Slow Cooker Italian Sausage Tortellini Soup — Fast Comfort
Set it, forget it, then feast: tomato broth, Italian sausage, cheesy tortellini, and veggies—minimal prep for weeknight comfort.
Your slow cooker owes you a win. This soup turns a simple grocery haul into a restaurant-level dinner with almost zero effort. Brown some sausage, toss in tomatoes and broth, drop tortellini near the finish line, and let time do the heavy lifting. You get bold flavor, silky broth, and carb-loaded smiles without babysitting a pot. Want leftovers? You’ll probably guard them like treasure.
The Secret Behind This Recipe

The magic here is timing and layering. Browning sausage first builds deep, savory flavor and adds delicious fond that the broth gladly grabs. A splash of tomato paste and a can of diced tomatoes give you a rich base without going full marinara.
Keep the tortellini out of the slow cooker until the last 20–30 minutes. It cooks fast and loves to overachieve into mush if you add it early. Finish with spinach and a little cream to balance the acidity and create that silky, can’t-stop-sipping texture.
Bonus move: toss in a Parmesan rind while it simmers. It melts into the broth with nutty, umami goodness that makes people ask, “What’s your secret?” You’ll smile and pretend it’s complicated.
Ingredients Breakdown
- 1 lb Italian sausage (mild or hot; bulk or links with casings removed)
- 1 tbsp olive oil (for browning)
- 1 medium yellow onion, diced
- 2 carrots, diced
- 2 celery stalks, diced
- 4 garlic cloves, minced
- 1 tbsp tomato paste
- 1 can (14.5 oz) diced tomatoes (fire-roasted optional)
- 6 cups low-sodium chicken broth
- 2 tsp Italian seasoning
- 1/2 tsp crushed red pepper flakes (optional, for heat)
- 1/2 tsp fennel seeds, lightly crushed (optional, boosts sausage flavor)
- 1 bay leaf
- 1 Parmesan rind (optional but highly recommended)
- 10–12 oz refrigerated cheese tortellini
- 2 cups baby spinach (or chopped kale)
- 1/2 cup heavy cream (optional, for creamy finish)
- 1/2 cup freshly grated Parmesan, plus more for serving
- Salt and freshly ground black pepper, to taste
How to Make It – Instructions

- Brown the sausage: Heat olive oil in a skillet over medium-high. Add sausage and cook, breaking it up, until deeply browned and crumbly, 6–8 minutes. Spoon off excess fat if needed.
- Build the base: Transfer sausage to the slow cooker. Add onion, carrots, celery, garlic, tomato paste, diced tomatoes, chicken broth, Italian seasoning, red pepper flakes, fennel, bay leaf, and Parmesan rind.
- Set and forget: Cover and cook LOW 4–6 hours or HIGH 2–3 hours, until veggies are tender and flavors meld.
- Final stretch: Remove bay leaf and Parmesan rind. Stir in tortellini and spinach. Cook 20–30 minutes on LOW (or 15–20 minutes on HIGH) until pasta is just tender and greens wilt.
- Make it silky: Stir in heavy cream (if using) and Parmesan. Taste and adjust salt and pepper. If you want extra brightness, add a squeeze of lemon.
- Serve: Ladle into bowls and shower with more Parmesan. Add a pinch of red pepper flakes if your soul says “spicy.”
How to Store
- Short-term: Refrigerate in airtight containers up to 4 days. Reheat gently on the stove until steaming—don’t boil the tortellini.
- Separate smart: For best texture, store broth/sausage/veggies separately from tortellini. Combine when reheating so the pasta doesn’t inflate like a balloon.
- Freezer plan: Freeze the soup base (no tortellini, no cream) up to 3 months. Thaw, reheat, then add fresh tortellini and cream at the end.
- Refresh: If leftovers feel thick, splash in a bit of broth or water and re-season.

Nutritional Perks
- Protein-packed: Italian sausage plus cheese tortellini keep you full and satisfied.
- Lycopene boost: Tomato base adds antioxidant-rich goodness your body loves, IMO.
- Veg power: Onion, carrots, celery, and spinach deliver fiber, vitamins A and C, and color.
- Smart swaps: Use turkey sausage, low-sodium broth, and skip the cream for a lighter bowl without losing flavor.
- Calcium hit: Parmesan and tortellini filling bring a little bone-friendly bonus.

Avoid These Mistakes
- Adding tortellini too early: FYI, pasta in a slow cooker goes from perfect to mush fast. Add in the last 20–30 minutes.
- Skipping the browning step: Raw sausage straight into the pot equals weaker flavor. Browning builds savory depth.
- Overcooking on HIGH: Don’t blast it for hours. Veggies turn sad, and broth tastes flat.
- Forgetting to taste and tweak: Salt, pepper, and a splash of acid (lemon or a dash of red wine vinegar) make flavors pop.
- Dumping in dairy at the start: Cream should go in at the end so it doesn’t curdle or lose its silkiness.
- Skipping the Parmesan rind: It’s a free flavor upgrade. Use it if you have it.
Mix It Up
- Swap the sausage: Try turkey or chicken Italian sausage for a leaner profile.
- Change the greens: Kale holds up longer; spinach melts in smoothly. Both are great.
- Play with pasta: Use spinach tortellini or three-cheese ravioli for a similar vibe.
- Add mushrooms: Sautéed cremini bring meaty depth without extra meat.
- Go spicy: Stir in Calabrian chili paste or a spoon of harissa for an assertive kick.
- Bean bonus: Toss in a can of cannellini beans for extra fiber and creaminess.
- Pesto swirl: A tablespoon of basil pesto at serving adds herby pop and richness.
- Dairy-free route: Skip cream and finish with olive oil and a splash of almond milk.
FAQ
Can I use frozen tortellini?
Yes. Add it straight from the freezer in the final 25–35 minutes on LOW (or 20–25 on HIGH) and cook until just tender. It may need a few extra minutes compared to refrigerated.
Do I have to brown the sausage first?
You’ll get better flavor, texture, and color if you do. Browning builds a savory base the slow cooker simply can’t create on its own. It’s five minutes that pays off big.
How can I make the soup creamy without heavy cream?
Stir in half-and-half or evaporated milk at the end. You can also blend a ladle of the broth with a spoonful of Parmesan and return it to the pot for body.
Can I cook this entirely on HIGH?
You can, but keep it tight: 2–3 hours total before adding tortellini, then 15–20 minutes more. HIGH extracts flavor faster but can turn veggies mushy if you push it.
How do I make it gluten-free?
Use gluten-free tortellini (or sub with gluten-free pasta added at the end), and double-check your sausage and broth labels. Everything else is naturally gluten-free.
What if the soup is too thick?
Thin with extra broth or water, a little at a time. Re-season with salt and a touch of acid to keep flavors balanced after diluting.
My soup turned out salty—help?
Add a splash of water, more diced tomatoes, or a squeeze of lemon to balance. Switching to low-sodium broth next time is your safety net.
Can I make it ahead for a party?
Absolutely. Cook the base, chill, and reheat the day of. Add tortellini and cream right before serving so the pasta stays perfect and the broth silky.
Final Thoughts
This is weeknight comfort with a cheat code: bold flavor, minimal effort, and a slow cooker doing the heavy lifting. Brown the sausage, time the tortellini, and finish with Parmesan for that restaurant-level finish. Simple moves, big results—IMO, the best kind of cooking. Now cue the spoon clinks and second helpings.
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