Creamy Italian Sausage Tortellini 🍝

I Made This Creamy Italian Sausage Tortellini Once — Now It’s on Repeat Every Week

Every once in a while, a recipe comes along that’s so good, so comforting, and so full of flavor that it instantly becomes a family favorite. That’s exactly what happened when I made this Creamy Italian Sausage Tortellini.

Picture this: juicy, seasoned sausage simmered in a rich tomato cream sauce, tossed with soft cheese-filled tortellini, and finished with gooey melted mozzarella. It’s the perfect balance of hearty, creamy, and cheesy — Italian comfort food at its best.

Here’s exactly how you can make it step by step.

Ingredients

• 1 lb (450g) Italian sausage (mild or spicy)

• 1 tablespoon olive oil

• 3 cloves garlic, minced

• 1 small onion, finely chopped

• 1 (15 oz) can tomato sauce or crushed tomatoes

• 1 cup heavy cream

• ½ teaspoon Italian seasoning

• Salt and black pepper to taste

• 1 (9 oz / 250g) package cheese tortellini (fresh or refrigerated)

• 1 cup shredded mozzarella cheese

• ¼ cup grated Parmesan cheese

• Fresh basil for garnish (optional)

Step-by-Step Method

Step 1: Cook the Sausage

In a large skillet, heat olive oil over medium heat.
Add the sausage and cook until browned, breaking it apart with a spoon.
Remove any excess fat, but keep just enough for flavor.

Step 2: Add Aromatics

Add the chopped onion and cook for 2–3 minutes until soft.
Stir in the minced garlic and sauté for another 30 seconds until fragrant.

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