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This easy Italian sausage orzo soup recipe has an irresistible creamy tomato broth! It’s a favorite with picky eaters and is simple to make with everyday ingredients.

Love orzo? Try my Lemon Chicken Orzo Soup or Italian Sausage Orzo next.

a bowl of italian sausage orzo soup with a spoon

Why you’ll love it

I love a piping hot bowl of creamy sausage soup, and it’s even better with orzo! Those tiny pasta bites make this a hearty and filling meal. The best part is that the orzo cooks right in the soup, so there’s no messing around with boiling pasta separately.

Tasty Italian sausage, plenty of garlic, and fresh spinach along with some pantry staples make this simple sausage soup with orzo recipe special. The broth is silky and creamy and sooo good. With minimal prep time, this soup is comfort food fast.

What you’ll need

  • Italian sausage – I chose Johnsonville mild
  • Onion, celery, and garlic – our tasty aromatics. I like sweet (Vidalia) onions best.
  • Flour – to thicken the broth
  • Chicken broth – the savory flavor base
  • Tomatoes – diced tomatoes are canned at the peak of ripeness. Fire roasted diced tomatoes would work great in here too!
  • Oregano – one of my favorite pantry seasonings
  • Orzo – this rice-shaped pasta makes the soup hearty
  • Heavy cream – for the velvety broth
  • Spinach – it adds a pop of freshness
ingredients for italian sausage orzo soup in prep bowls

Pro tip

  • The orzo cooks right in the soup and helps thicken the broth a bit as it cooks. The soup will soak up the broth the longer it sits, so if you’re not planning on eating most of it within a day or so, you may want to cook the orzo separately and add it in when reheating!

How to make Italian sausage orzo soup

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

sauteing sausage meat in a soup pot and then frying onions, celery, and garlic

Sauté the sausage meat in a large soup pot until browned. Transfer to a paper towel lined plate, leaving a little fat behind. Add the onion and celery, cooking until softened, then stir in the flour and garlic until fragrant.

pouring in chicken broth to a pot of soup and adding in italian sausage

Pour in the chicken broth slowly, and stir until the flour dissolves completely. Add the tomatoes and oregano, then return the sausage to the pot. Bring to a gentle boil.

adding in orzo and spinach to a pot of italian sausage soup

Add in the cream and orzo. Simmer the soup, giving it an occasional stir, until the orzo is cooked. Add in the fresh spinach, and season as needed with salt & pepper.

Tools for this recipe

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Substitutions and variations

  • Use spicy Italian sausage or add some crushed red pepper flakes if you want a touch of heat.
  • Don’t sub the cream for a lower fat alternative like milk or half-and-half as it’s likely to curdle due to the heat the soup is cooked at as well as the acidity of the tomatoes.
  • Kale would work instead of the spinach, but I’d add it in earlier as it takes longer to soften.
  • You could use ground beef instead of sausage, but you may need to up the seasonings to ensure it’s nice and flavorful.

What to serve with sausage orzo soup

Leftovers and storage

  • This soup will be good for 3-4 days in the fridge, but the orzo will soak up the broth the longer it sits, so you may need to add a splash more chicken broth and/or cream to leftovers. If you’re planning on having lots of leftovers or freezing the soup, I would cook the orzo separately and add it in while reheating.
  • If you want to freeze a batch of this soup, I would wait to add the cream, orzo, and spinach until reheating. Leftovers can be frozen as-is, but the texture of the broth and pasta may change (it should still taste good).
a ladle with italian sausage orzo soup

If you made this creamy sausage orzo soup recipe, please leave a star rating and review below! Tag me #saltandlavender on Instagram if you made any of my recipes.

a bowl of italian sausage orzo soup with a spoon
4.98 from 70 votes

Italian Sausage Orzo Soup

This easy Italian sausage orzo soup recipe has an irresistible creamy tomato broth! It's a favorite with picky eaters and is simple to make with everyday ingredients.
Prep: 10 minutes
Cook: 30 minutes
Total: 40 minutes
Servings: 6

Ingredients 

  • 16 ounces Italian sausage see note
  • 1/2 medium onion chopped finely
  • 2 sticks celery chopped finely
  • 2 tablespoons flour
  • 4 cloves garlic minced
  • 4 cups chicken broth
  • 1 (28 ounce) can diced tomatoes with juices
  • 1/2 teaspoon dried oregano
  • 1 cup uncooked orzo
  • 1 cup heavy/whipping cream
  • 2 cups (packed) fresh baby spinach optional
  • Salt & pepper to taste

Instructions 

  • Add the sausage meat to a large soup pot. Sauté over medium-high heat, stirring occasionally, until the sausage is browned (about 7-10 min).
  • Take the sausage out of the pot and transfer to a paper towel lined plate. Leave about a tablespoon of the fat in the pot (drain any excess).
  • Add the onion and celery to the pot and cook for 4-5 minutes.
  • Add the flour and garlic and cook for a minute, stirring constantly. 
  • Slowly add the chicken broth and stir until the flour has completely dissolved. 
  • Add the canned tomatoes and oregano to the pot, and also add the sausage back in. Increase the heat to high and bring the soup to a gentle boil. 
  • Once it's gently boiling, add the cream and orzo. Reduce the heat as needed and simmer for about 12 minutes or until the orzo is tender, stirring fairly often so it doesn't stick to the bottom of the pot.
  • Stir in the spinach and season with salt & pepper as needed.

Notes

  • The orzo will soak up the liquid the longer it sits! If you’re planning on having most of this as leftovers, I recommend cooking the orzo separately and adding it when reheating. See more storage/leftovers tips in the blog post.
  • For the sausages, anything around the 16 ounce/1 pound ballpark is fine – it doesn’t need to be exact. You can either buy ground sausage meat or, if using whole sausages, take the meat out of the casings.
  • Do not sub the cream for anything lower fat – it’s likely to curdle due to the acidity of the tomatoes and the high heat this soup is cooked at.

Nutrition

Calories: 541kcal, Carbohydrates: 31g, Protein: 18g, Fat: 39g, Saturated Fat: 18g, Polyunsaturated Fat: 4g, Monounsaturated Fat: 15g, Cholesterol: 105mg, Sodium: 1355mg, Potassium: 678mg, Fiber: 3g, Sugar: 6g, Vitamin A: 1742IU, Vitamin C: 19mg, Calcium: 116mg, Iron: 3mg

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! Iโ€™m Natasha.

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4.98 from 70 votes (13 ratings without comment)

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144 Comments

  1. Al Nelson says:

    5 stars
    This was good. Really good. I have to admit I was a tad nervous. At the time I made this reciepe few reviews had been posted, but the ones that were up seemed legit so we went for it. Glad I did. I’m adding this recipe to the rotation.
    I took your advice and used the fire roasted tomatoes we had on hand. I also heeded your advice and cooked the pasta separately and added it to individual portions. I ladled a couple scoops of pasta water into the soup at the end of cooking. I had a small parm cheese rind and I tossed it in with the chicken broth.
    One thing to note: Used mild Italian sausage links (1.25 lbs) and it was not cooking up that well so I added some olive oil to keep it from sticking. Went heavier with the white onion because of the extra sausage.
    I’m a fan. Thank you.

    1. Natasha says:

      Hi Al! This recipe was just published 6 days ago, and sometimes people make recipes and don’t write reviews… that is one of the reasons why small business owners such as myself are very grateful when people take the time to write them. ๐Ÿ™‚ Thanks for your review, and I am glad you enjoyed the soup. Thanks for sharing your tips!

  2. Maureen Scott says:

    I’m new to your website and love it! If I am also newly gluten free. What would you recommend to substitute for the flour?

    1. Natasha says:

      Hi! I’m glad you found me! ๐Ÿ˜€ I’d use gluten-free orzo (DeLallo makes some), and add a cornstarch slurry at the end to thicken the soup.

    2. Micaela says:

      5 stars
      Maureen,
      Iโ€™ve been cooking gluten free for awhile and always use gf flour for a roux and it works just fine to thicken. I use Trader Joeโ€™s gf flour bc it typically doesnโ€™t have the xanthan gum added which makes for a better roux, but even if you have a flour mix w it, it turns out ok. Hope its helpful!

  3. Jay says:

    5 stars
    It was SUPER GOOD but I definitely suggest tapering back on the noodles. It went from soup to mush in less than an hour. Probably donโ€™t need a cup. It really doesnโ€™t add much but texture and substance anyway. Even going without noodles, it would be just as amazing.

    1. Natasha says:

      I’m glad you liked it! Yup, you could definitely skip or reduce the orzo next time. ๐Ÿ™‚

  4. Jenna says:

    5 stars
    This was so simple and comforting! Will definitely be making it again ๐Ÿ™‚

    1. Natasha says:

      I’m so glad to hear it, Jenna!

  5. Melissa says:

    5 stars
    I made this last night and it was so good. This will definitely be in my Autumn rotation of soups to make and freeze for later.

    1. Natasha says:

      Fantastic!! ๐Ÿ˜€

  6. Heidi Zizza says:

    5 stars
    Honestly this was so easy and so delicious! I substituted the sausage for chicken sausage and the heavy cream for half and half. My husband loved it! I will make this again and again!

    1. Natasha says:

      I’m so happy to hear it, Heidi!! Appreciate your 5-star review! ๐Ÿ˜€

  7. Holly Brain says:

    5 stars
    Loved! Delicious and filling.

    1. Natasha says:

      Excellent!! ๐Ÿ˜€ Thanks for letting me know, Holly!

  8. marissa g says:

    5 stars
    made this tonight for our family of 4 – it is SO tasty and easy to make. serving with a side of garlic bread.

    1. Natasha says:

      Yay!! I’m thrilled to hear it. ๐Ÿ˜€

  9. Alex says:

    Looks and sounds so good! Can I use tomato sauce instead of diced tomatoes?!

    1. Natasha says:

      Hi! You could, but keep in mind the soup will be a bit thicker, so you may need to add some more liquid. Let me know how it goes!

  10. Valerie Gerstenslager says:

    5 stars
    This is a very easy recipe. It is delicious. I also decided to add 1 can of cannellini beans. I also donโ€™t us cream so I used 2% milk and it did not curdle. Thanks for the recipe.
    Valerie

    1. Natasha says:

      I’m so glad it worked out for you, Valerie! ๐Ÿ˜€ Thanks for your review!