Cheese Tortellini with Sausage, Spinach, Tomatoes and a Cream Sauce

This cheese tortellini with sausage skillet recipe is a quick and easy dinner. Ready in under 30 minutes, it is the perfect comforting meal for busy weeknights.

A skillet filled with cheesy tortellini and sausage in a creamy tomato sauce

This one-skillet creamy sausage tortellini recipe is about to become your new family favorite! It’s packed with flavor, incredibly easy, and ready in under 30 minutes – perfect for those hectic nights when everyone is hungry. The best part? You only need a single large skillet and simple ingredients to make this easy recipe for a cheesy tortellini dish the whole family will love!

Why You Will Love This Recipe

  • Quick & Easy: Ready in under 30 minutes, making it a perfect weeknight dinner.
  • One-Skillet Meal: Less cleanup with everything cooked in a single pan.
  • Family-Friendly: Creamy, cheesy, and full of flavor – even picky eaters will love it.
  • Customizable: Easily swap ingredients to fit your family’s taste preferences.
  • Comfort Food at Its Best: A hearty, satisfying meal that brings warmth to the table.

Ingredients You Will Need

Here is what you will need to make this creamy tortellini skillet:

  • Ground Italian Sausage: Choose mild Italian sausage for a family-friendly option or hot for a spicy kick.
  • Herbs and Spices: Minced onion and minced garlic.
  • Heavy Cream: Creates a rich and creamy base for the sauce.
  • Cream Cheese: Softened to room temperature, it thickens the sauce and adds creaminess.
  • Chicken Broth: Adds richness to the sauce, balancing the creaminess.
  • Fire-Roasted Tomatoes (undrained): These tomatoes add a burst of smoky flavor and vibrant color to the dish. Leaving the juice in adds extra moisture and flavor.
  • Cheese Tortellini Pasta: Pre-packaged fresh tortellini or frozen tortellini works well for this pasta dish.
  • Fresh Spinach (optional): This vegetable adds nutrients to the dish. It wilts quickly and has a fresh flavor.
  • Salt and Pepper: Season to taste.

Special Tools (affiliate links): Large Skillet (3.5 qt)

How to Make Creamy Tortellini with Sausage

This easy weeknight dinner is perfect for busy nights. Here is how to make it:

  1. Crumble Sausage & Brown: Heat a large skillet over medium-high heat. Add the Italian sausage and use a wooden spoon to break it into small pieces. Cook for 5-7 minutes, or until the sausage is browned and cooked through. Drain any excess grease using a colander or slotted spoon.
  2. Sauté & Season: Add the minced onion and minced to the skillet with the cooked sausage. Sauté over medium heat for 1 minute.
  3. Make the Creamy Sauce: Lower heat to medium and pour in the heavy cream, softened cream cheese, and chicken broth. Stir constantly until the cheese melts and creates a smooth, creamy sauce.
  4. Simmer & Flavor: Add the fire-roasted diced tomatoes (undrained) and simmer for 5 minutes to blend the flavors.
  5. Cook the Tortellini: Stir in the cheese tortellini pasta and cook according to package directions until al dente. Avoid overcooking, as cooked tortellini should have a pillow-like shape and tender texture.
  6. Wilt the Spinach (Optional): If using baby spinach, add it at the last minute of cooking and stir until it is wilted.
  7. Season & Serve: Remove from heat and season with salt and black pepper to taste. Serve with garlic bread or homemade dinner rolls for a complete meal!
A skillet filled with cheesy sausage tortellin.

Recipe Tips

  • Use a Blender: Blend the softened cream cheese, heavy cream, and chicken broth for 30 seconds before adding to the skillet for a smoother sauce, then add to the skillet. (step 3)
  • Picky Eater Tip: Blend the fire-roasted tomatoes with the creamy sauce to create a uniform texture.
  • Great Way to Add More Flavor: Garnish with fresh basil, parsley, red pepper flakes, or parmesan cheese.

Storing Leftovers

  • Transfer to an Airtight Container: Store leftovers in an airtight container.
  • Refrigerate: Keep in the refrigerator for 3-4 days.
  • Reheating: Heat in a skillet over medium heat or in the oven at 375°F until warm.

What to Serve with Tortellini and Sausage

This hearty sausage skillet dish is filling on its own, but pairs well with:

An overhead view of a freshly cooked cheese tortellini and sausage in a large white cast iron skillet
A skillet filled with cheesy tortellini and sausage in a creamy tomato sauce

Cheese Tortellini with Sausage, Spinach, Tomatoes and a Cream Sauce

A quick and easy one-skillet creamy tortellini recipe with Italian sausage, cheese, and a rich tomato-cream sauce. Ready in under 30 minutes, this hearty dish is perfect for busy weeknights and sure to become a family favorite!
Prep Time 5 minutes
Cook Time 20 minutes
Total Time 25 minutes
Serving Size 5 people

Equipment

  • 1 Large Skillet

Ingredients

  • 1 pound ground sausage
  • 1 teaspoon dried minced garlic
  • 1 teaspoon dried minced onion
  • ¾ cup heavy cream
  • 8 ounces cream cheese, room temperature
  • 2 cups chicken broth
  • 1 14 ounce can fire roasted tomatoes
  • 2 19 ounces tortellini – refrigerator section of the grocery store
  • 1 cup fresh baby spinach leaves, optional
  • salt + pepper to taste

Instructions

  • Heat a large skillet over medium-high heat. Add the Italian sausage and use a wooden spoon to break it into small pieces. Cook for 5-7 minutes, or until the sausage is browned and cooked through. Drain any excess grease using a colander or slotted spoon.
  • Add the minced onion and minced to the skillet with the cooked sausage. Sauté over medium heat for 1 minute.
  • Lower heat to medium and pour in the heavy cream, softened cream cheese, and chicken broth. Stir constantly until the cheese melts and creates a smooth, creamy sauce. (See note below for another option)
  • Add the fire-roasted diced tomatoes (undrained) and simmer for 5 minutes to blend the flavors.
  • Stir in the cheese tortellini pasta and cook according to package directions until al dente. Avoid overcooking, as cooked tortellini should have a pillow-like shape and tender texture.
  • If using baby spinach, add it at the last minute of cooking and stir until it is wilted.
  • Remove from heat and season with salt and black pepper to taste. Serve with garlic bread or homemade dinner rolls for a complete meal!

Notes

  • Use a Blender: Blend the softened cream cheese, heavy cream, and chicken broth for 30 seconds before adding to the skillet for a smoother sauce, then add to the skillet. (step 3)
  • Picky Eater Tip: Blend the fire-roasted tomatoes with the creamy sauce to create a uniform texture.
  • Great Way to Add More Flavor: Garnish with fresh basil, parsley, red pepper flakes, or parmesan cheese.

About Sarah

Wife. Mother. From-Scratch Cook. Homemaker.

I’m Sarah, the creator of Rocky Hedge Farm, where I share my love for simple living, homemade meals, and creating a cozy home. As a wife and mother, I’m passionate about slowing down, cooking from scratch, and finding joy in the everyday moments of life. From DIY projects and family-friendly recipes, I hope to inspire others to embrace a life rooted in simplicity and warmth.

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Recipe Rating




4 Comments

  1. 5 stars
    I made this recipe last night and it was so good! And it makes a lot if you have a big family. Had it again for lunch and it heated up great. Highly recommend!