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How to Make One-Pot Creamy Sausage and Tomato Tortellini

There’s something magical about a dish that bubbles away in one pot while filling your kitchen with the smell of garlic, tomato, and Italian sausage. One Pot Creamy Sausage and Tomato Tortellini is exactly that kind of meal the kind that feels like a warm hug after a long day. It’s been blowing up on Pinterest and TikTok lately because people are craving comfort food that doesn’t destroy the kitchen.

This dish brings together browned Italian sausage, pillowy cheese tortellini, and a rich tomato cream sauce that clings to every bite. It’s like something you’d order at a cozy trattoria, but it comes together in about twenty-five minutes using ingredients you probably already have. It’s weeknight magic with zero fuss. Full details in the blog!

I’ve tweaked this recipe about a dozen times in my test kitchen until it was foolproof because nothing’s worse than watery sauce or rubbery pasta. My favorite part? The way the tortellini soaks up that creamy tomato goodness while staying tender. I tested it on my toughest critics and they asked for seconds. Trust me, you’ll want to bookmark this one.

ONE POT CREAMY SAUSAGE AND TOMATO TORTELLINI centered hero view, clean and uncluttered
Cristobal Abraham

One-Pot Creamy Sausage and Tomato Tortellini Recipe Easy

This One Pot Creamy Sausage and Tomato Tortellini is a quick and hearty Italian dish that comes together in just 15 minutes. Packed with savory Italian sausage, creamy sauce, and fresh spinach, it’s perfect for a comforting weeknight meal.
Prep Time 5 minutes
Cook Time 10 minutes
Total Time 15 minutes
Servings: 6 servings
Calories: 628

Ingredients
  

  • 1 tablespoon olive oil
  • 1/2 lb ground Italian sausage
  • 1/2 white onion, diced
  • 4 cloves garlic, minced
  • 1 14.5 ounce can diced tomatoes, undrained
  • 1 cup heavy cream
  • 1 cup low-sodium chicken broth
  • 1 teaspoon kosher salt
  • 1 20 ounce package refrigerated cheese tortellini, uncooked
  • 3 cups spinach leaves
  • 1/4 cup chopped basil
  • 1/4 cup Parmesan cheese

Method
 

  1. Warm the olive oil in a large skillet set over medium heat.
  2. Add the ground Italian sausage along with the diced onion and cook until the sausage loses its pink color.
  3. Stir in the minced garlic and let it cook briefly for about a minute to release the aroma.
  4. Pour in the entire can of diced tomatoes with their juices, heavy cream, chicken broth, and sprinkle the kosher salt over the mixture.
  5. Add the uncooked cheese tortellini and gently stir everything to coat the pasta.
  6. Cover the skillet and let it simmer on medium heat until the tortellini becomes tender, about 5 to 7 minutes.
  7. Toss in the fresh spinach leaves and cook until they soften and the sauce thickens slightly.
  8. Mix in the chopped basil and sprinkle the Parmesan cheese over the top before serving.

Notes

  • If you don’t have chicken broth on hand, you can substitute with extra cream or simply use water as a secret swap without sacrificing flavor.

What Makes One Pot Creamy Sausage and Tomato Tortellini So Quick and Easy

This dish checks every box when you need dinner on the table fast. Everything cooks in one skillet, which means less juggling and fewer dishes to wash later. The tortellini goes straight from the package into the sauce without any pre-boiling, soaking up all that creamy tomato flavor as it cooks.

You’re working with pantry staples and a handful of fresh ingredients that come together in about fifteen minutes total. The sausage builds a flavor base, the cream and tomatoes create that signature silky sauce, and the spinach wilts right in at the end. It’s the kind of meal that feels impressive but doesn’t ask much of you after a long day.

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Why it works so well: The starchy water from the tortellini naturally thickens the sauce as everything simmers together. No need for extra flour or cornstarch tricks. The dish basically finishes itself while you set the table.

Ingredients You Already Have (and What They Do)

Let’s talk about what goes into this skillet and why each ingredient matters. The Italian sausage brings seasoning and richness without requiring a spice cabinet raid. Ground sausage cooks faster than links and breaks into perfect little bites that coat the tortellini.

Heavy cream and diced tomatoes create that restaurant-style sauce you’re after. The cream balances the acidity of the tomatoes while adding body, and using the full can of tomatoes with their juice gives you depth without watery results. Chicken broth loosens everything just enough so the tortellini can cook through without sticking.

Fresh spinach wilts down to almost nothing but adds color and a nutritional boost. The basil and Parmesan at the end bring brightness and that classic Italian finish. Refrigerated cheese tortellini is the star here because it’s already stuffed with flavor and cooks in minutes.

IngredientEasy Swap
Italian sausageGround turkey or crumbled tempeh
Heavy creamHalf-and-half or extra chicken broth
Cheese tortelliniSpinach tortellini or ravioli
SpinachKale, arugula, or skip it entirely
Chicken brothWater or more cream

How to Make It Without a Hitch

Start by heating your olive oil in a large skillet over medium heat. Add the sausage and diced onion together so they cook at the same pace. Break up the sausage with a wooden spoon as it browns, getting some crispy edges on those little pieces. Once the pink is gone, toss in your minced garlic and let it cook for just a minute until fragrant.

Pour in the full can of diced tomatoes with all their juice, then add the cream, chicken broth, and salt. Stir everything together and drop in the uncooked tortellini. Give it a good stir to coat each piece, then cover the skillet and let it simmer for five to seven minutes. The tortellini will plump up and the sauce will start to thicken.

Once the pasta is tender, stir in your spinach leaves and let them wilt into the sauce. This takes less than a minute. Remove from heat, stir in the fresh basil and Parmesan, and you’re done. The sauce should cling to everything without pooling at the bottom of the skillet.

Pro Tip: If your sauce looks too thick before the tortellini is cooked through, splash in a few tablespoons of water or broth. If it’s too thin at the end, let it simmer uncovered for an extra minute or two.

Helpful Swaps and Simple Tweaks

This recipe is forgiving, which makes it perfect for using what you have on hand. Swap the Italian sausage for ground turkey if you want something leaner, or go meatless with white beans or chickpeas for protein. If you don’t have heavy cream, half-and-half works just fine, or you can use all chicken broth for a lighter version.

Want more vegetables? Toss in diced bell peppers with the onion or stir in sun-dried tomatoes for a tangy punch. If you’re not a spinach fan, kale or arugula work beautifully. You can even skip the greens altogether and double down on the Parmesan and basil instead.

  • Add red pepper flakes for a spicy kick
  • Stir in a splash of white wine with the tomatoes for depth
  • Use frozen tortellini if that’s what you have (may need an extra minute to cook)
  • Top with fresh mozzarella for extra creaminess

How to Serve and Store Leftovers

Serve this straight from the skillet with crusty bread for soaking up the sauce, or pair it with a simple green salad and a glass of red wine. It’s hearty enough to stand alone but also plays well with garlic bread or roasted vegetables on the side.

Leftovers keep in an airtight container in the fridge for up to three days. The sauce thickens as it sits, so add a splash of broth or cream when you reheat it on the stovetop or in the microwave. Stir gently to bring it back to life without breaking up the tortellini.

Storage MethodHow Long It LastsReheating Tip
Refrigerator3 daysAdd liquid, heat gently on stovetop
FreezerNot recommendedCream sauces can separate
MicrowaveSame day is bestCover, stir halfway through

Note: This dish is best enjoyed fresh, but it reheats well enough for next-day lunches. Just don’t expect the same silky texture after freezing.

Expert Says: Why One-Pot Creamy Sausage and Tomato Tortellini Works So Well

According to food scientist Harold McGee, author of On Food and Cooking, cooking pasta directly in sauce allows the starch to thicken the liquid naturally while the pasta absorbs more flavor. “When pasta cooks in a flavorful liquid, it releases starch that creates a silky, cohesive sauce without the need for extra thickeners.” This is exactly why one pot creamy sausage and tomato tortellini delivers such rich, restaurant-quality results with minimal effort. The technique transforms convenience into something truly delicious.

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A Cozy Weeknight Win

I’ll never forget the first time I made this One-Pot Creamy Sausage and Tomato Tortellini on a rainy Tuesday night my kids actually asked for seconds before I could even sit down. It’s become my go-to when I need something comforting fast, and the fact that everything cooks in one pot means less cleanup and more time with my family. Trust me, this one’s a keeper.

FAQs (One-Pot Creamy Sausage and Tomato Tortellini)

Can I use frozen tortellini for this recipe?

Yes, frozen tortellini works perfectly and is actually my preferred choice. Add it directly to the pot without thawing – it will cook through in about 3-4 minutes. Fresh tortellini cooks faster in just 2-3 minutes, so watch carefully to avoid overcooking.

What type of sausage works best?

Italian sausage, either sweet or spicy, gives the best flavor for this dish. Remove the casings and crumble it as it cooks. Turkey sausage or chicken sausage also work well for a lighter option, though they may need extra seasoning to boost the flavor.

How do I prevent the cream from curdling?

Keep the heat at medium-low when adding cream and stir constantly. Let the tomato mixture cool slightly before adding dairy. If using lighter cream or milk, temper it by adding a few spoonfuls of the hot mixture first, then stir it back in.

Can I make this meal ahead of time?

This dish is best served fresh since the tortellini can become mushy when reheated. However, you can prep the sausage and tomato base ahead, then add the tortellini and cream when ready to serve. Store leftovers for up to 2 days and reheat gently.

What vegetables can I add to this dish?

Spinach, bell peppers, and mushrooms are excellent additions. Add heartier vegetables like peppers with the sausage, and leafy greens like spinach during the last 2 minutes of cooking. Frozen peas or cherry tomatoes also work beautifully in this recipe.

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Conclusion

One Pot Creamy Sausage and Tomato Tortellini delivers serious comfort in about twenty-five minutes with barely any cleanup. You’ll love how the sauce clings to each tender bite and how that sausage adds just the right savory punch. It’s the kind of dish that feels like you spent way more effort than you actually did which is exactly what weeknights need.

If you want to switch things up, try adding red pepper flakes for heat or sun-dried tomatoes for tang. Leftovers reheat beautifully with a splash of broth to loosen the sauce. A trick I learned from my test kitchen runs: don’t skip browning the sausage well those crispy bits make all the difference in flavor depth.

I’d love to see how yours turns out! Snap a photo and tag me, or leave a comment telling me what you served alongside it. Did your family ask for seconds? This one’s worth bookmarking and sharing with anyone who needs a reliable, cozy dinner win. Happy cooking, friend!

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