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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 68 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! I’m Natasha.

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4.98 from 68 votes (13 ratings without comment)

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137 Comments

  1. Katie says:

    5 stars
    My husband LOVED this, and he’s a critic! Made just a couple small adjustments – added more broth, added extra salt, and put less spinach.

    1. Natasha says:

      I love that!! 😀 Thanks, Katie!!

  2. Tessa says:

    5 stars
    This was delicious! And not too complicated. I used fresh oregano only because I had it on hand.

    1. Natasha says:

      Fantastic!! Thanks, Tessa! 😀

  3. Stacee says:

    5 stars
    Just made this a few nights ago and we absolutely love it- thank you!

    1. Natasha says:

      You’re very welcome! 🙂

  4. Kelly Mae Casey says:

    5 stars
    Fantastic recipe and easy for beginners. Served with a warm baguette. Will be making again!

    1. Natasha says:

      Love to hear that! 😀

  5. Dave says:

    Haven’t made this one yet but planning to. Curious why you use Johnsonville sausages instead of a pound of ground mild Italian sausage. Saw this in other recipes of yours too.

    1. Natasha says:

      Hi Dave! The simple answer is that I live in Canada and it’s the issue of metric vs. imperial. There is no 16 oz. package of ground Italian sausage here, so it’s easiest for me to just use most of a 500g package of sausage links. The bulk ground sausage comes in different sizes here than in the US, and I believe I’d be mixing two packs of ground sausage meat since it comes in a bit under a pound. The last time I checked anyway! I also happen to like the taste of Johnsonville sausages. 🙂 I do put a note in the recipe card for these recipes saying you can use ground sausage meat or take it out of the casings. I hope this answers your question and you enjoy the soup. 😀

  6. Brittany K says:

    5 stars
    So good! I’ve made several of your recipes and again you’ve knocked it out of the park! I ran out of oregano so I subbed with Italian seasoning and it turned out great. Easy, comforting recipe that I will make again.

    1. Natasha says:

      Aww I’m so glad!! Appreciate your review, Brittany! 😀

  7. Tina b says:

    So easy to prepare and so delicious! I baked croissants too!! Perfect dinner!

    1. Natasha says:

      Wonderful! Glad you enjoyed it, Tina! Appreciate your review. 🙂

  8. Tamara says:

    5 stars
    Have made twice now. We love it. Did not change anything with recipe. Perfect as is!

    1. Natasha says:

      I’m thrilled to hear it, Tamara!! Thanks so much for your review! 😀

  9. Maria Lembo-Whiteford says:

    Can you recommend something other than cream to make it dairy free?
    Thanks
    Maria

    1. Natasha says:

      Hi! You could try Silk’s dairy-free whipping cream. Sometimes readers use it in my creamy recipes. Coconut milk could work, but it’ll change the flavor.

  10. Brandie says:

    5 stars
    Natasha, this is the first time I have tried one of your recipes and it is 10/10! I followed your directions exactly and added red pepper flakes at the end. The key is really nice quality sausage. Thanks for such an easy dinner option that packs so much flavor into a single pot! I have already forwarded it to 10 other people. Looking forward to trying your other recipes now. Cheers!

    1. Natasha says:

      Hi Brandie! I’m thrilled you enjoyed it, and I really appreciate you sharing it!! 😀 Glad you found me, and please let me know what else you make.