Creamy Tortellini and Sausage Soup in the Slow Cooker Recipe
There’s nothing quite like a warm, hearty bowl of soup to cozy up your day, especially when it’s as comforting and satisfying as this Creamy Tortellini and Sausage Soup in the Slow Cooker Recipe. The slow cooker does all the hard work while you go about your day, and by dinner time, you’ll have this rich, creamy, and flavorful meal ready to enjoy. It’s the perfect soup for busy weeknights or when you’re craving something that feels homemade without the fuss.
What makes this recipe stand out is how it combines the spicy, savory punch of Italian sausage with the cheesy, pillowy tortellini that cooks right in the broth, soaking up all those delicious flavors. Plus, the addition of fresh spinach adds a nice pop of color and some nutritious greens without overpowering the dish. I’ve made this several times, and I love that it’s not only filling but also easily adaptable depending on what you have on hand or prefer.
Ingredients You’ll Need
Each ingredient here plays a crucial role in creating a balanced, flavorful soup that’s creamy, hearty, and fresh. When shopping, I always recommend going for quality Italian sausage and fresh spinach to really bring this recipe to life.
- Italian sausage: Browning the sausage before adding it to the slow cooker helps develop deeper flavor and a better texture.
- Italian diced tomatoes: Using canned diced tomatoes with Italian herbs gives the broth a rich, aromatic base without extra effort.
- Vegetable or chicken broth: Choose a low-sodium broth if you want to control the saltiness as the sausage and cheese already add seasoning.
- Cream cheese: Cubed cream cheese melts slowly, adding a luscious creaminess that’s key to this soup’s comforting texture.
- Frozen cheese tortellini: Using frozen tortellini is an easy shortcut that saves prep time, and it cooks perfectly in the slow cooker.
- Fresh spinach: You’ll stir this in near the end so it keeps its bright color and a slight crunch, balancing the richer ingredients.
Variations
I love making this Creamy Tortellini and Sausage Soup in the Slow Cooker Recipe my own by switching up the sausage or adding extra veggies. Feel free to tailor it to your tastes or dietary needs—it’s really forgiving!
- Turkey or chicken sausage: I swap in turkey sausage sometimes for a lighter version, and it still tastes fantastic.
- Spinach alternatives: Kale or Swiss chard also work great if you want a different leafy green with a bit more bite.
- Extra veggies: Toss in diced zucchini or bell peppers for more color and nutrition—you may want to add these earlier in the cooking process.
- Dairy-free option: Try coconut cream instead of cream cheese for a dairy-free twist that still delivers creaminess.
How to Make Creamy Tortellini and Sausage Soup in the Slow Cooker Recipe
Step 1: Brown the sausage for the best flavor
I always start by browning the Italian sausage in a skillet over medium heat, breaking it up as it cooks. Browning helps develop that rich, caramelized flavor that really makes this soup special. Once it’s cooked through and nicely browned, drain any excess grease to keep the soup from getting too oily.
Step 2: Combine the base ingredients in the slow cooker
Next, add the browned sausage, canned diced tomatoes (with their juices), and broth to your slow cooker. Give everything a gentle stir to mix the flavors. This is your soup base simmering low and slow, so just set your slow cooker on low and let it work its magic for 4 to 6 hours.
Step 3: Add cream cheese and tortellini near the end
About 30 minutes before you want to eat, it’s time to add the cubed cream cheese and frozen tortellini. Stir these gently into the hot broth so the cream cheese melts smoothly and the tortellini cooks through without getting mushy. Keep the lid on and let them cook for those last 30 minutes.
Step 4: Stir in the fresh spinach
Right before serving, stir in 3 to 4 cups of fresh spinach until just wilted. This keeps the spinach vibrant and fresh-tasting, providing a lovely contrast to the creamy soup. Don’t add it too early, or it will turn a dull green and lose its texture.
How to Serve Creamy Tortellini and Sausage Soup in the Slow Cooker Recipe

Garnishes
I like topping this soup with a sprinkle of freshly grated Parmesan cheese and a few twists of cracked black pepper—it adds that extra layer of flavor and a little salty crunch. Sometimes, I add fresh basil or parsley for a pop of color and freshness that complements the richness perfectly.
Side Dishes
For sides, a warm, crusty baguette or garlic bread is my go-to because it’s perfect for dipping into the creamy broth. A simple green salad with a light vinaigrette balances out the meal nicely if you want something fresh alongside.
Creative Ways to Present
If I’m serving this soup for a special occasion, I love ladling it into individual bread bowls—those make for a cozy presentation and add to that comforting vibe. Another fun idea is to top each bowl with a drizzle of good-quality olive oil or a pinch of crushed red pepper flakes for a subtle heat kick.
Make Ahead and Storage
Storing Leftovers
I usually store leftovers in airtight containers in the fridge for up to 3 days. The tortellini tends to soak up the broth over time, so if the soup thickens too much the next day, just add a splash of broth or water when reheating to bring it back to that perfect creamy consistency.
Freezing
This Creamy Tortellini and Sausage Soup in the Slow Cooker Recipe freezes surprisingly well, but I recommend freezing before adding the tortellini and spinach. Freeze the broth and sausage mixture in portions, then cook tortellini fresh when ready to serve for best texture.
Reheating
When reheating, I warm the soup gently on the stovetop over medium-low heat, stirring occasionally. Adding a little extra broth or water helps if it’s gotten too thick, and I stir in fresh spinach right at the end to keep it bright and tender.
FAQs
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Can I use a different type of sausage in this recipe?
Absolutely! You can substitute Italian sausage with turkey, chicken, or even a plant-based sausage depending on your preference. The key is to brown it well to build flavor before adding it to the slow cooker.
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When should I add the tortellini to avoid overcooking?
Add the frozen cheese tortellini about 30 minutes before the end of cooking. This timing lets the tortellini cook fully without becoming mushy or falling apart in the slow cooker.
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Can I make this soup dairy-free?
Yes, you can replace the cream cheese with a dairy-free cream alternative like coconut cream. This swaps the creaminess while keeping the soup rich and smooth.
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How long does this soup keep in the fridge?
Stored in an airtight container, this soup keeps well for up to 3 days in the fridge. Just remember to stir in a little broth when reheating to loosen it up if needed.
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Can I add more vegetables to this soup?
Definitely! Vegetables like zucchini, bell peppers, or mushrooms can be added early in the cooking process. Just chop them into bite-sized pieces so they cook through evenly.
Final Thoughts
This Creamy Tortellini and Sausage Soup in the Slow Cooker Recipe is one of those recipes I keep coming back to because it’s both satisfyingly indulgent and incredibly easy to make. Whether you’re feeding a crowd or just want something comforting after a busy day, it delivers every time. Give it a try—you might find it becoming your go-to slow cooker soup as it has for me and so many of my friends!
PrintCreamy Tortellini and Sausage Soup in the Slow Cooker Recipe
A comforting and hearty slow cooker soup that combines savory Italian sausage, creamy cheese tortellini, and fresh spinach in a rich tomato broth with cream cheese for added creaminess. Perfect for an easy, hands-off meal ready to warm you up.
- Prep Time: 15 minutes
- Cook Time: 4 hours 30 minutes
- Total Time: 4 hours 45 minutes
- Yield: 6 servings 1x
- Category: Soup
- Method: Slow Cooking
- Cuisine: Italian-American
Ingredients
Meat
- 1 lb Italian sausage, browned and drained
Produce
- 3–4 cups fresh spinach
Canned Goods
- 2 (15oz) cans Italian diced tomatoes
Dairy
- 8 ounces cream cheese, cubed
Frozen
- 1 (20oz) bag frozen cheese tortellini
Broth
- 4 cups vegetable or chicken broth (32 oz container)
Instructions
- Brown the Sausage: In a skillet over medium heat, brown the Italian sausage until fully cooked and no longer pink. Drain excess fat to ensure a less greasy soup.
- Add Ingredients to Slow Cooker: Transfer the browned sausage to the slow cooker. Add the two cans of Italian diced tomatoes (with juices), vegetable or chicken broth, and cubed cream cheese.
- Cook the Soup: Stir the ingredients gently to combine. Cover and cook on low for 4 to 5 hours or on high for 2 to 3 hours, allowing the flavors to meld and the cream cheese to fully melt into the broth.
- Add Tortellini and Spinach: About 20-30 minutes before serving, stir in the frozen cheese tortellini and fresh spinach. Cover and continue to cook until the tortellini is tender and the spinach is wilted.
- Final Stir and Serve: Give the soup a good stir to ensure everything is well mixed. Taste and adjust seasoning with salt and pepper if desired. Serve hot and enjoy your creamy, flavorful tortellini and sausage soup.
Notes
- For a lower-fat option, use turkey sausage or chicken sausage instead of Italian pork sausage.
- Substitute fresh tortellini if available, adjusting cooking time accordingly to prevent overcooking.
- Adding a pinch of red pepper flakes can add a nice subtle heat to the soup.
- If you prefer a thicker consistency, remove the lid during the last 30 minutes to let some liquid evaporate.
- The soup stores well and tastes even better the next day after the flavors have melded.
Keywords: slow cooker soup, creamy tortellini soup, Italian sausage soup, comfort food, easy crockpot recipe
