As the sun dips below the horizon and a chill fills the air, there’s nothing quite like the embrace of a cozy, homemade soup. This Creamy Slow Cooker Sausage and Tortellini Soup is my go-to for those evenings when I crave comfort without the fuss. With a blend of savory Italian sausage, fresh vegetables, and delicate tortellini simmered in a luscious broth, it transforms seemingly mundane ingredients into a warm, inviting experience. Plus, the beauty of this recipe lies in its simplicity—just toss everything in your slow cooker, and let it work its magic while you take the time to unwind. It’s not only a crowd-pleaser that will leave your family asking for seconds, but it’s also a brilliant way to save time during busy weeks. Ready to dive into a bowl of pure comfort?

Why is this soup a must-try?
Simplicity at Its Best: Just toss the ingredients in the slow cooker and let time do the work.
Rich, Hearty Texture: The creamy broth pairs beautifully with tender tortellini and savory sausage, creating a mouthwatering experience.
Flavorful Combination: Each spoonful is a delightful mix of fresh vegetables and Italian herbs, elevating the dish to comfort food perfection.
Versatile Options: Easily adapt it for vegetarian diets or swap out the pasta, keeping dinner exciting every time.
Crowd-Pleasing Delight: This soup is perfect for family dinners or potlucks, sure to impress friends and neighbors alike.
If you’re looking for additional comfort recipes, check out my Protein Taco Soup or warm up with a bowl of Chicken Lasagna Soup.
Tortellini Soup Ingredients
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For the Soup Base
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Ground Italian Sausage – Adds rich flavor and protein; substitute with ground chicken or turkey for a lighter option.
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Onion – Provides depth of flavor; yellow or white onion works best for a balanced taste.
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Carrots – Contributes natural sweetness and texture; consider parsnips as an alternative for a unique twist.
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Celery – Freshness and crunch enhance the soup; feel free to omit if not available.
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Garlic Cloves – Infuses aroma and robust taste; fresh is ideal, but garlic powder can work in a pinch.
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Italian Seasoning – Delivers essential herb flavors; a combination of dried basil, oregano, and thyme is perfect.
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Beef/Chicken Bouillon – Enriches the broth; switch to vegetable bouillon for vegetarian versions.
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Salt – Essential for flavor enhancement; adjust according to the sodium levels in your broth.
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Broth (Beef, Chicken, or Veggie) – Forms the flavorful base for your soup; both homemade and store-bought options are great.
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For Thickening and Creaminess
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Cornstarch – Serves as a thickening agent; can be replaced with flour or arrowroot for similar effects.
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Evaporated Milk/Half-and-Half – Provides the creaminess you crave; heavy cream can be used for a richer texture.
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Milk – Adjusts creaminess; use according to your desired consistency.
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For the Heart and Veggies
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Cheese Tortellini – The star of this tortellini soup, adding heartiness; fresh tortellini offers a delightful texture, while dried works in a pinch.
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Baby Spinach – Introduces nutritious greens and vibrant color; swap for kale for a more robust option.
Embrace the cozy comfort of this Tortellini Soup and let your slow cooker work its magic!
Step‑by‑Step Instructions for Creamy Slow Cooker Sausage and Tortellini Soup
Step 1: Prepare the Sausage and Vegetables
In a skillet, brown 1 pound of ground Italian sausage over medium heat for about 5-7 minutes until it’s golden and cooked through. As it cooks, chop your onion, carrots, and celery, and mince the garlic. Once browned, transfer the sausage along with the chopped veggies into your slow cooker.
Step 2: Add Seasonings and Broth
To the slow cooker, add 1 tablespoon of Italian seasoning, 2 teaspoons of beef or chicken bouillon, and a pinch of salt. Then, pour in 4 cups of broth—beef, chicken, or vegetable—all while gently stirring to combine the ingredients. This creates a flavorful base that sets the stage for your tortellini soup.
Step 3: Set the Cooking Temperature
Cover the slow cooker with its lid and set it to cook on low for 7-8 hours or on high for about 4 hours. During this time, the flavors from the sausage and vegetables will meld beautifully, filling your kitchen with a comforting aroma. After the initial cook time, check for doneness and ensure the veggies are tender.
Step 4: Thicken the Soup
Once the soup is ready, use a ladle to skim off any excess fat from the surface. In a separate bowl, whisk together 2 tablespoons of cornstarch and 1 cup of evaporated milk or half-and-half until smooth. Slowly stir this mixture into the soup, allowing it to thicken beautifully as you combine it.
Step 5: Add the Tortellini
Next, gently fold in 2 cups of cheese tortellini into the soup. Cover the slow cooker and set it to cook on high for an additional 45 minutes. Keep an eye on the tortellini; they should be tender yet firm, absorbing the delicious flavors of the creamy broth.
Step 6: Finish with Spinach
After the tortellini has cooked, stir in 2 cups of baby spinach; this will wilt in just about 5-10 minutes. The vibrant greens enhance not only the nutrition but also the visual appeal of your tortellini soup, making it an even more inviting dish.
Step 7: Adjust Consistency and Seasoning
Finally, assess the thickness of your creamy soup. If desired, add a splash of milk for a creamier texture. Season with additional salt and pepper to taste, enhancing the flavor profile as you prepare to serve your delightful tortellini soup.
Step 8: Serve and Enjoy
Ladle the warm soup into bowls and serve it immediately, perhaps alongside a slice of crusty bread for a complete meal. Revel in the comforting embrace of your homemade Creamy Slow Cooker Sausage and Tortellini Soup, perfect for chilly nights in!

Expert Tips for Tortellini Soup
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Brown the Sausage: Thoroughly browning the sausage before adding it to the slow cooker enhances the rich flavor of your tortellini soup.
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Check Cooking Times: Each slow cooker is different. Always check for doneness, especially the vegetables, to ensure a perfectly cooked soup.
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Avoid Overcooking Pasta: Add tortellini towards the end of cooking time. They should be tender but not mushy for the best texture in your soup.
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Adjust Creaminess: If the soup is too thick, keep adding milk a little at a time until you reach your desired consistency for the tortellini soup.
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Season to Taste: Balance flavors with salt and pepper at the end. Since broths vary in sodium, always taste before adding more seasoning.
How to Store and Freeze Tortellini Soup
Fridge: Store leftover tortellini soup in an airtight container for up to 4 days. Make sure it cools down before sealing to prevent condensation.
Freezer: If you want to save it for later, freeze the soup in a freezer-safe container for up to 3 months. Leave some space at the top for expansion.
Reheating: Reheat the soup gently on the stovetop over medium heat. Add a splash of milk if it’s too thick for a deliciously creamy texture upon serving.
Thawing: For frozen soup, thaw in the fridge overnight before reheating. You can also warm it directly on low heat if you’re in a hurry.
Make Ahead Options
These Creamy Slow Cooker Sausage and Tortellini Soup preparations are perfect for meal prep enthusiasts! You can chop your vegetables and brown the sausage up to 24 hours in advance, storing them in airtight containers in the refrigerator to maintain their freshness. For even more convenience, you can also measure out your seasoning components to make the cooking process smoother. When you’re ready to enjoy your soup, simply combine all the prepped ingredients in your slow cooker, add the broth, and set it to cook as directed. This way, you’ll get a delicious, homemade meal with minimal effort, perfect for those busy weeknights when time is short but comfort is essential!
Tortellini Soup Variations & Substitutions
Feel free to explore these fun twists to make your creamy soup even more delightful!
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Vegetarian: Replace the sausage with lentils or mushrooms and use vegetable broth for a hearty meatless option. It’s packed with flavor but leaves out the meat without sacrificing satisfaction!
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Different Pasta: Swap cheese tortellini for ditalini or fusilli to change the texture and experience. Your soup will still be charming but with a fun pasta twist!
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Seasonal Veggies: Add seasonal veggies like zucchini or bell peppers for a fresh flavor boost. Incorporating these veggies not only enhances the nutrient profile but also adds vibrant colors!
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Spicy Kick: For heat lovers, toss in some red pepper flakes or diced jalapeños to the broth. It’s a perfect way to elevate your soup with a spicy punch, balanced by the creaminess.
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Creamy Variations: Substitute evaporated milk with heavy cream or coconut milk for an even richer taste. It brings a silkiness that pairs beautifully with the broth when enjoying on cozy nights.
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Herb Boost: Infuse even more flavor by adding fresh herbs like basil or parsley before serving. It elevates your soup with brightness, making each spoonful feel gourmet!
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Thinner Consistency: If you prefer a lighter soup, simply use more broth or less cornstarch for thickening. A thinner consistency can be refreshing while still retaining that comforting essence.
Want to savor some more comforting options? Dive into my Protein Taco Soup for a spicy, protein-rich dish or enjoy a warm bowl of Chicken Lasagna Soup that’s sure to bring smiles around the table!
What to Serve with Creamy Slow Cooker Sausage and Tortellini Soup
Cozy up your dining experience with delightful sides that enhance the comforting essence of this luscious soup.
- Crusty Garlic Bread: A warm, crunchy accompaniment that effortlessly soaks up the creamy broth, creating a satisfying, full meal.
- Garden Salad: Crisp greens tossed with a light vinaigrette bring freshness to the table, balancing the richness of the soup beautifully.
- Parmesan Crisps: These crispy cheese bites add a delightful crunch, enhancing each spoonful of creamy goodness while introducing a lovely nutty flavor.
- Focaccia Bread: Soft, flavorful, and perfect for dipping, this Italian bread adds a gentle touch to your meal, complementing the soup effortlessly.
- Roasted Vegetables: Seasoned seasonal veggies provide a perfect roasted contrast, adding bite and a hint of sweetness to round out your plate.
- Wine Pairing: A glass of Chianti elevates the Italian-inspired theme while its acidity cuts through the creaminess, making every bite sing.
- Chocolate Mousse: End on a sweet note! This light and airy dessert keeps the indulgent theme while offering a delightful finish to your comforting meal.
- Pesto Stuffed Tomatoes: Juicy tomatoes filled with aromatic pesto offer a fresh side that brightens the meal, harmonizing perfectly with the hearty soup.

Creamy Slow Cooker Sausage and Tortellini Soup Recipe FAQs
What type of sausage should I use for the soup?
Absolutely! For the best flavor, I recommend using ground Italian sausage, which provides a rich, savory base for this soup. If you’re looking for a lighter option, ground chicken or turkey can substitute seamlessly while still keeping the flavor in check.
How should I store leftover tortellini soup?
After cooling, store your leftover soup in an airtight container in the fridge for up to 4 days. Make sure it’s fully cooled before sealing it to avoid condensation, which can make the soup watery.
Can I freeze the tortellini soup?
Yes, you can freeze it! Pour the cooled soup into a freezer-safe container, allowing some space at the top for expansion. It will keep well in the freezer for up to 3 months. Thaw it overnight in the fridge or reheat directly from frozen on low heat.
What can I do if my soup is too thick?
No worries! If your creamy tortellini soup turns out thicker than you prefer, just add a splash of milk or broth to reach your desired consistency. Stir it in slowly until the soup reaches that perfect creamy texture.
Can I make this soup vegetarian-friendly?
Very! To create a vegetarian version, simply substitute the ground sausage with lentils or mushrooms for a hearty bite. You can also use vegetable broth instead of chicken or beef broth, bringing a delightful depth of flavor to your soup while keeping it meat-free.
What should I do if the tortellini become mushy?
To avoid mushiness, add the tortellini during the last 45 minutes of cooking. This timing ensures they are cooked through while still maintaining their delightful texture. If you find they are soft, simply reduce the cooking time next time.

Creamy Tortellini Soup for Cozy Nights In
Ingredients
Equipment
Method
- In a skillet, brown the sausage over medium heat for about 5-7 minutes until it's golden and cooked through. Chop your onion, carrots, and celery, and mince the garlic. Once browned, transfer the sausage along with the chopped veggies into your slow cooker.
- To the slow cooker, add the Italian seasoning, beef or chicken bouillon, and a pinch of salt. Pour in the broth while gently stirring to combine the ingredients.
- Cover the slow cooker with its lid and set it to cook on low for 7-8 hours or on high for about 4 hours.
- Once the soup is ready, use a ladle to skim off any excess fat from the surface. In a separate bowl, whisk together the cornstarch and evaporated milk or half-and-half until smooth. Slowly stir this mixture into the soup.
- Gently fold in the cheese tortellini into the soup. Cover the slow cooker and set it to cook on high for an additional 45 minutes.
- After the tortellini has cooked, stir in the baby spinach; this will wilt in just about 5-10 minutes.
- Assess the thickness of your creamy soup. If desired, add a splash of milk for a creamier texture and season with additional salt and pepper to taste.
- Ladle the warm soup into bowls and serve it immediately, perhaps alongside a slice of crusty bread.

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