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Crockpot Cheese Tortellini with Italian Sausage

A cozy, hands-off dinner featuring tender cheese tortellini simmered in a rich tomato broth with savory Italian sausage and fresh spinach, perfect for busy weeknights or casual gatherings.
Prep Time 15 minutes
Cook Time 3 hours
Total Time 3 hours 15 minutes
Course Dinner, Main Course
Cuisine Italian
Servings 6 servings
Calories 420 kcal

Ingredients
  

Main Ingredients

  • 1 package cheese tortellini (about 9–12 oz) — fresh or refrigerated For frozen, see Tips
  • 1 pound Italian sausage, sliced (sweet or spicy) Swap for turkey sausage or plant-based for lighter option
  • 1 medium onion, chopped
  • 2 cloves garlic, minced
  • 4 cups tomato broth (or canned crushed tomatoes thinned with broth/water) Use low-sodium chicken or vegetable broth + canned crushed tomatoes if needed
  • 1 teaspoon Italian seasoning
  • 4 cups fresh spinach, packed Add late so it stays bright green
  • to taste Salt and pepper Sausage and Parmesan can be salty; taste before adding
  • 1/2 cup heavy cream or grated Parmesan (optional) For additional creaminess

Instructions
 

Preparation

  • Place the sliced sausage, chopped onion, and minced garlic into the crockpot.
  • If desired, brown the sausage in a skillet over medium-high heat before transferring it to the crockpot for extra flavor.
  • Pour in the tomato broth (or crushed tomatoes plus broth). Add the Italian seasoning and season with salt and pepper. Stir gently to combine.

Cooking

  • Cover and cook on LOW for 6 hours or on HIGH for 3 hours.
  • About 30 minutes before serving, add the cheese tortellini and fresh spinach. Stir to submerge the tortellini.
  • Cook uncovered or partially covered until the tortellini are tender and the spinach is wilted, about 25–30 minutes.
  • If using, stir in heavy cream or Parmesan and heat through for 2–3 minutes.
  • Taste, adjust salt and pepper, and serve hot.

Notes

To store, refrigerate leftovers up to 3–4 days or freeze the sausage-tomato base (without tortellini) for up to 3 months. To reheat, warm gently on the stovetop, adding broth if thickened.
Keyword Comfort Food, Crockpot, Sausage, Slow Cooker, Tortellini