Crockpot Tortellini with Sausage

Section: Hearty Main Courses Everyone Will Love

This dish offers a warm, hearty combination of Italian sausage and cheese tortellini simmered with fresh spinach and a medley of tomatoes. Slowly cooked in a Crockpot, it allows flavors to meld beautifully, enhanced by a splash of cream for extra richness. The inclusion of aromatic onions, garlic, and vegetables adds layers of savory depth. Perfect for an easy, satisfying meal that warms the soul.

Sarah smiles for the camera.
Created By Sarah
Updated on Mon, 10 Nov 2025 13:25:02 GMT
A crockpot filled with tortellini soup and sausage. Save
A crockpot filled with tortellini soup and sausage. | veganrecipesbysarah.com

This Crockpot tortellini soup with sausage is the perfect cozy meal for busy days when you want something hearty without fuss. The combination of Italian sausage, tender cheese tortellini, fresh spinach, and a splash of cream makes it rich and comforting. It’s one of those recipes that fills your kitchen with inviting aromas and warms you from the inside out.

I first made this during a cold weekend and it became an instant hit with my family. Now it’s a go-to whenever I want something hearty but not complicated. The slow cooker really lets the flavors develop while I tackle other tasks.

Gather Your Ingredients

  • Italian sausage: approximately sixteen ounces choose quality sausage for the best flavor& spicy sausage adds a nice kick if you like bold tastes
  • Half a medium onion, chopped: adds sweetness and depth to the base& use yellow onions for a mellow flavor
  • Four cloves of garlic minced: brings aromatic sharpness& fresh is best here
  • Two medium carrots sliced or chopped: adds subtle sweetness and texture& finely chop for shorter cooking times
  • Two sticks celery chopped finely: gives slight bitterness and crunch which balances the soup
  • One twenty-eight ounce can crushed tomatoes: creates a rich tomato base with a rustic texture& San Marzano style if you want authenticity
  • One fourteen ounce can diced tomatoes with juices: adds a bit of acidity and texture contrast
  • Four cups chicken broth: provides the liquid to bring everything together& homemade or low sodium preferred
  • Two packages nine ounce refrigerated cheese tortellini: the star pasta delivering a creamy cheesy bite& fresh refrigerated tortellini works better than frozen
  • Three-quarter cup heavy or whipping cream: optional but adds velvety richness for a luscious finish
  • Two cups packed fresh baby spinach: adds color, nutrients, and mild earthiness to lighten the soup
  • Salt and pepper to taste: essential for seasoning and bringing out all the flavors

How to Make It

Sauté the Sausage and Onions:
Heat a skillet over medium heat then add the Italian sausage and chopped onions. Use a spoon to break the sausage apart while cooking for about seven to eight minutes until the meat is browned and onions are translucent. Drain some of the excess fat if it feels greasy.
Add Garlic and Transfer to Crockpot:
Stir in the minced garlic and cook for about thirty seconds until fragrant but not burnt. Transfer the sausage mixture straight into your Crockpot to hold all those great flavors.
Add Vegetables, Tomatoes, and Broth:
Add the sliced carrots, finely chopped celery, crushed tomatoes, diced tomatoes with juices, and chicken broth to the Crockpot. If you want to cook the soup in about three to four hours, chop the carrots and celery finely so they soften quickly. For longer cooking times of seven to eight hours on low or four to five on high, larger pieces work fine.
Add Tortellini, Cream, and Spinach Before Serving:
About thirty minutes before you plan to eat, set the Crockpot to high and stir in the cheese tortellini, heavy cream, and fresh spinach. Stir occasionally so the tortellini cooks evenly and the spinach wilts gently. Season with salt and freshly ground pepper to your taste just before serving.
A bowl of soup with meatballs and pasta.
A bowl of soup with meatballs and pasta. | veganrecipesbysarah.com

Using fresh tortellini really makes a difference in texture and flavor. One of my favorite moments making this soup was when my daughter exclaimed that the tortellini felt like little pillows floating in a lake of tomato goodness. It reminded me how food connects us in small joyful ways.

Flavor Boosters

Toast the fennel seeds or Italian herbs in the dry pan before adding to the sausage if you want an extra fragrant boost. I learned the hard way don’t skip this step if you want authentic layered flavors. When adding tortellini to the Crockpot, stir gently and keep an eye so they don’t stick together or overcook.

Serving Suggestions

Serve with crusty garlic bread or a fresh green salad for a complete meal. Top with grated Parmesan or a drizzle of good olive oil for an extra layer of flavor. Pair with a light red wine such as Chianti or even a crisp sparkling water with lemon for a refreshing contrast.

Creative Twists

If you do not have Italian sausage, ground pork or turkey works well& add your own herbs like fennel or Italian seasoning to mimic flavors. Use spinach or kale depending on preference for a variety in texture and nutrient content. Cream can be left out for a dairy-free version or substitute with coconut cream for a subtle tropical twist.

A bowl of soup with pasta and meat in it.
A bowl of soup with pasta and meat in it. | veganrecipesbysarah.com

This soup is a perfect blend of convenience and flavor for busy days. It’s sure to become a family favorite you’ll want to make again and again.

Recipe FAQs

→ What type of sausage works best?

Italian sausage, either sweet or spicy, adds robust flavor. Using ground sausage or removing casing from links works well.

→ Can I substitute fresh spinach?

Fresh baby spinach is preferred for its tender texture and bright flavor, but frozen spinach can be used if drained thoroughly.

→ How do I prevent tortellini from overcooking?

Add the cheese tortellini during the last 30 minutes of cooking to maintain their texture and avoid mushiness.

→ Is cream necessary in this dish?

The splash of cream adds subtle richness and smoothness but can be omitted for a lighter result without impacting flavor deeply.

→ How can leftovers be refreshed?

Reheat leftovers gently, adding extra chicken broth and stirring in tortellini again to prevent dryness and maintain flavor balance.

Crockpot Tortellini Sausage

A savory blend of sausage, tortellini, spinach, and tomatoes slow-cooked for rich flavor.

Preparation Time
20 mins
Time to Cook
480 mins
Total Duration
500 mins
Created By: Sarah

Recipe Type: Main Dishes

Level of Difficulty: Perfect for Beginners

Type of Cuisine: Italian-American

Yields: 6 Number of People Served

Dietary Needs: ~

Ingredients List

→ Meat

01 16 ounces Italian sausage, casings removed

→ Vegetables

02 1/2 medium onion, chopped
03 4 cloves garlic, minced
04 2 medium carrots, sliced or chopped
05 2 stalks celery, finely chopped
06 2 cups fresh baby spinach, packed

→ Canned Goods

07 1 can (28 ounces) crushed tomatoes
08 1 can (14 ounces) diced tomatoes with juices

→ Liquids

09 4 cups chicken broth
10 3/4 cup heavy whipping cream (optional)

→ Pasta

11 2 packages (9 ounces each) refrigerated cheese tortellini

→ Seasonings

12 Salt and pepper, to taste

How to Make It

Step 01

Heat a skillet over medium heat. Add the sausage and chopped onion. Cook for 7-8 minutes, breaking up the sausage, until browned. Drain excess fat if necessary. Stir in minced garlic and cook for 30 seconds. Transfer the mixture to the slow cooker.

Step 02

Add carrots, celery, crushed tomatoes, diced tomatoes with juice, and chicken broth to the slow cooker. For a shorter cooking time of 3-4 hours, chop carrots finely; for longer cooking of 7-8 hours on low or 4-5 hours on high, chop carrots larger.

Step 03

Cover and cook on low for 7-8 hours or high for 4-5 hours, until vegetables are tender and flavors meld.

Step 04

Approximately 30 minutes before serving, stir in the cheese tortellini, heavy cream (if using), and fresh spinach. Increase heat to high and cook until tortellini is tender, stirring occasionally.

Step 05

Season with salt and pepper to taste. Serve immediately for best texture and flavor.

Extra Tips

  1. Use spicy Italian sausage for added heat if desired. Leftovers tend to absorb broth; add extra chicken broth or tortellini when reheating.
  2. A 7-quart slow cooker is recommended as the soup becomes quite full once tortellini is added.

What You’ll Need

  • Skillet
  • Slow cooker (minimum 7-quart capacity)
  • Cooking spoon

Allergy Information

Review ingredients carefully for allergens, and consult your doctor if needed.
  • Contains dairy and gluten
  • May contain wheat in tortellini