
Juicy Italian sausage chunks and soft cheese tortellini float in a smooth, silky tomato broth with bright veggies in this hearty slow cooker soup. Every bite gives you perfectly done pasta, flavorful meat, and soft vegetables that turn this soup into a full and filling dinner.
I tried loads of different slow cooker soups and found that when sausage and veggies bubble away all day, they make an amazing flavor foundation for the tortellini and cream you'll add later.
Key Components
- Italian sausage: Grab top-notch sausage for maximum taste impact
- Fresh tortellini: Works way better than dried ones in slow cooking
- Heavy cream: Gives you that trademark smooth, rich broth
- Fresh spinach: Brings nice green color and good-for-you stuff
- Fresh Parmesan: Shred it yourself for better melting and stronger flavor
Cooking Walkthrough
- Start Strong
- First, cook Italian sausage with onions until they turn golden brown. This builds deep taste that spreads throughout your soup.
- Mix Base Flavors
- Put tomato paste, garlic, and spices in the slow cooker with your cooked sausage mix. Slow cooking lets all these tastes blend together beautifully.
- Handle Your Veggies
- Cut carrots and celery the same size so they cook evenly. Toss them in the slow cooker with your broth.
- Watch Your Pasta
- Throw tortellini in during the last bit of cooking so they don't get soggy. They should stay soft but still hold their shape.
- Last Touches
- Mix in cream, cheese, and spinach right at the end. Let them warm up while keeping their fresh taste intact.

After making this soup many times, I've figured out that when you add things matters a lot. Getting the order right means everything keeps its perfect texture while adding to the overall taste.
Keeping Leftovers
Handle extras with care: keep in the fridge up to 3 days, warm up slowly to stop the cream from breaking apart, and remember the tortellini will get softer over time,
Your Personal Touch
Change it up as you like: use shredded chicken instead of sausage, go veggie with extra veggies and beans, sprinkle in red pepper flakes for some kick, or try different pasta shapes,
Pair It With
Round out your meal using crusty garlic bread, a simple green salad, or warm fresh dinner rolls,
What began as just trying out my slow cooker has turned into one of the meals my family asks for most. The mix of smooth broth, tender pasta, and tasty sausage creates something that's both cozy and filling. Whether you're cooking for your family or want something good for lunches all week, this soup brings warmth and flavor in every spoonful.

Frequently Asked Questions
- → Is it possible to make this meat-free?
- Absolutely! Substitute the sausage with white beans and choose vegetable broth.
- → What type of cream works best?
- It’s up to you – heavy cream, half-and-half, or even light cream will do. Higher fat means creamier soup.
- → Can frozen tortellini be used?
- Sure thing, both fresh and frozen work fine. Just add them during the last 10-15 minutes.
- → Does it freeze well?
- Not really. Creamy soups with pasta don’t freeze well since they can split or get grainy.
- → How do I make it spicier?
- Opt for spicy sausage or include a sprinkle of red chili flakes during the final steps.