Sausage, Tortellini, and Spinach in a Creamy Tomato Sauce - Dinner Recipe

Tender tortellini pasta filled with cheese or spinach is simmered along with Italian sausage in a rich and flavorful sauce to make this Sausage, Tortellini, and Spinach in a Creamy Tomato Sauce. This dish is so irresistible, the whole family was stealing bites straight out of the pan on the stove.

One pan meals are huge right now. No one likes to spend hours cleaning up the kitchen after spending time cooking dinner, right? This meal though? I would happily wash a whole lot of pots and pans to eat this Sausage, Tortellini, and Spinach in a Creamy Tomato Sauce again. Lucky for both of us, this deliciousness cooks up in a single skillet, making cleanup a breeze.

What is tortellini? Tortellini is a fun little pasta. Similar to ravioli, tortellini is typically filled with cheese, vegetables, or meat. Most commonly found in the refrigerated section of the grocery store, it might also be found in the freezer, or sometimes with the dried pasta as well. (This particular recipe is written for the most commonly used refrigerated style of tortellini pasta.)

Wondering how to cook tortellini? Tortellini can be boiled like dried pasta, simmered with a sauce in a pan, or sautéed on the stove. Tortellini can even be baked.

My boys have been on quite a tortellini kick lately, requesting it almost every time I’m meal planning. I made this Sausage, Tortellini, and Spinach in a Creamy Tomato Sauce last month for a super fast late night dinner and Sean asked if it was already on the blog. I knew it wasn’t, but I didn’t realize that I didn’t have a single tortellini pasta recipe posted.

How is that even possible? Keep an eye out for a few more of our favorites in the next few months. I started this blog to save my family’s favorite recipes in one handy place, so those need to be here too.

Here are a few more one skillet meals to help with your weeknight menu planning. Better-Than-Take-Out Fried Rice, Kielbasa Cabbage Potato Skillet, and One-Pot Pasta with Fresh Tomatoes and Basil are three of my favorite 20-Minute Meals. One Pan Mustard Glazed Salmon and One Pot Taco Casserole are quick and tasty dinner options as well.

Kitchen Tip: I use this skillet to make this recipe.

Sausage Tortellini with Spinach
Prep Time
5 mins
Cook Time
15 mins
Total Time
20 mins

Course: Main Course
Servings: 6
Calories: 626 kcal


  • 1 pound Hot or Mild Italian Sausage
  • 1/2 medium onion, chopped small, about 2/3 cup
  • 3 cloves garlic
  • 3 (14) ounce cans crushed tomatoes
  • 20 ounces refrigerated tortellini
  • 4 ounces baby spinach, roughly chopped
  • 1/2 cup heavy cream
  • 1/2 cup Parmesan or Pecorino Romano cheese, shredded (optional)

Cook and crumble the sausage in a large skillet over medium-high heat. When the sausage has almost browned, add the onion and garlic. Continue cooking for 2-3 minutes until the garlic is fragrant and the onion begins to soften.

Add the tomatoes and the tortellini to the skillet. Stir and reduce heat once the sauce comes to a simmer. Cover with lid and simmer softly until the tortellini is tender about 8-10 minutes.

Add the spinach and stir for 1-2 minutes until it wilts. Stir in the cream. Sprinkle each serving with cheese if desired. Enjoy!

I've used three cheese, spinach, and mushroom filled varieties of tortellini to make this recipe. Spinach is my personal favorite.

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