Cheese Tortellini with Italian Sausage and Mushroom-Spinach Cream Sauce


Cheesy tortellini in a creamy mushroom and spinach sauce with sausage.

Prep Time:
25 mins
Cook Time:
35 mins
Total Time:
1 hrs
6 servings


  • 2 Italian sausages, removed from casings and crumbled

  • 1 tablespoon olive oil

  • 1 medium onion, chopped

  • 4 cloves garlic, minced

  • 3 tomatoes, diced

  • 1 cup chopped fresh spinach

  • 2 cremini mushrooms, chopped

  • 1 ½ teaspoons dried basil

  • ½ teaspoon salt

  • ¼ teaspoon ground black pepper

  • ¾ cup heavy cream

  • ¾ cup milk

  • ½ cup finely shredded Italian cheese blend

  • 2 tablespoons all-purpose flour

  • 2 (9 ounce) packages tri-colored cheese-filled tortellini


  1. Heat a nonstick skillet over medium-high heat. Cook and stir sausage in the hot skillet until browned, about 10 minutes.

  2. Heat olive oil in a large pot over medium-high heat. Add onion and garlic; saute until the onion is translucent, about 5 minutes. Reduce heat; add tomatoes, spinach, mushrooms, basil, salt, and pepper. Bring to a simmer, stirring as needed.

  3. Combine cream, milk, cheese, and flour in a bowl. Add to the tomato mixture and return to a simmer. Stir occasionally until reduced, about 15 minutes.

  4. While the sauce is reducing, bring a large pot of water to a boil. Add tortellini and boil gently until tender, about 6 minutes. Drain the tortellini. Mix with the tomato sauce and serve.

Nutrition Facts (per serving)

468 Calories
28g Fat
38g Carbs
19g Protein
Nutrition Facts
Servings Per Recipe 6
Calories 468
% Daily Value *
Total Fat 28g 36%
Saturated Fat 13g 67%
Cholesterol 79mg 26%
Sodium 885mg 38%
Total Carbohydrate 38g 14%
Dietary Fiber 4g 15%
Total Sugars 5g
Protein 19g
Vitamin C 14mg 70%
Calcium 260mg 20%
Iron 2mg 10%
Potassium 404mg 9%

* Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs.

** Nutrient information is not available for all ingredients. Amount is based on available nutrient data.

(-) Information is not currently available for this nutrient. If you are following a medically restrictive diet, please consult your doctor or registered dietitian before preparing this recipe for personal consumption.

You’ll Also Love