When the weather cools down or you simply crave a warm, comforting meal that practically cooks itself, Slow Cooker Creamy Sausage Tortellini Soup is the recipe you want in your back pocket. This soup has everything: rich broth, savory Italian sausage, pillowy cheese tortellini, and a silky cream finish that brings all the flavors together. It’s hearty, satisfying, and one of those dishes that makes your whole home smell amazing while it simmers.

This is one of the most beloved slow cooker soups because it combines the convenience of a Crockpot with bold, comforting flavors. You get the richness of Italian sausage, the softness of simmered vegetables, and the creamy finish that turns the broth into something luxurious. Then, right at the end, cheese tortellini and fresh spinach go in, adding texture, flavor, and color.

Whether you’re feeding family, meal prepping for the week, or just want something cozy bubbling away while you relax, this soup is perfect. Even picky eaters love it.

Let’s break down exactly what makes this recipe legendary.

⭐ Why This Soup Is So Loved

• So easy: Almost everything goes into the slow cooker at once.
• Creamy comfort: Silky, rich broth that feels restaurant-quality.
• Protein + pasta in one bowl: Perfectly balanced and super filling.
• Cheese tortellini: Adds a fun, indulgent twist.
• Perfect for leftovers: Gets even better the next day.
• Family-friendly: Everyone devours it.

This dish takes a classic Italian-inspired flavor base and transforms it into a hearty, slow-simmered soup that wraps you up like a blanket. It’s comfort food done the right way — rich but not heavy, creamy but not overwhelming.

🛒 Ingredients You’ll Need

Main Ingredients

• Italian sausage
• Onion
• Garlic
• Diced tomatoes
• Chicken broth
• Cheese tortellini
• Spinach
• Heavy cream

Seasonings

• Italian seasoning
• Salt
• Pepper
• Crushed red pepper (optional for heat)

Everything is simple, familiar, and budget-friendly — exactly what a weeknight dinner should be.

🔥 How to Make It (Slow Cooker Method)

1. Brown the sausage

You technically can skip this step, but browning adds incredible flavor. Cook until golden.

2. Add base ingredients to the slow cooker

Sausage, onion, garlic, tomatoes, broth, and seasonings all go in. Stir well.

3. Slow cook

Cook on LOW for 5–6 hours or HIGH for 2–3 hours until flavors meld and onions are tender.

4. Add tortellini and cream

In the final 15–20 minutes, stir in the heavy cream and cheese tortellini. Cook until tortellini is tender.

5. Finish with spinach

Stir in spinach and let it wilt from the heat of the soup.

6. Serve & enjoy

Top with parmesan if you like — highly recommended.

Slow Cooker Creamy Sausage Tortellini Soup

A rich, comforting, slow-cooked soup with Italian sausage, cheese tortellini, spinach, and a silky creamy broth.

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Prep Time 15 minutes mins

Cook Time 5 hours hrs

Total Time 5 hours hrs 15 minutes mins

Servings: 6 bowls

Course: Dinner, Main Course

Cuisine: American, Italian-inspired

Calories: 520

Ingredients Equipment Method Notes

Ingredients

  

Soup Base

• 1 lb Italian sausage browned
• 1 onion diced
• 3 cloves garlic minced
• 14.5 oz diced tomatoes
• 4 cups chicken broth
• 1 tbsp Italian seasoning
• salt and pepper to taste

Finish

• 1 cup heavy cream
• 9-12 oz cheese tortellini
• 2 cups spinach fresh

Equipment

• Slow cooker
• Skillet
• Knife
• Cutting board

Method

 

1. Brown sausage in a skillet and drain excess fat.
2. Add sausage, onion, garlic, tomatoes, broth, and seasonings to the slow cooker.
3. Cook on LOW for 5–6 hours or HIGH for 2–3 hours.
4. Stir in heavy cream and tortellini during the last 15–20 minutes.
5. Add spinach and let wilt.
6. Season to taste and serve hot.

Notes

For extra creaminess, stir in 2 oz cream cheese before adding the tortellini.

🍽️ Serving Suggestions

• Garlic bread
• Caesar salad
• Fresh baguette
• Roasted vegetables
• A sprinkle of parmesan
• Red pepper flakes for heat

It’s a full meal in one bowl, but sides make it even better.

🔀 Variations

• Spicy version: Use hot Italian sausage.
• Veggie boost: Add carrots or mushrooms.
• Lighter version: Use half-and-half instead of heavy cream.
• Extra creamy: Add a splash of cream cheese.
• Tortellini swap: Use spinach or meat-filled tortellini.

💡 Expert Tips

• Add tortellini ONLY at the end — it cooks very fast.
• If reheating, add a splash of broth since pasta absorbs liquid.
• Don’t let tortellini sit in the soup for hours or it will soften too much.
• Brown the sausage for maximum flavor.

Ingredients (List)

• 1 lb Italian sausage
• 1 medium onion, diced
• 3 cloves garlic, minced
• 1 can (14.5 oz) diced tomatoes
• 4 cups chicken broth
• 1 tbsp Italian seasoning
• Salt & pepper to taste
• 1 cup heavy cream
• 1 package (9–12 oz) cheese tortellini
• 2 cups fresh spinach
• Optional: crushed red pepper flakes

Instructions (Numbered)

1. Brown Italian sausage in a skillet until golden; drain excess fat.
2. Add sausage, onion, garlic, diced tomatoes, broth, Italian seasoning, salt, and pepper to slow cooker.
3. Cook 5–6 hours on LOW or 2–3 hours on HIGH.
4. Stir in heavy cream and tortellini during the last 15–20 minutes.
5. Add spinach and let it wilt.
6. Taste and adjust seasoning.
7. Serve hot with parmesan.