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Estimated reading time: 8 minutes

There is something about a big pot of creamy tortellini soup simmering on the stove that makes the whole kitchen feel warm and cozy. I love this one because it looks and tastes like I spent all afternoon making it, but it comes together surprisingly quickly. The little sausage meatballs make every bowl feel extra special, while the cheese-filled tortellini, Parmesan cream broth, and tender spinach turn it into a hearty dinner all on its own.

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This is the kind of soup I make when everyone is hungry and I want something comforting without creating a sink full of dishes. Everything cooks in one Dutch oven, and you can have it on the table in about 45 minutes. Add a loaf of crusty bread for dipping, and dinner is done!

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Why You’ll Love This Creamy Tortellini Soup

It is ready in about 45 minutes and reheats well for lunch the next day.

The tiny sausage meatballs make it hearty enough for dinner.

Cheese tortellini cooks right in the soup, so there is no separate pot to wash.

Fresh spinach adds color and plenty of vegetables without overpowering the soup.

The creamy Parmesan broth tastes rich and comforting.

Creamy tortellini soup with sausage meatballs, spinach, carrots, and Parmesan in a white bowl

Ingredients You’ll Need For Tortellini Soup

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How to Make Creamy Tortellini Soup

1. Make and brown the sausage meatballs

Remove the sausage from its casings and roll it into small, bite-sized balls. Heat the olive oil in a Dutch oven or large soup pot over medium-high heat. Add the sausage balls in a single layer and cook, turning occasionally, until browned and cooked through. Transfer them to a plate and set aside.

2. Cook the vegetables

Reduce the heat to medium. Add the onion and carrots to the same pot and cook for 5–6 minutes, stirring occasionally, until they begin to soften. Add the garlic and cook for about 30 seconds, just until fragrant. Garlic can become bitter if it cooks too long, so it only needs a quick stir here.

3. Make the soup base

Sprinkle the flour over the vegetables and stir continuously for 1 minute. Slowly pour in the broth while whisking or stirring well, scraping up all those flavorful browned bits from the bottom of the pot. Bring the broth to a gentle simmer.

4. Cook the tortellini

Add the tortellini and cook according to the package directions, stopping when it is just tender. Return the cooked sausage meatballs to the pot during the final few minutes so they can heat through.

5. Finish the soup

Turn the heat to low. Add the spinach a few handfuls at a time and stir until wilted. Pour in the heavy cream, then stir in the Parmesan and nutmeg. Warm the soup gently for 2–3 minutes, but do not let it boil after adding the cream. Taste and add salt and black pepper as needed. Ladle it into bowls and serve with extra Parmesan on top.

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Nettie’s Tips for the Best Tortellini Soup

Wait before adding salt. Sausage, broth, tortellini, and Parmesan all contain salt, so taste the finished soup first.

Make the meatballs small. Tiny sausage balls are easier to eat with the tortellini and give you a little sausage in almost every spoonful.

Cook the garlic briefly. About 30 seconds is enough to release its flavor without burning it.

Add the broth slowly. Whisking as you pour keeps the flour from forming lumps.

Watch the tortellini closely. It continues to soften as it sits in the hot broth, so cook it only until just tender.

Keep the heat low after adding the cream. A hard boil can cause dairy-based soup to separate.

Grate your own Parmesan. It melts into the broth much better and creates a smoother soup.

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Variations and Substitutions

top-view-tortellini-soup-in-dutch-oven-with-sausage-spinach-carrots.

What to Serve with Creamy Tortellini Soup

This hearty soup does not need much on the side. I usually serve it with warm Italian bread, garlic bread, or a crusty loaf for soaking up the creamy broth. A simple green salad with a tangy vinaigrette is also a nice way to balance the richness.

Storage and Reheating

Allow leftover soup to cool, then refrigerate it in an airtight container for up to 3 days. The tortellini will absorb some broth as it sits, so stir in a splash of broth, cream, or milk when reheating.

Warm the soup gently on the stovetop over medium-low heat or reheat individual portions in the microwave. Avoid boiling it so the cream stays smooth.

Cream-based soup with cooked tortellini is not my first choice for freezing. The pasta can become soft, and the broth may separate after thawing. If you want to prepare it for the freezer, make the soup base and sausage meatballs without the cream, spinach, Parmesan, or tortellini. Freeze the cooled base for up to 3 months, then thaw it and add those remaining ingredients while reheating.

Make-Ahead Option

You can form and brown the sausage meatballs up to 2 days ahead and refrigerate them in a covered container. The onion and carrots can also be chopped in advance. For the best texture, wait to cook the tortellini and add the cream and spinach until shortly before serving.

FAQ

Can I use frozen tortellini in creamy tortellini soup?

Yes. Add frozen tortellini directly to the simmering broth without thawing it first. Follow the package cooking time and cook only until tender.

Can I use whole milk instead of heavy cream?

Yes, although the soup will be a little lighter and thinner. Keep the heat low after adding whole milk and do not let the soup boil.

How do I keep tortellini from getting mushy in soup?

Cook the tortellini only until just tender and serve the soup soon afterward. If you expect a lot of leftovers, cook the tortellini separately and add it to each bowl instead of storing it in the broth.

creamy tortellini soup in white serving bowl w/spoon

More Delicious Recipes To Try!

Chicken Corn Soup Recipe

Hamburger Potato Soup

Italian Wedding Soup

Pennsylvania Dutch Ham Pot Pie Recipe

Overnight Breakfast Casserole Recipe

Easy Homemade Beef Stew

APPAREL FOR THE FOODIE & GRILLER

Creamy tortellini soup with sausage meatballs, spinach, carrots, and Parmesan in a white bowl

Creamy Tortellini Soup

Nettie
This creamy tortellini soup is filled with tiny Italian sausage meatballs, tender cheese tortellini, carrots, spinach, and Parmesan in a rich, comforting broth.
No ratings yet
Prep Time 20 minutes
Cook Time 30 minutes
Total Time 50 minutes
Course Main Course, Soup
Cuisine American
Servings 8 servings
Calories 678 kcal

Ingredients
  

  • 2 tablespoons olive oil
  • 1 pound Italian sausage casings removed and formed into tiny balls
  • 1/2 cup onion finely chopped
  • 1/2 cup carrot chopped
  • 4 cloves garlic minced
  • 1/4 cup all-purpose flour
  • 6 cups chicken broth or vegetable broth
  • 1 pound cheese tortellini fresh or frozen
  • 1 pound fresh spinach washed and roughly chopped
  • 2 cups heavy cream or whole milk
  • 1/2 cup Parmesan cheese freshly grated, plus more for serving
  • 1/2 teaspoon nutmeg
  • Salt and black pepper to taste

Instructions
 

  • Heat the olive oil in a Dutch oven or large pot over medium-high heat. Add the sausage balls and cook, turning occasionally, until browned and cooked through to 160°F, about 6–8 minutes. Transfer the meatballs to a plate and set aside.
  • Reduce the heat to medium. Add the onion and carrots to the same pot. Cook for 5–6 minutes, stirring occasionally, until softened. Add the garlic and cook for about 30 seconds, until fragrant.
  • Sprinkle the flour over the vegetables. Cook and stir for 1 minute.
  • Slowly pour in the broth while whisking or stirring constantly. Scrape up the browned bits from the bottom of the pot, then bring the broth to a gentle simmer.
  • Add the tortellini and cook according to the package directions until just tender. Return the sausage meatballs to the pot during the final few minutes of cooking.
  • Reduce the heat to low. Add the spinach a few handfuls at a time and stir until wilted.
  • Stir in the heavy cream, Parmesan cheese, and nutmeg. Warm gently for 2–3 minutes without boiling. Taste and season with salt and black pepper as needed. Serve hot with extra Parmesan.

Notes

When it comes to the nutrition information provided for recipes, it’s important to keep in mind that it’s just an estimate. The actual nutritional values can vary based on the specific ingredients and brands you use. Be mindful that any nutritional information provided is intended as a general guideline rather than exact values.

Notes

  • Fresh and frozen tortellini may have different cooking times, so follow the directions on the package.
  • Whole milk may replace heavy cream, but the broth will be thinner. Keep the soup over low heat and do not boil it after adding the milk.
  • The tortellini absorbs broth as the soup sits. Add a little extra broth, milk, or cream when reheating leftovers.
  • If you expect leftovers, consider cooking the tortellini separately and adding it to individual bowls.
If you make this creamy tortellini soup, leave a comment and let me know how your family liked it! And do not forget the bread—you will want something to catch every last bit of that creamy Parmesan broth. Let’s mix it up!

Nutrition

Serving: 1servingCalories: 678kcalCarbohydrates: 35gProtein: 24gFat: 50gSaturated Fat: 23gPolyunsaturated Fat: 4gMonounsaturated Fat: 17gCholesterol: 140mgSodium: 1482mgPotassium: 605mgFiber: 4gSugar: 5gVitamin A: 7581IUVitamin C: 19mgCalcium: 275mgIron: 4mg
Keyword creamy tortellini soup, soup recipe, tortellini recipe, tortellini soup with sausage and spinach
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