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A close-up image of Tuscan tortellini pasta with Italian sausage, spinach, and a rich tomato-based sauce, served in a white bowl. The dish is topped with shredded Parmesan cheese and garnished with fresh herbs. The tortellini is tender, and the sausage bits are mixed into the sauce, creating a hearty and flavorful Italian meal, perfect for busy weeknights.

Tuscan Tortellini with Sausage and Spinach

A one-pan, 30-minute dinner featuring cheesy tortellini, savory Italian sausage, and fresh spinach in a rich tomato-based sauce. This dish is as easy as it is delicious!
Prep Time 10 minutes
Cook Time 20 minutes
Course First Course
Cuisine Italian
Servings 4

Equipment

  • Large skillet
  • Wooden spoon or spatula
  • Knife
  • Cutting board
  • Measuring cups and spoons

Ingredients
  

  • 1 tablespoon olive oil
  • 1 small onion diced (about ½ cup)
  • 2 cloves garlic minced
  • ½ pound bulk Italian sausage no casing
  • 2 cups tomato-based pasta sauce
  • 1 cup canned diced tomatoes with juice
  • 1 cup chicken broth
  • ½ cup half-and-half or heavy cream
  • 12 ounces frozen cheese tortellini
  • 3 cups fresh baby spinach leaves
  • ½ cup grated Parmesan cheese
  • Fresh basil or parsley for garnish optional

Instructions

  • Prepare Ingredients: Dice the onion into small pieces and mince the garlic. Set them aside. Measure out all ingredients and have them ready for use.
  • Heat the Skillet: Place a large skillet over medium heat. Add the olive oil and let it heat for about 1 minute. The oil should shimmer but not smoke.
    1 tablespoon olive oil
  • Sauté the Onion and Garlic: Add the diced onion to the skillet. Stir and cook for 3-4 minutes, or until the onion becomes translucent. Add the minced garlic and cook for an additional 1 minute, stirring frequently to prevent burning.
    1 small onion, 2 cloves garlic
  • Cook the Sausage: Add the Italian sausage to the center of the skillet. Break it into small pieces with a wooden spoon or spatula as it cooks. Stir the sausage into the onions and garlic once it’s half-cooked. Continue cooking until the sausage is browned and no pink remains, about 5-6 minutes.
    ½ pound bulk Italian sausage
  • Build the Sauce: Stir in the tomato-based pasta sauce, canned diced tomatoes with their juice, chicken broth, and half-and-half. Mix well to combine all the ingredients. Bring the mixture to a boil, stirring occasionally.
    2 cups tomato-based pasta sauce, 1 cup canned diced tomatoes with juice, 1 cup chicken broth, ½ cup half-and-half or heavy cream
  • Add the Tortellini: Once the sauce is boiling, add the frozen cheese tortellini. Stir gently to ensure all the tortellini is submerged in the sauce. Return the mixture to a boil.
    12 ounces frozen cheese tortellini
  • Simmer and Cook: Lower the heat to medium-low and cover the skillet with a lid. Let the tortellini simmer in the sauce for 5-7 minutes, stirring occasionally to prevent sticking. Check that the tortellini is tender by tasting one.
  • Add Spinach: Remove the skillet from the heat. Add the baby spinach leaves on top of the tortellini and gently stir them in until they are wilted. This should take about 1-2 minutes.
    3 cups fresh baby spinach leaves
  • Adjust Seasoning: Taste the sauce and add freshly ground black pepper if needed. The sausage and Parmesan cheese will add saltiness, so additional salt is typically unnecessary.
    ½ cup grated Parmesan cheese
  • Serve and Garnish: Transfer the tortellini to serving plates or a large serving bowl. Sprinkle grated Parmesan cheese over the top. Garnish with freshly chopped basil or parsley, if desired. Serve immediately.
    Fresh basil or parsley for garnish

Notes

  • Storage: Leftovers can be stored in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stovetop or in the microwave, adding a splash of broth or water to loosen the sauce if needed.
  • Freezing: This dish freezes well. Allow it to cool completely, then transfer to a freezer-safe container. Freeze for up to 3 months. Thaw in the fridge overnight before reheating.
  • Customizations: Feel free to add more vegetables, like mushrooms, zucchini, or bell peppers, for extra flavor and nutrients.
  • Make it Spicy: If you like heat, add a pinch of red pepper flakes while sautéing the sausage.
  • Lighter Option: Use turkey or chicken sausage and swap the half-and-half for milk or a plant-based alternative for a lighter version.
  • Serving Suggestion: Pair with garlic bread or a simple green salad to round out the meal.