This Creamy Tuscan Tortellini Soup recipe combines hearty Italian sausage, tender tortellini, and fresh spinach in a rich, flavorful tomato broth. Perfect for family dinners, it’s quick to prepare and incredibly versatile. If you're craving a cozy weeknight meal or an impressive dish for guests, this soup delivers comfort and flavor in every bowl.
Need something to pair this with? We recommend our Simple Italian Salad Recipe or this Italian Giardiniera Salad.

Save This Recipe 💌
Tuscan Tortellini Soup is a comforting Italian-inspired dish that combines sausage and tortellini with a creamy tomato broth. This soup draws from the rustic flavors of Tuscany, known for its simple yet bold combinations of fresh herbs, vegetables, and meats. It’s the perfect balance of savory and creamy flavors.
If you like this Italian soup recipe, you may also love our Italian Beef and Bean Soup (Pasta e Fagioli) or our Italian Sausage and Lentil Soup.
Why We Love This Recipe
- Quick and Easy: Ready in under an hour, making it ideal for busy weeknights.
- Hearty: Italian sausage and tortellini make this soup filling and satisfying.
- Family-Friendly: Loved by kids and adults alike, it’s perfect for family meals. Just like this Marry Me Tortellini Pasta Recipe!
- Customizable: Easily adjustable with various vegetable or protein options.
Creamy Tuscan Tortellini Soup Ingredients
Here's the line-up that we recommend for this creamy Tuscan soup recipe:
- Italian Sausage: We like to use a mix of mild and hot to give the soup depth without overpowering spice. It’s a great balance that adds tremendous flavor.
- Cheese-Filled Tortellini: The soft, cheesy centers melt slightly into the broth, making it extra creamy and satisfying. Love tortellini? Try our Tortellini Alfredo with Blackened Shrimp!
- Spinach: We stir in fresh spinach at the end so it gently wilts into the soup without turning mushy. It only needs a minute or two.
- San Marzano Tomatoes: These imported canned tomatoes are sweeter and less acidic than regular varieties, which gives the broth a rich, savory flavor. We like to crush them by hand.
- Heavy Cream: This gives the soup that silky, luxurious finish that brings it all together.
- Garlic and Onion: These aromatics are the foundation of the soup and create a deeply flavorful base.
- Parmesan Cheese: Adds a nutty, salty edge that complements the cream and tomatoes. We like to sprinkle it on just before serving.
A full ingredient list with exact measurements can be found in the recipe card below.
Substitutions & Variations
- Sausage: Swap Italian sausage for ground turkey or plant-based sausage.
- Spinach: Use kale or Swiss chard for a heartier texture.
- Spice: Add more red pepper flakes or use hot Italian sausage.
How To Make Creamy Tuscan Tortellini Soup
STEP ONE: Cook The Sausage
Heat olive oil in a large pot over medium heat. Add the sausage, breaking it into small pieces, and cook until browned. Remove and set aside.
STEP TWO: Sauté The Vegetables
In the same pot, sauté the onion, garlic, and carrots until softened.
Stir in tomato paste and cook for another minute to enhance the flavors.
STEP THREE: Simmer The Soup
Return the cooked sausage to the pot. Pour in the white wine to deglaze, scraping up the browned bits. Let it simmer for 1–2 minutes.
Add crushed San Marzano tomatoes and chicken broth. Bring to a simmer and cook for 20–30 minutes, or until the carrots are tender.
STEP FOUR: Finish With Tortellini And Spinach
Stir in the cooked tortellini, heavy cream, and spinach. Cook for 2-3 minutes until the spinach wilts. Serve hot, garnished with fresh basil and Parmesan.
Expert Tips for Success
👩🍳Jami's Pro Tips: Want to take this recipe to the next level? Check out my expert tips below for the best flavor, texture, and meal prep hacks!
✔️ DO Brown the sausage well before removing it from the pot.
✔️ DO Use fresh tortellini for a softer texture.
✔️ DO Add the spinach at the very end to keep it fresh and vibrant.
Storage
Store leftover Tuscan tortellini soup in an airtight container in the refrigerator for up to 3 days. To freeze, leave out the tortellini and cream until reheating. Reheat leftovers gently on the stovetop. Use extra broth to maintain the perfect consistency.
FAQ
Yes, simply brown the sausage and sauté the vegetables before transferring to a slow cooker. Add the broth, tomatoes, and seasonings, and cook on low for 6-8 hours. Add tortellini, spinach, and cream in the last 30 minutes.
To make a healthier soup, use lean turkey sausage, reduce the heavy cream, and add more fresh vegetables like zucchini or bell peppers.
Absolutely! Fresh tortellini have a softer texture. If using frozen, just adjust the cooking time as needed to ensure the tortellini is fully cooked.
More Cheesy Pasta Recipes You'll Love ♥️
📖 Recipe
Creamy Tuscan Tortellini Soup with Italian Sausage and Spinach
Equipment
- Dutch oven or large pot
- Wooden spoon
- Ladle
- Chef’s Knife
- Cutting board
Ingredients
- 1 ½ lbs Italian sausage 3 mild and 2 hot links, casings removed
- 1 onion diced
- 3 carrots chopped
- 4 cloves garlic minced
- 2 teaspoon tomato paste
- 4 cups chicken broth low sodium
- 28 ounce can San Marzano tomatoes crushed by hand
- ½ cup heavy cream
- ¼ cup white wine
- 2 large handfuls fresh spinach
- 10 oz. tortellini cooked according to package instructions
- ½ tablespoon Italian seasoning
- ½ teaspoon red pepper flakes
- 2 tablespoon olive oil
- 1 teaspoon kosher salt
- ¼ teaspoon black pepper
- fresh basil for garnish
- Parmesan cheese grated, for serving
Instructions
- In a large pot or Dutch oven, heat 2 tablespoons of olive oil over medium heat. Add the Italian sausage and cook, breaking it up with a spoon, until browned. This should take about 5-7 minutes. Remove the sausage from the pot and set it aside.
- In the same pot, pour in the white wine and deglaze the pot, scraping up the browned bits from the bottom. Allow the wine to cook for about 1-2 minutes to reduce slightly.
- Add the diced onion, chopped carrots, spices, and tomato paste. Cook for about 5 minutes, stirring occasionally, until the vegetables begin to soften. Add the garlic and cook for one additional minute.
- Return the partially cooked sausage to the pot. Add the crushed San Marzano tomatoes and chicken broth. Stir well to combine.
- Bring the soup to a simmer and let it cook for about 20-30 minutes, or until the carrots are tender.
- Add the cooked tortellini to the soup and stir gently to combine.
- Stir in the heavy cream and add the fresh spinach. Cook for an additional 2-3 minutes, or until the spinach has wilted.
- Taste the soup and adjust the seasoning as needed, adding more salt or red pepper flakes if desired.
- Once the soup is ready, ladle it into bowls. Garnish each bowl with fresh basil leaves and grated Parmesan cheese.
Save This Recipe 💌
Video
Notes
- Sausage: Swap Italian sausage for ground turkey or plant-based sausage.
- Spinach: Use kale or Swiss chard for a heartier texture.
Jami Powell says
One of our favorite fall soups!