ivorycrumb.com

The kitchen window was foggy from steam, and I was standing at the stove stirring a pot that smelled better than anything I'd made in weeks. I'd thrown together what I thought was just another weeknight soup, but the moment the cream hit the tomato broth and turned it pale orange, I knew this was going to be different. My daughter wandered in, drawn by the smell, and asked if we were having "fancy soup." I laughed and said no, but by the time we sat down with bowls piled high with tortellini and sausage, it felt pretty fancy to us.

I made this on a Tuesday night when I had nothing planned and even less energy. My husband came home late, tired and quiet, and I ladled him a bowl without saying much. He ate two servings, then looked up and said it reminded him of a little trattoria we'd stumbled into in Florence years ago. I hadn't been trying to recreate anything, but that comparison made me feel like I'd done something right.

Ingredients

  • Italian sausage: This is where all the savory depth comes from, so don't skip browning it well. The rendered fat adds richness to the base, and you can go mild for kids or spicy if you want a little kick in every spoonful.
  • Yellow onion: Diced small and cooked until soft, it melts into the background and sweetens the broth without making itself known. I've tried skipping it when I was lazy, and the soup tasted flat.
  • Garlic: Three cloves minced fine, added just long enough to bloom but not burn. It should smell sweet and sharp, not bitter.
  • Chicken broth: Low sodium gives you control over the salt, especially since the sausage and Parmesan both bring plenty. I use boxed broth and it works beautifully.
  • Crushed tomatoes: One can turns the broth into something rich and slightly tangy. I prefer crushed over diced because they break down into the soup instead of floating around.
  • Heavy cream: This is what makes the soup feel indulgent. It smooths out the acidity and gives the broth a velvety texture that coats your spoon.
  • Cheese tortellini: Use the refrigerated kind, not frozen. They cook faster and stay tender without getting gummy.
  • Baby spinach: Stirred in at the end, it wilts in seconds and adds color and a hint of earthiness. I chop it roughly so it doesn't clump.
  • Italian herbs: A teaspoon of dried basil, oregano, and thyme does the work of a whole spice cabinet. If you have fresh, even better.
  • Crushed red pepper flakes: Optional, but I always add them. Just a pinch gives warmth without real heat.
  • Parmesan cheese: Grated fresh, not the stuff in the green can. It melts a little into the hot soup and adds a nutty, salty finish.

Instructions

Brown the sausage:
Remove the casings and crumble the sausage into a large pot over medium heat, breaking it into small pieces with a wooden spoon. Let it cook undisturbed for a minute or two so it gets some color, then stir and continue until no pink remains, about 5 to 7 minutes total.
Sauté the aromatics:
Drain off most of the fat if there's a lot pooled in the pan, then add the diced onion and cook until it turns translucent and soft, about 3 minutes. Stir in the garlic and let it sizzle for just a minute until the kitchen smells amazing.
Build the broth:
Pour in the chicken broth and crushed tomatoes, scraping up any browned bits stuck to the bottom of the pot. Stir in the Italian herbs and red pepper flakes, then bring everything to a gentle boil.
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, stirring occasionally so they don't stick together.
Finish with cream and spinach:
Stir in the heavy cream and chopped spinach, and simmer for another 2 to 3 minutes until the spinach wilts and the soup turns creamy and pale. Taste and add salt and pepper as needed.
Serve:
Ladle the soup into bowls and top each one with a generous sprinkle of Parmesan and a handful of fresh basil or parsley if you have it.
Steaming Tuscan Tortellini Soup ladled into a rustic bowl, garnished with grated Parmesan and fresh basil. Save
Steaming Tuscan Tortellini Soup ladled into a rustic bowl, garnished with grated Parmesan and fresh basil. | ivorycrumb.com

One night I made this for a friend who'd just had a baby, and I packed it in a container still warm. She texted me later that night and said she'd eaten it standing at the counter in her pajamas, straight from the container, and it was the first thing that had tasted like comfort in days. That's when I realized this soup wasn't just easy, it was the kind of thing you make when someone needs to feel taken care of.

Making It Your Own

I've made this soup a dozen different ways depending on what I had in the fridge. Sometimes I use turkey sausage to lighten it up, and it still tastes rich. Other times I've added diced carrots or a chopped red bell pepper along with the onion, and the extra vegetables made it feel even heartier. If you want to stretch it further, throw in an extra cup of broth and another handful of tortellini. It's very forgiving.

What to Serve Alongside

This soup is filling on its own, but I almost always serve it with crusty bread for dipping. A simple green salad with lemon vinaigrette balances the richness, and if you're feeling fancy, a glass of Chianti or Sangiovese makes it feel like a real Italian dinner. Leftovers reheat beautifully, though the tortellini will soak up some of the broth, so you might want to add a splash of water or cream when you warm it up.

Storage and Reheating

I store leftovers in an airtight container in the fridge for up to three days. The soup thickens as it sits because the pasta absorbs the liquid, so when I reheat it, I stir in a little extra broth or cream to loosen it back up. I reheat it gently on the stove over low heat, stirring often so the cream doesn't separate.

  • If you're planning to freeze it, leave out the tortellini and cream, then add them fresh when you reheat.
  • Reheat individual portions in the microwave for about 2 minutes, stirring halfway through.
  • Don't let it boil hard when reheating or the cream can break and look grainy.
Hearty Tuscan Tortellini Soup with Italian sausage, tender tortellini, and vibrant spinach in a creamy broth. Save
Hearty Tuscan Tortellini Soup with Italian sausage, tender tortellini, and vibrant spinach in a creamy broth. | ivorycrumb.com

This soup has become one of those recipes I turn to when I need something fast but don't want to compromise on flavor. It feels like a hug in a bowl, and I hope it does the same for you.

Recipe FAQs

Can I make this soup ahead of time?

Yes, you can prepare the soup base (steps 1-3) and refrigerate it for up to 2 days. Add tortellini and cream just before serving to maintain the best texture and prevent the pasta from becoming mushy.

What type of Italian sausage works best?

Both mild and spicy Italian sausage work well. Choose based on your heat preference. For a leaner option, substitute with turkey or chicken sausage without changing the cooking method.

Can I use frozen tortellini instead of refrigerated?

Absolutely. Frozen tortellini works perfectly; simply add an extra 2-3 minutes to the simmering time. No need to thaw beforehand—add directly to the broth.

How do I lighten this creamy soup?

Replace heavy cream with half-and-half or evaporated milk for a lighter version while maintaining creaminess. You can also reduce the cream amount and increase the broth slightly.

What wines pair well with this soup?

Medium-bodied red wines like Chianti complement the creamy tomato flavors beautifully. Alternatively, a crisp white wine such as Pinot Grigio or Vermentino pairs nicely.

How can I add more vegetables to this dish?

Diced carrots, bell peppers, or zucchini work wonderfully. Add them in step 2 after the onions have softened, allowing them to cook through before adding the broth.

Tuscan Tortellini Soup

Hearty Italian soup with cheese tortellini, sausage, spinach, and creamy tomato broth. Comfort food at its finest.

Prep time
15 min
Cook time
25 min
Total duration
40 min
Created by Nora Ellington


Skill level Easy

Cuisine type Italian

Makes 6 Serves

Diet details 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 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 blend
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, approximately 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 minced 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 the soup: Stir in the heavy cream and spinach. Simmer for 2-3 minutes, just until the spinach wilts and the soup becomes 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.

Tools needed

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

Allergen details

Be sure to review the ingredients for possible allergens and speak to a healthcare provider when uncertain.
  • Contains dairy: cheese tortellini, Parmesan, and heavy cream
  • Contains gluten in tortellini pasta
  • Contains pork if using pork-based sausage
  • May contain egg or soy: verify packaged tortellini and sausage ingredient labels

Nutrition info per dish

Details here are just for reference. They don't replace health or nutrition advice.
  • Calories: 470
  • Fats: 28 g
  • Carbohydrates: 34 g
  • Proteins: 20 g