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This Crockpot tortellini soup with sausage is a comforting and easy to prepare slow cooker soup! It has Italian sausage, tomatoes, cheese tortellini, a splash of cream, and spinach.

You may also enjoy my Italian Sausage Orzo Soup or this Easy Zuppa Toscana next.

Crockpot tortellini spinach soup with sausage in two bowls

Why you’ll love it

If you’ve followed me for any length of time, you know I’m a big fan of pasta and Italian sausage in soup like in my Lasagna Soup. It’s just such an undeniably tasty combo! In this slow cooker tortellini soup we’ve also got plenty of spinach in a rich tomato broth.

This cozy tortellini soup with sausage is the perfect meal to come home to. Get everything ready in the morning, and then pop the tortellini in while you’re unwinding after work. It’s really easy to make, and this soup will quickly become a family favorite.

What you’ll need

  • Italian sausage – I chose mild. You can buy bulk meat, or take the sausage out of the casings.
  • Onion, garlic, celery, and carrots – the aromatic foundation for many tasty soups. I like to use sweet (Vidalia) onions.
  • Canned tomatoes – we’re using both crushed tomatoes and diced tomatoes
  • Chicken broth – for more savory flavor
  • Tortellini – tortellini package sizes vary, so use anything around the amount I suggest. I use the refrigerated kind.
  • Heavy cream – a touch of cream really enhances the texture and taste
  • Spinach – for a pop of freshness and contrast
ingredients for crockpot tortellini sausage soup in prep bowls

Tools for this recipe

Check out Natasha’s favorite kitchen essentials, gadgets, and cookware!

  • This is my 7-quart Crockpot slow cooker model.
  • Here’s my favorite skillet for the sautéing step.
  • My trusty can opener works great for the tomatoes, and this garlic press making mincing garlic effortless.

How to make slow cooker tortellini soup with sausage

This is an overview with step-by-step photos. Full ingredients & instructions are in the recipe card below.

sauteing italian sausage and onions in a skillet and adding to a slow cooker

In a skillet add the sausage and onions, and sauté until the meat is browned, breaking it up with a spoon. Discard any excess fat. Stir in the garlic until fragrant. Transfer the skillet contents to your Crockpot, and add in the celery, carrots, tomatoes, and broth.

a slow cooker with tortellini and italian sausage soup before and after cooking

Cook on low or high depending on your preference. When it’s about half an hour from being done, add in the tortellini, cream, and spinach. Stir occasionally. Season with salt & pepper as needed.

Pro tip

If you really need to, you could skip the step where you sauté the sausage and onion (I have tested similar recipes where I’ve just thrown raw sausage into the slow cooker), but I do recommend that step if possible because it imparts more flavor into this dish. You can also drain some of the fat if needed.

Substitutions and variations

  • I made this a creamy tortellini soup, but, with that said, you can leave the cream out, and it’ll still taste delicious. I don’t recommend subbing for something with a lower fat content like half-and-half because it could curdle, though.
  • Use spicy Italian sausage if you want a little heat to this soup, or add in crushed red pepper flakes.
  • Want to make it on the stovetop? Try my similar Italian Sausage Tortellini Soup.
tortellini soup with sausage in a Crockpot slow cooker

What to serve with this soup

Leftovers and storage

  • Store leftovers of this creamy tortellini soup for 3-4 days in the fridge.
  • Keep in mind that the pasta will soak up the soup the longer you leave it, so if you are reheating leftovers, you may need to add more chicken broth if needed.
  • If you want to make this soup ahead (or freeze it), I suggest waiting to add the tortellini, cream, and spinach until you’re ready to eat it.
close-up of creamy slow cooker tortellini soup with sausage

Hope you’ll love this tortellini soup with Italian sausage! Questions? Don’t hesitate to ask. Please leave a star rating and review below if you made it, or tag me on Instagram.

close-up of creamy slow cooker tortellini soup with sausage
4.95 from 75 votes

Crockpot Tortellini Soup with Sausage

This Crockpot tortellini soup with sausage is a comforting and easy to prepare slow cooker soup! It has Italian sausage, tomatoes, cheese tortellini, a splash of cream, and spinach.
Prep: 20 minutes
Cook: 8 hours
Total: 8 hours 20 minutes
Servings: 6

Ingredients 

  • 16 ounces Italian sausage see note
  • 1/2 medium onion chopped
  • 4 cloves garlic minced
  • 2 medium carrots sliced or chopped
  • 2 sticks celery chopped finely
  • 1 (28 ounce) can crushed tomatoes
  • 1 (14 ounce) can diced tomatoes with juices
  • 4 cups chicken broth
  • 2 (9 ounce) packages refrigerated cheese tortellini
  • 3/4 cup heavy/whipping cream optional
  • 2 cups (packed) fresh baby spinach
  • Salt & pepper to taste

Instructions 

  • Add the sausage meat and onions to a skillet. Sauté for about 7-8 minutes, breaking the sausage meat up with your spoon, until browned. If needed, spoon out some of the excess fat.
  • Stir in the garlic and cook for about 30 seconds. Add the sausage mixture to your Crockpot.
  • Add the carrots, celery, canned tomatoes, and chicken broth to the Crockpot. Keep in mind that if you want the soup to cook in 3-4 hours, the carrots will have to be chopped pretty finely. If you're cooking it for 7-8 on low or 4-5 hours on high, you can chop them larger.
  • About 30 minutes prior to serving, add in your cheese tortellini, cream, and spinach (I set the heat to "high"). Give it a stir occasionally. Season with salt & pepper as needed prior to serving. 

Notes

  • Use ground sausage meat or whole sausages (take the sausage meat out of the casings). Feel free to use spicy sausage!
  • The leftovers of this soup do soak up the broth a lot, so this soup is best eaten when it’s fresh. I suggest adding more chicken broth to leftovers if you need to. Or, add the tortellini in when reheating if you plan on having lots of leftovers.
  • This is the 7-quart Crockpot I used to make this recipe. My Crockpot was pretty full by the time I added the tortellini. 

Nutrition

Calories: 709kcal, Carbohydrates: 55g, Protein: 29g, Fat: 43g, Saturated Fat: 18g, Polyunsaturated Fat: 4g, Monounsaturated Fat: 14g, Cholesterol: 127mg, Sodium: 1814mg, Potassium: 937mg, Fiber: 8g, Sugar: 13g, Vitamin A: 5197IU, Vitamin C: 26mg, Calcium: 253mg, Iron: 6mg

Nutrition information is automatically calculated, so should only be used as an approximation.

© Salt & Lavender Inc. Content and photographs are copyrighted. Sharing this blog post is much appreciated, but copying and pasting full recipes without authorization to social media is strictly prohibited.

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Hi! I’m Natasha.

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4.95 from 75 votes (7 ratings without comment)

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250 Comments

  1. Kc says:

    Have to sub dry tortellini for fresh…will this change cooking times? Should I precook? Please advise.

    1. Natasha says:

      Hi! Yes, in that case I think pre-cooking is best.

  2. Stina Goucher says:

    This sounds amazing! Would it be good with this recipe and added shrimp put in near the end? The mix has my taste buds dancing in my mind.

    1. Natasha says:

      Yes! I think that could be quite delicious. Let me know if you try! 🙂

  3. Regena says:

    5 stars
    I love trying new recipes and this one rocked. Family loved it and I will definitely be making it again. I did not know spinach was so yummy. Thanks

    1. Miranda @ Salt & Lavender says:

      So happy it was a hit with the family, Regena! We’re big fans of spinach over here too.

  4. Joy says:

    5 stars
    This was a huge hit with all 4 of us in my family!! Absolutely delicious!!! I didn’t have heavy cream so I used 5 oz cream cheese instead, but it worked! Seriously loved this- thanks for sharing!! It’ll be a regular in our home now!

    1. Natasha says:

      Fantastic!! I’m so happy it’s a new regular in your rotation, Joy! 😀 Thanks for your 5-star review – I really appreciate you taking the time to write me one!

  5. Keisha says:

    5 stars
    This is a family favorite! I’ve made it many times for my family, but also made it for dinner one night for some friends. I make a garlic ciabatta bread with it and it makes a delicious meal! I do add a little Italian seasoning blend to mine, and it compliments the flavors well.

    1. Natasha says:

      I love that!! I’m so pleased it’s a hit. 🙂

  6. Kyra Hartman says:

    Love this! So easy to make. I’ve made this for my family as well as two of my friends for newborn meal trains. This past time I prepped ingredients before hand and it turned out great the next day!

    1. Natasha says:

      I’m so happy to hear that!! 🙂 That’s so nice of you to cook for your new mom friends!

  7. Tessa says:

    5 stars
    I just made this tonight and it was delicious! Thank you for posting this recipe. The only thing I did differently was omitted the carrots—as I’m not a fan—but made up for them with more onion and celery.

    1. Natasha says:

      You’re welcome! I’m so happy you liked it! 🙂

  8. Regena says:

    5 stars
    I love trying new recipes and I adore this one. I used a spinach and kale mixture and it was a hit. Loved the taste and textures. Highly recommend.

    1. Natasha says:

      Yay!! Thank you, Regena!

  9. Jennifer says:

    2 stars
    I liked the flavor of the sauce with the veggies or with the pasta. Combining the two was not to my taste. It was ok, would I make it again, No. Whenever I come across a recipe that I’m unsure about I ask myself would I order it in a restaurant, No. It was a very complicated crockpot recipe and at the end I was very disappointed 😞

    1. Natasha says:

      Sorry you didn’t enjoy it, Jennifer.

  10. Heidi says:

    5 stars
    I’ve made this recipe a few times, our family loves it!

    1. Miranda @ Salt & Lavender says:

      So happy it’s a hit with your family, Heidi!