
Creamy Italian Sausage Tortellini is my go-to dinner when I want comfort food that comes together fast and pleases everyone at the table. Soft cheese tortellini and juicy Italian sausage simmer in a rich tomato cream sauce with plenty of gooey mozzarella on top—just the way my family loves it.
I served this on a chilly evening after a long day and my family polished off every bite in record time. The creamy sauce with melty cheese made it a repeat request.
Ingredients
- Italian sausage: It gives the dish its signature richness and a hint of spice. Choose the sweet or spicy type based on your taste
- Chopped onion: Essential for a sweet and savory flavor base. Look for firm onions with shiny skins
- Minced garlic: Adds aroma and depth. Fresh garlic makes a big difference
- Rao Alfredo sauce: Delivers creamy texture with no extra effort. Pick a jar with no artificial ingredients for pure flavor
- Rao Marinara sauce: Brings tang and body to the sauce. Look for a thick and deep red sauce
- Frozen cheese tortellini: A quick shortcut. Use good quality tortellini with a generous cheese filling
- Italian seasoning: Brings authentic flavor to every bite. Use a fresh blend for the brightest taste
- Red pepper flakes: A small hit of heat helps round out the flavors
- Shredded mozzarella cheese: The best melting topping. Choose whole milk mozzarella for most stretch and flavor
- Parsley flakes: For a touch of color and freshness. Dried or fresh both work here
Step-by-Step Instructions
- Brown the Sausage and Onion:
- In a large skillet over medium-high heat cook the Italian sausage and chopped onion together. Break up the sausage as it cooks. After about eight minutes the sausage should be fully browned and the onion soft. Pour off any extra grease for a lighter sauce
- Build the Sauce:
- Lower the heat to medium-low. Add minced garlic and cook for one minute, stirring so it does not burn. Pour in both Alfredo and marinara sauces, then sprinkle in Italian seasoning and red pepper flakes. Mix it all together until the sauce becomes smooth and evenly seasoned
- Cook the Tortellini:
- Stir in the frozen cheese tortellini, making sure every piece is coated in sauce. Spread the tortellini evenly. Cover the pan with a lid. Let it cook for five to six minutes until the tortellini is heated through and tender but not mushy
- Melt the Mozzarella:
- Sprinkle the shredded mozzarella evenly over the top of the pasta. If your pan is oven safe transfer it to a four hundred degree oven for a few minutes until the cheese melts and bubbles. If not, keep it covered on the stove for two to three minutes. The cheese should be completely melted and creamy
- Finish and Serve:
- Scatter parsley flakes over the melted cheese for a bright look. Serve the dish warm straight from the skillet

My favorite touch is the gooey layer of mozzarella Sometimes my son helps with sprinkling cheese and we laugh about making it extra cheesy just for him
Storage Tips
Store leftovers in an airtight container in the fridge for up to three days The sauce will thicken but can be refreshed with a splash of milk or cream when reheating Warm gently on the stove or in the microwave to avoid overcooking the tortellini
Ingredient Substitutions
You can use turkey sausage for a lighter version Spinach tortellini works as a swap if you prefer a greener filling Jarred pasta sauces are convenient but homemade marinara or Alfredo add a personal signature
Serving Suggestions
Add a crisp green salad or steamed broccoli for a complete meal Garlic bread is always a hit on the side This pasta is hearty on its own but also pairs well with a glass of red wine

Cultural and Historical Context
Italian sausage and tortellini are staples of Italian American comfort food The creamy tomato sauce is inspired by classic northern Italian flavors but uses pantry shortcuts to suit a busy weeknight
Frequently Asked Questions
- → Can I use fresh tortellini instead of frozen?
Yes, fresh tortellini will work well and may cook faster. Adjust the simmering time accordingly until the pasta is tender.
- → What kind of Italian sausage is best?
Both sweet or spicy Italian sausage pair deliciously. Choose based on your preferred spice level for the dish.
- → Can I substitute the Alfredo or marinara sauce?
You can use homemade sauces or your favorite brands. Adjust seasoning to taste if using alternative sauces.
- → How do I store leftovers?
Let the dish cool, then refrigerate in an airtight container for up to three days. Reheat gently on the stove or in the microwave.
- → What herbs can I use besides parsley?
Fresh basil, oregano, or chives add bright, aromatic touches as alternate garnishes to finish the dish.
- → Is this pasta good for meal prep?
Absolutely. It reheats well, making it a convenient option for prepared lunches or dinners.