Creamy & tasty, this recipe for Crock-Pot Sausage Cheese Tortellini Soup is a great dinner and full of Italian flavors with cheesy tortellini & sausage!

Slow Cooker Sausage Cheese Tortellini Soup
This easy recipe for sausage cheese tortellini pasta soup is quick to make and toss together in the slow cooker. The addition of cream cheese thickens up the soup slightly and creates a creaminess that just soothes the soul.
I used just regular pork sausage to make this recipe kid friendly. However you can spice it up by using a spicy Italian sausage. Or even change the flavor profile with any type of sausage you like.
The cooking time on this recipe is pretty important. Anything over the 6 hours in the recipe and your tortellini will get mushy.
Unless of course you like mushy pasta, then by all means cook it longer! 😉
Serve this soup with a nice crisp green salad and some crusty bread for a delicious dinner.
Equipment Needed For Crock-Pot Sausage Cheese Tortellini Soup:
- 6 Quart Slow Cooker (Or Larger)
- Can Opener
- Knife
- Cutting Board

Special Diets

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Crock-Pot Sausage Cheese Tortellini Soup Recipe
Ingredients
- 1 Pound Ground Italian Sausage (Cooked, Crumbled And Drained)
- 19 Ounces Frozen Cheese Tortellini Pasta
- 10 Ounces Frozen Spinach
- 29 Ounces Canned Diced Tomatoes
- 30 Ounces Chicken Broth
- 8 Ounces Cream Cheese (Cubed)
Instructions
- Add all the ingredients to a 6 quart or larger slow cooker.
- Cover and cook on LOW for 5 hours, stirring at least twice while cooking.
Notes
Nutrition

do I use link sausage or in a tube sausage or doesn’t it matter? I am making this today.
You could use either. I used roll sausage that once cooked was in small pieces (like hamburger type). But you could use a link if you prefer. Might be nice with slices of the link in it!!
I cooked this yesterday and used roll sausage. The family consensus is that it’s really good, but we want to try more sausage and maybe Italian sausage. I like the link sausage idea. I’m a meat lover and want meat in every bite. I’ll definitely be making again.
Comments on Facebook say not to add the pasta until the last hour, but above doesn’t say that. Will frozen pasta get mushy if added at the beginning?
You can. But I cooked mine from the beginning and it had no issues. But anything pasta can be tricky in the crock-pot. If you feel more comfortable, then put it in the last hour or two.
Hi! Should I drain the tomatoes?
No. Just dump them in liquid and all.
I want to double this recipe for ten people! should I use two crock pots or increase the time to cook? please and thank you
If you have a large enough crock-pot to fit it in one, you can..but leave the time the same as if you were doing one. Or use two crock-pots.
Do I need to cook the sausage before placing it in the crock pot or should I just put it in raw and let it cook in the crock pot?
Cook it first.
Can you use another vegetable besides spinach? My family loves raw spinach but not crazy about cooked spinach.
yes. Broccoli or cauliflower would work too.
When we make this, we cook onion with the sausage. Then add some garlic to the crockpot and italian seasoning. We only make it once in a while because of the cream cheese, but it is one of the best new recipes we have come across lately. It is really good!
♥♥♥ Thanks for the comment Sheree! So glad you like the recipe. Adding garlic and onion…YUM
Could you use another frozen vegetable in place of spinach?
sure. Broccoli or cauliflower would work too.
Would you recommend cooking it on high in the crock pot?
I would not.
Can this soup be frozen?
I do not have experience with freezing it. I would be concerned that the liquid would separate somewhat. But I think if that happened, you could give it a good stirring and it should be fine.
I am not a huge fan of tomatoes, if i leave them out would the soup still turn out right? or is there something else i could put in instead?
You could leave them out…or use tomato sauce.
could I use dry pasta instead of frozen?
You can. Just remember that dry pasta will cook a little quicker.
I’ve made this a few times and the cream cheese never seems to melt/blend completely. Any suggestions to get rid of the small chunks?
I would stir it a few times while it was cooking. If the cream cheese still has not melted completely, allow the soup to cook a little longer.
This soup is delicious! And so easy….I used fire roasted tomatoes the first time I made it (cuz that is what I had on hand) and my husband loved it!!! I have it in the crock pot now and can’t wait for dinner! Thanks so much for the recipe…
Can you use fresh spinach and get the same result?
I use fresh spinach and it is fantastic. Cut the heavy stems off the leaves. Then add the fresh spinach about 30 minutes or so before serving. The spinach cooks down but the bright green color of the spinach gives it a great look and texture. I prefer to use fresh over frozen if I have it.
I made this a couple weeks ago for my family and they loved it. Brought two Crock Pots into work today and I am making it for an office lunch. I did have a problem with the tortellini being a little mushy so I will add it in about an hour before I plan to serve.
Could this be turned into a freezer meal?
I do not see a reason why you could not do it that way. I would put everything in the bag and write on it “add 2 (14.5 Oz.) Cans Diced Tomatoes
2 (15 Oz.) Cans Chicken Broth” to the outside of the bag. Cream Cheese can be frozen. But you could always decide to add that at the time of cooking.
I’ve made this several times and, no matter how small I chop the cream cheese, no matter if it’s reduced fat or full fat…iit never melts no matter how long I cook it. still delicious tho!
I whisk mine works great!
I have been making this same soup for a few years, and usually don’t have a problem. That being said I have had that happen at least twice. Normally, I set my cream cheese out and let it get to room temp before adding it. However, the times that I had it not mix completely and be lumpy I had taken it straight out of the refrigerator and added it cold. So, try letting it warm to room temp and then using it and see what happens.
Could you use another frozen vegetable in place of spianch?
Hi Mohammed. I am sure you could. Maybe kale or another green leafy vegetable would work instead of spinach. We have not tried it but I am sure it could be done! Let us know what you try!
Wondering if we could get the nutritional values?
We are still working on adding that information to all of our old recipes. You can calculate the information on your own using an online calculator.
This was fantastic! Made it with medium breakfast sausage and added Italian seasonings, garlic salt and a bit of minced onion. Just the right amount of hearty and savory and warms up well. Highly recommend!
So glad you enjoyed it, Andrea!
Adding a taco seasoning to it steps this up a knot has! ♥️