Creamy Italian Sausage Tortellini

Featured in: Comfort in Every Bowl

This dish features hearty Italian sausage paired with tender cheese tortellini, all coated in a luxurious mix of Alfredo and marinara sauces. Onion, garlic, Italian seasoning, and red pepper flakes add savory depth and a touch of heat. The finishing touch—a blanket of shredded mozzarella—melts into a golden layer, enhanced by a sprinkle of dried parsley. Perfect for weeknight dinners, this creamy skillet creation brings comforting flavors together in under 30 minutes.

Tags: #halal #italian #family-friendly #high-protein #dinner #easy #under-30-minutes #one-pot

sana kitchen chef
By Sana Sana
Updated on Fri, 19 Sep 2025 19:19:52 GMT
A delicious Creamy Italian Sausage Tortellini dish, cooked in a skillet and ready to be served. Pin it
A delicious Creamy Italian Sausage Tortellini dish, cooked in a skillet and ready to be served. | recipebyme.com

Creamy Italian Sausage Tortellini is one of those stick-to-your-ribs comfort dishes I turn to when dinner needs to be hearty but hassle-free. Artful layers of tender cheese tortellini, rich sausage, and two velvety sauces bubble together, making an easy weeknight meal that tastes like it took hours.

I love that one pan means less mess but maximum flavor. We first made this on a snowy night and it instantly became a go-to for busy evenings or casual gatherings.

Ingredients

  • Italian sausage: adds hearty flavor and meatiness to every bite opt for a quality fresh sausage with some fennel if possible
  • Chopped onion: brings an essential sweetness and rounds out the savory base a yellow or sweet onion works best
  • Minced garlic: adds aromatic depth always use fresh if you can for the best pop of flavor
  • Rao's Alfredo sauce: makes the dish creamy and rich look for full-fat for the most body
  • Rao's Marinara sauce: balances out the cream with tang and brightness choose a high-end sauce with simple ingredients
  • Frozen cheese tortellini: delivers pillowy pasta in minutes check the freezer section for brands with visible cheese flecks in the filling
  • Italian seasoning: blends together key herbs for that classic Italian touch use a fresh tin for the best results
  • Red pepper flakes: add gentle heat and a touch of complexity go easy if serving kids
  • Shredded mozzarella cheese: melts into gooey pockets and brings that irresistible cheese pull always shred your own if you can for better melt
  • Parsley flakes: give a fresh herby finish you can swap for chopped fresh parsley if you have some on hand

Instructions

Brown the Sausage and Onion:
Crumble the Italian sausage and add it along with chopped onion to a large skillet heated over medium-high. Let it cook undisturbed for several minutes then begin to break up the meat and stir often. Cook until the sausage is well browned and the onion is soft. Drain off any excess grease so your sauce stays smooth.
Build the Sauce:
Turn the heat down to medium-low. Add the minced garlic, Alfredo sauce, marinara sauce, Italian seasoning, and red pepper flakes. Stir patiently and scrape the bottom of the pan to incorporate all those flavorful browned bits.
Fold In the Tortellini:
Add the frozen cheese tortellini to the skillet. Make sure each piece is coated in sauce as this helps it cook evenly and absorb flavor. Cover with a tight-fitting lid and let it simmer for several minutes until the tortellini are tender and cooked through.
Add the Cheese:
Scatter shredded mozzarella evenly across the skillet. If you want the cheese bubbly and golden pop the whole skillet in a hot oven set to four hundred degrees for a few minutes. If you prefer hands-off simply keep covered on the burner until the cheese melts all the way.
Finish and Serve:
Sprinkle parsley flakes generously over the top just before serving to brighten up the rich flavors. Serve straight from the skillet for that cozy family dinner feeling.
A delicious pasta dish with meat and cheese, served in a black skillet.
A delicious pasta dish with meat and cheese, served in a black skillet. | recipebyme.com

My favorite part is getting those caramelized bits of sausage and onion on the bottom they add a luscious savory note to the whole dish. When we made this as a family everyone gathered around the table before I could even bring out the serving spoon.

Storage Tips

Leftovers keep well in an airtight container in the fridge for up to three days. To reheat add a splash of milk or cream before microwaving or warming on the stovetop. This keeps the sauce silky and prevents the pasta from drying out.

Ingredient Substitutions

For a leaner version try turkey sausage instead of pork. Swap jarred Alfredo or marinara for your own homemade sauce if you have time. Spinach tortellini or even refrigerated tortellini can be used if you prefer. You can use fresh mozzarella torn into pieces instead of shredded for a traditional spin.

Serving Suggestions

Pair this dish with a crisp green salad and warm crusty bread for a classic Italian-inspired spread. If you like extra veggies stir in a few handfuls of baby spinach during the simmering step. The sauce soaks into bread so do not skip it.

Cultural and Historical Context

Creamy sausage pasta bakes like this channel comforting flavors that harken back to rustic Italian kitchens where pasta and sausage are cold weather staples. The double sauce method gives a nod to the Italian American tradition of layering red and white sauces for special occasions.

Seasonal Adaptations

Use fresh sweet corn or zucchini diced small in the summer for color and crunch. Stir in hearty spinach or kale in the colder months for more nutrition and body. For a festive winter holiday meal top with extra mozzarella and broil until bubbling.

Success Stories

This recipe is a regular player for us at family potlucks my cousin cannot resist going back for seconds. Even picky eaters devour it without a fuss so it makes for a stress free way to please a crowd. Some readers even shared that it was the first recipe their kids helped make.

Freezer Meal Conversion

Let the cooked tortellini and sauce cool then transfer to a freezer safe baking dish. Top with cheese and plastic wrap then foil. Thaw overnight before baking until bubbling and golden. The flavors mellow and deepen after reheating.

A delicious pasta dish with meat and cheese, served in a pan.
A delicious pasta dish with meat and cheese, served in a pan. | recipebyme.com

This skillet pasta is just as good reheated the next day and makes your kitchen smell amazing. Cozy, crowd-pleasing and easy—what more do you need?

Recipe FAQs

→ Can I use fresh tortellini instead of frozen?

Yes, fresh tortellini works well; adjust the cooking time, as it cooks faster than frozen tortellini.

→ What kind of sausage is recommended?

Italian sausage, either mild or spicy, delivers the best flavor, but you can choose based on your heat preference.

→ Is it possible to make this dish ahead of time?

Prepare in advance and reheat gently to keep the tortellini tender and the sauce creamy. Add extra sauce if needed.

→ Can I substitute marinara for another tomato sauce?

Any quality tomato-based sauce will work in place of marinara. Adjust the seasoning to suit your taste.

→ What can I serve on the side?

Crusty bread, roasted vegetables, or a crisp green salad complement the rich, creamy flavors of this dish.

Creamy Italian Sausage Tortellini

Italian sausage, cheese tortellini, and creamy sauces combine for a cozy, flavor-packed dish topped with melted mozzarella.

Prep Time
10 min
Cook Time
20 min
Total Time
30 min
By Sana: Sana

Category: Pasta Recipes

Skill Level: Easy

Cuisine: Italian-American

Yield: 6 Servings (6 main dish portions)

Dietary Categories: ~

Ingredients

→ Main Ingredients

01 1 pound Italian sausage
02 1 medium onion, chopped
03 1 tablespoon minced garlic
04 15 ounces Alfredo sauce (Rao's recommended)
05 15 ounces marinara sauce (Rao's recommended)
06 19 ounces frozen cheese tortellini
07 1 teaspoon Italian seasoning
08 1/4 teaspoon red pepper flakes
09 1 cup shredded mozzarella cheese
10 Parsley flakes, for garnish

Steps

Step 01

Heat a large skillet over medium-high heat. Add Italian sausage and chopped onion, cooking until the sausage is fully browned and onions are softened. Drain excess grease.

Step 02

Reduce heat to medium-low. Stir in minced garlic, Alfredo sauce, marinara sauce, Italian seasoning, and red pepper flakes. Mix thoroughly to blend flavors.

Step 03

Incorporate frozen cheese tortellini, ensuring pasta is coated in the sauce. Cover and cook for several minutes, stirring occasionally, until tortellini is tender and heated through.

Step 04

Sprinkle shredded mozzarella over the tortellini mixture. Transfer skillet to a preheated 400°F oven for a few minutes, or keep covered on the stove, until cheese is fully melted.

Step 05

Finish with a garnish of parsley flakes. Serve warm.

Notes

  1. For additional flavor, use a blend of hot and sweet Italian sausage. Ensure tortellini remains al dente by monitoring cooking time closely.

Required Equipment

  • Large skillet
  • Oven-safe lid or foil
  • Wooden spoon

Allergen Information

Check each ingredient for potential allergens and consult a healthcare professional if needed.
  • Contains dairy, gluten, and possibly eggs from tortellini and cheeses.

Nutritional Info (per serving)

This data is provided as a guide and doesn't replace medical advice.
  • Calories: 530
  • Fats: 27 g
  • Carbohydrates: 43 g
  • Proteins: 23 g