Crockpot Tortellini Soup with Sausage and Spinach
This Crockpot Tortellini Soup is a hands-off dinner that fills the kitchen with Italian herbs while you do other things. Cheese tortellini, browned sausage, and fresh spinach swim in a creamy, tomatoey broth that tastes like it simmered all day.

It’s the kind of meal you load up in the morning and forget about until the bowls hit the table. A little bit of browning upfront and a quick stir at the end are all it asks of you.
What Makes This Soup a Go-To on Busy Nights
The slow cooker does all the heavy lifting. By the time everyone is hungry, there’s a hot, creamy pot waiting that requires no last-minute side dishes or frantic stirring.
The broth gets its richness from a block of cream cheese that melts into the tomatoes and spices. The tortellini stay tender because you add them right at the end, and the spinach wilts in seconds. It tastes like something you ordered at a cozy Italian spot, made for a fraction of the cost and without standing over the stove.
Ingredients

- 1 lb mild Italian sausage, casings removed: bulk or loose sausage works, not links. Hot sausage gives you a spicier soup.
- 1 medium yellow onion, diced: about 1 cup once chopped.
- 3 cloves garlic, minced: fresh garlic dissolves into the broth best.
- 2 (14.5 oz) cans diced tomatoes: do not drain; the juice builds the broth.
- 4 cups low-sodium chicken broth: vegetable broth works too, but chicken broth adds more savory depth.
- 1 tsp dried Italian seasoning: or a mix of oregano, basil, and thyme.
- 1/2 tsp fine sea salt: adjust at the end, since sausage and broth vary in saltiness.
- 1/4 tsp black pepper
- 1/4 tsp red pepper flakes (optional): skip if you do not want heat.
- 9 oz refrigerated cheese tortellini: found in the refrigerated pasta section, not dried.
- 5 oz fresh baby spinach: a big handful wilts down to almost nothing.
- 4 oz full-fat cream cheese, softened and cut into cubes: full-fat melts silkier; low-fat can separate.
- 1/2 cup heavy cream: half-and-half works too, but the soup will be a bit thinner.
- Grated Parmesan cheese, for serving
- Fresh basil leaves, for garnish (optional)
Variations / Substitutions
- Swap the sausage: Use ground turkey or chicken and brown it the same way. The soup will be leaner but still hearty.
- Use any sturdy green: Chopped kale or Swiss chard holds up even better than spinach if you need the soup to sit on warm for a while.
- Make it dairy-free: Replace the cream cheese with a block of dairy-free cream cheese and use full-fat coconut milk instead of heavy cream. The texture softens a little but stays creamy.
- Try a different tortellini: Spinach-ricotta or mushroom tortellini both work. Avoid tricolor ones with heavy food coloring if you want a cleaner look.
- Add beans: A can of drained, rinsed cannellini beans stirred in with the tomatoes makes it even more filling.
If you like soups that cook all day, our Slow Cooker Minestrone is another one to put on the list.
How to Make Crockpot Tortellini Soup
Step 1: Brown the Sausage

Set a large skillet over medium-high heat. Add the 1 lb sausage and break it apart with a wooden spoon. Cook for about 8 minutes, stirring now and then, until the meat is no longer pink and some golden brown bits form on the bottom of the pan. Drain off any excess fat, then transfer the sausage to the slow cooker.
If you are really pressed for time, you can add the raw sausage straight to the pot. The soup will still taste good, but the browned bits are what build that deep, slow-cooked flavor. The skillet should look a little crusty, and that is a good thing.
Step 2: Load Up the Slow Cooker

To the slow cooker with the sausage, add the diced onion, minced garlic, both cans of diced tomatoes with their juices, the 4 cups chicken broth, Italian seasoning, salt, pepper, and red pepper flakes if using. Stir everything together, put the lid on, and set the cooker to high for 4 hours or low for 6 to 7 hours.
The broth will look a bit thin at first, but it thickens once the cream cheese and tortellini go in later. After the cook time, the onions should be soft and translucent, and the whole house will smell like tomato and herbs. No peeking necessary, but if you lift the lid, give it a gentle stir and then close it back up quickly.
Step 3: Add Tortellini and Spinach

Once the first cook time is up, lift the lid and stir in the 9 oz refrigerated tortellini and the 5 oz spinach. At first the spinach will mound up way over the liquid, but it wilts fast. Cover the slow cooker again and continue cooking on high for 20 to 30 minutes, just until the tortellini are tender and the spinach has collapsed into dark green ribbons.
You will know the tortellini are done when they puff slightly and float to the top. Test one quickly for texture. If you like firmer pasta, start checking at the 20-minute mark so they do not go past al dente.
Step 4: Swirl in Cream and Ladle

Turn off the slow cooker. Drop the cubed cream cheese into the hot soup and stir gently until it melts completely and the broth turns creamy. Pour in the heavy cream and stir again until everything is smooth and evenly pinkish. Taste and add a pinch more salt or pepper if it needs it.
Ladle the soup into deep bowls while it is still steaming. Top each bowl with a generous shower of grated Parmesan and a few torn basil leaves if you have them. The tortellini will be plump, the spinach dark and silky, and the broth thick enough to cling to a spoon.
A Few Tips for Crockpot Tortellini Soup
- For a spicy kick, use hot Italian sausage and double the red pepper flakes. The cream balances the heat so it never feels aggressive.
- If the soup thickens too much after sitting on warm for a while, stir in a splash of warm chicken broth or water to loosen it back up before serving.
- Fresh spinach gives the cleanest texture, but frozen spinach works in a pinch. Just thaw it first, squeeze out all the water, and stir it in with the tortellini.
- You can brown the sausage and dice the onion the night before. Keep them in the fridge, then dump everything in the slow cooker in the morning and turn it on.
Here is a quick guide to cook times based on your slow cooker setting:
| Setting | Initial cook time | Time after adding tortellini |
|---|---|---|
| High | 4 hours | 20 to 30 mins |
| Low | 6 to 7 hours | 20 to 30 mins |
Storing Leftovers for Later
- Refrigerate: Transfer cooled soup to an airtight container and store in the fridge for up to 4 days. The tortellini will absorb some liquid as it sits, so the soup will be thicker the next day.
- Reheating: Warm gently on the stovetop over low heat, adding a splash of broth or water to bring back the original consistency. Microwave works too, just go slow and stir halfway through.
- Serve Cold: This one is meant to be hot; cold creamy soup does not work well here.
What To Serve With Crockpot Tortellini Soup
A crusty baguette or a pile of garlic toast for dunking is all you really need, because the broth is too good to leave in the bowl. If you want something green on the side, a simple arugula salad with lemon vinaigrette cuts through the richness of the cream and sausage without competing. Shaved fennel and orange segments make another bright, crisp side that works with the Italian flavors.
Frequently Asked Questions
Can I use frozen tortellini?
Yes, you can. Add frozen tortellini straight from the bag and cook for the same 20 to 30 minutes, though they may need an extra 5 minutes to heat through. Dried tortellini is not a good swap here since it takes much longer and changes the texture of the finished soup.
Can I make this vegetarian?
Absolutely. Swap the sausage for 2 cans of drained and rinsed cannellini beans and use vegetable broth instead of chicken broth. A pinch of smoked paprika helps bring back some of the savory depth you lose without the meat.
Why did my cream cheese not melt smoothly?
Usually this happens when the cream cheese is too cold when it hits the soup. Let it sit on the counter while the slow cooker runs, then cut it into small cubes before stirring. The residual heat of the soup is enough to melt it; whisking gently instead of stirring aggressively also prevents little white flecks.
How do I keep the tortellini from getting mushy?
Add the tortellini only in the last 20 to 30 minutes of cooking, not at the beginning. Once they are tender, take the soup off the heat or switch the slow cooker to the warm setting so they stop cooking. This keeps them pleasantly firm.

Crockpot Tortellini Soup Recipe
Ingredients
Method
- In a skillet over medium-high heat, brown the sausage, breaking it apart, until no longer pink, about 8 minutes. Drain fat and transfer to slow cooker.
- Add onion, garlic, tomatoes with juices, broth, Italian seasoning, salt, pepper, and red pepper flakes to the slow cooker. Stir, cover, and cook on high for 4 hours or low for 6 to 7 hours.
- Stir in tortellini and spinach, cover, and cook on high for 20 to 30 minutes until tortellini are tender and spinach is wilted.
- Turn off the slow cooker. Stir in the cubed cream cheese until melted, then stir in heavy cream. Ladle into bowls, top with Parmesan and basil, and serve hot.
