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This easy Crockpot Creamy Tortellini Soup is the ultimate slow cooker comfort food. Loaded with savory sausage, tender pasta, and fresh spinach in a rich, creamy tomato broth, it’s a hearty and comforting dinner that will be waiting for you when you walk through the door!

5 Star Reviews ⭐️⭐️⭐️⭐️⭐️
“Made this for the first time today. Perfect soup for a cold rainy day in December. For any day really. Family loved it.” – Marie
“So easy to make and so delicious!!! I can see this as a frequent meal in my household. Followed the recipe exactly and it was perfection.” – Kathy
“I made this soup this week and it is awesome. It is definitely on the keeper list. I shared this with a couple friends and they really enjoyed this soup too. So, I also have shared it with friends. Absolutley worth making!” – Leslie
A Rich, Creamy Soup the Whole Family Will Love
You know it’s going to be a good night when the house smells like creamy tortellini soup simmering away in the kitchen. On chilly evenings, we grab our coziest sweaters, slice up some warm bread, and settle in around the table. Conversation flows easily, and no one is in a hurry to leave.
This easy crockpot tortellini soup has become one of our favorite slow cooker dinners, filled with tender cheese tortellini, savory Italian sausage, and fresh spinach in a rich, creamy tomato base that warms you from the inside out. It’s the kind of cozy, make-ahead meal that turns an ordinary weeknight into one of those “remember when…” family dinners. And the best part is walking in the door to dinner already done!
🩷 Echo
Table of Contents
- 5 Star Reviews ⭐️⭐️⭐️⭐️⭐️
- A Rich, Creamy Soup the Whole Family Will Love
- Ingredients in Creamy Sausage Tortellini Soup
- Additional Ingredients or Substitutions
- Step by Step Instructions
- No Crockpot? No Problem!
- What to Serve with Creamy Tortellini Soup
- Frequently Asked Questions
- More Slow Cooker/Crock Pot Soups to Try
- Creamy Tortellini Soup Recipe
Ingredients in Creamy Sausage Tortellini Soup

Toss all of these simple ingredients into the slow cooker and dinner will be ready in no time! Here’s what you need for this easy soup:
- Italian sausage – about one pound. Brown in a medium pan on the stovetop, then drain and add to the soup.
- Cheese Tortellini – you can use fresh tortellini or frozen. Switch it up and try spinach or meat-filled tortellini.
- Fresh spinach – I like to use fresh baby spinach leaves, about 15 ounces. The spinach will wilt down as it cooks.
- Italian style diced tomatoes – Find these canned tomatoes in the canned foods aisle, and make sure to drain the juice before adding to the soup.
- Cream cheese – one (8-ounce) brick, softened and cut into chunks. This gives the soup lots of creamy texture without adding heavy cream.
- Broth – You can use chicken broth, beef broth or even vegetable broth for this recipe. You can also use homemade chicken stock or low sodium chicken broth.
- Salt and black pepper – to taste
Additional Ingredients or Substitutions
Fore more flavor or different textures, try adding any of these ingredients to your soup:
- Kale in place of spinach
- Minced garlic and diced onion, cook these along with the sausage or sauté separately until onions become soft
- Diced carrots, celery, or other veggies such as zucchini or squash
- Fresh basil, oregano, thyme or Italian seasoning.
- Parmesan cheese
- Tomato sauce
- For a vegetarian variation, use mushrooms instead of sausage and substitute vegetable stock for chicken broth.
- If you like your food spicy, add a few shakes of red pepper flakes to the crock pot before cooking.
- Swap out the pork sausage for turkey sausage or even shredded chicken
- Non or low fat cream cheese for an even healthier option. Just a warning though: Neufchatel (⅓ fat of cream cheese) doesn’t melt as well and leaves little curds.
Step by Step Instructions

- Brown the Sausage & Add to Slow Cooker
In a skillet over medium heat, cook the sausage until fully browned. Drain any excess grease, then transfer it to the slow cooker along with the remaining ingredients. Stir to combine.

- Cook & Serve
Cover and cook on LOW for 4–6 hours, stirring occasionally if possible. Stir well before serving, then ladle into bowls and enjoy.
No Crockpot? No Problem!
Making tortellini soup without a crock pot is easy and can be done on the stovetop in just a few simple steps. Start by cooking the sausage in a large pot until cooked through. Add the remaining ingredients and simmer over medium heat until the cheese tortellini is cooked to al dente. Season the soup with salt, pepper, and any desired herbs or seasonings for added flavor. Serve the soup hot and enjoy its comforting and cheesy goodness!

What to Serve with Creamy Tortellini Soup
This hearty crockpot tortellini soup pairs well with simple sides that balance its rich, comforting flavors. Whether you want something warm and crusty for dipping or something fresh and crisp for contrast, here are some delicious ideas:
- Garlic Bread: Warm, buttery garlic bread is perfect for soaking up every last spoonful of that creamy tomato broth. For something extra indulgent, try loaded garlic bread or hot and cheesy garlic bread.
- Crusty Baguette: A rustic baguette or artisan loaf adds the perfect chewy texture and is ideal for sopping up the soup.
- Breadsticks: You can never go wrong with breadsticks and cheese tortellini soup! Try our easy breadsticks or our homemade breadtwists!
- Grilled Cheese Sandwich: For the ultimate comfort food pairing, serve this soup with a classic grilled cheese sandwich. To kick it up a notch, try this tortellini soup with our Margherita grilled cheese sandwich. YUM!
- Side Salad: Lighten things up with a fresh garden salad topped with mixed greens, cherry tomatoes, cucumber, and a zesty vinaigrette.
- Caesar Salad: A creamy and tangy Caesar salad complements the creamy tortellini soup and provides a perfect balance of tastes.
- Antipasto Platter: Add variety with olives, marinated artichokes, cheeses, salami, and other Italian-inspired bites for a simple but impressive spread.
Frequently Asked Questions
Soups with cream cheese don’t always freeze well because they can separate, which leads to a grainy texture. For best results, refrigerate any leftovers and enjoy the soup within three to five days.
Yep, both fresh and frozen cheese tortellini work well in this crockpot tortellini soup. If using frozen, you may need to add a little extra cooking time to ensure the pasta is tender.
You can use turkey sausage, shredded chicken, or even mushrooms for a vegetarian option. Italian sausage adds the most flavor, but the recipe is flexible.

More Slow Cooker/Crock Pot Soups to Try
This Crockpot Creamy Tortellini Soup is everything you want in a cozy, easy dinner. It’s rich, hearty, and made effortlessly in the slow cooker. If you give it a try, I’d love for you to leave a comment and a star rating to let me know how it turned out in your kitchen! 🥣💛
Creamy Tortellini Soup

Video
Ingredients
- 1 pound Italian sausage
- 16 ounces cheese tortellini
- 5 ounces fresh spinach, chopped
- 29 ounces Italian style diced tomatoes, well drained
- 8 ounces cream cheese, softened and cut into cubes
- 4 cups chicken broth
Instructions
- Brown the sausage in a skillet until fully cooked. Drain the grease from the sausage and place all ingredients in the slow cooker.

- Cook on low for 4-6 hours, stirring occasionally if possible.

- Stir well and serve in individual bowls.

Notes
Nutrition
Nutrition information is automatically calculated, so should only be used as an approximation.
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Does this recipe require two 29oz cans of diced tomatoes, or two cans of 14.5 oz diced tomatoes for 29 ounces total? Just made it with two cans of 28 oz tomatoes and it seems to be too much.
I apologize for the confusion. It is just one 29 ounce can. I corrected it on the recipe. Thank you for letting us know!
Loved it!
We made this last night and it was so yummy. We were fighting over the leftovers!
Made this for New Year’s. Super simple and little prep. I added a little tomato paste and more vegetarian broth. I used vegetarian Italian sausage. It’s delicious, My husband is a soup master and he loved it!
Great ideas for making this a meatless soup. Thank you! Happy New Year!
When you used Vegetable broth instead of chicken did you have to add salt?
Exited to make this recipe tonight! Fingers crossed my picky eater (kids) enjoy it. I am thinking I will make on the stove, as my tortellini is not frozen. I will likely crush the tomatoes in blender, so that they are “hidden” from said picky eaters. 🙂
haha love it! You can totally blend up those tomatoes! It will still be delicious! Let us know how they liked it!
Delicious!!!
I tried your cheese tortellini soup and it is the best thing ever! My Husband is a fan too. Made as written except added more garlic and Italian seasoning because my tomatoes were home canned without spices. Will make this again for sure! Thank you and can’t wait to try more of your recipes!
So glad you and your husband liked this recipe! Thanks for taking the time to comment. We are excited you found us!
Could I use a can of crushed tomatoes. I really don’t like tomatoes, I use crushed when a recipe
calls for tomatoes
Yes, crushed should work just fine. Hope this helps 🙂
Made this the other night and it was delicious, even without the sausage. Of course, the meat lover was a tad disappointed, but said it was still worth making again. Next time, I’ll add the sausage.
Made this but did not come out looking like red sauce in the picture?
What gives it creamy red sauce?
Do you add any seasonings?
I think it comes down to the type of tomatoes you use. Italian-style tomatoes create a thicker broth, as they are canned in more of a sauce than a syrup. If you use regular diced tomatoes, it would be thinner. Hope this helps!
Can you double this recipe?
Yes, of course! You will need a larger crock pot, or to cook it in two crock pots.
Do you use dry tortellini or the fresh, refrigerator kind?
You can use either! In this recipe we used the refrigerated kind, but if you wanted to use the dried kind, you would just need to cook it first before adding it to the soup. Hope this helps!
Do you use bulk sausage or lnks?i
We use bulk sausage in this recipe. Thanks for asking!
How long will this last in the refrigerator? Can it be frozen if made in advance?
This will last up to a week in the refrigerator. The pasta does not freeze well – sorry! Thanks for asking!
Can you cook this on the stove? thank you.
Sure, you will just want to adjust the times accordingly
Do you have the nutritional information for this recipe?
We don’t have the nutritional info for many of our recipes but you can plus them in on an online calculator like FitBit or Livestrong.com
This looks delicious! How many servings does this make?
Thanks!
This recipe makes 4-6 servings of soup (4 larger servings, 6 average servings). Thanks for asking!
This sounds wonderful.
Could you cook this on high? If so, how long do you think?
Two to three hours should work on high!
I don’t think I would like fresh spinach cooked for so many hours. Wouldn’t it be better to add it near the end?
The first time I made this, my son asked me if that was moss in the soup! So, I do add it near the end. It holds up better. This soup is delicious!
Haha! No one wants moss in their soup! Adding it at the end is a great idea. I’m so glad you like the soup. Thank you!
I made the in the crockpot the first time; never again as it doesn’t need to cook that long especially the tortellini. I make on the stove top basically after you cook the meat your just heating everything up and I melt down my cream cheese befor I put in my pot.
Do you put the tortellini in the crockpot when it is frozen or thaw it out first?
frozen is fine
How many servings does this recipe make?
It makes about 4 servings.
What size crock pot is needed for this?
A 5-6 quart crock pot works great. Thanks for asking!
Need more soup made with ground beef please. I’m on a very low budget. Can you help please?
If you go to our “recipes” link at the top of our page, you can specify the meals you want to make and the ingredients you want to use and it will formulate a list of ALL our recipes that match those terms! You can check the box that says “soup” and also the one that says “beef” and filter those recipes and you will find what you are looking for 😀 Hope this helps!
This soup sounds great. Thank you and have a wonderful week!
It’s wonderful!