Creamy Italian Sausage Tortellini

Category: Dinner Ideas That Actually Work

This one-pan meal brings together juicy Italian sausage, pillowy cheese tortellini, and a rich, creamy sauce made from a blend of Alfredo and marinara. Infused with onions, garlic, and Italian herbs, the dish simmers gently until each bite is flavorful and the tortellini is perfectly tender. After everything melds together, a blanket of mozzarella is melted on top for extra richness. Ready in less than half an hour, it’s a comforting skillet dish destined to please any crowd or family table.

Clare Recipes
Created By Lily Chen
Updated on Mon, 15 Sep 2025 09:59:23 GMT
A delicious creamy Italian sausage tortellini dish. Save
A delicious creamy Italian sausage tortellini dish. | lilicooks.com

Creamy Italian sausage tortellini is my answer to those busy nights when everyone craves comfort food and I need dinner on the table fast. In just one pan and under half an hour you have a bubbling skillet full of cheesy pasta rich sausage and velvety sauce every bite tastes like a cozy Italian café.

The first time I whipped this up my family practically licked their plates clean. Now it is a regular in our dinner rotation especially after a long day when we need something both easy and special.

Ingredients

  • Italian sausage: brings bold savory flavor and a little spice choose mild or hot based on preference
  • Chopped onion: sweetens and rounds out the sauce look for firm onions with shiny skins
  • Minced garlic: gives the dish a classic Italian backbone use fresh garlic for the best punch
  • Rao’s Alfredo sauce: creates the creamy rich base always check for a sauce with real cheese
  • Rao’s Marinara sauce: balances the cream with brightness and acidity opt for one without added sugar
  • Frozen cheese tortellini: cooks quickly and stays tender try to find brands that use whole milk cheese
  • Italian seasoning: brings together those herby notes look for a mix with real oregano and basil
  • Red pepper flakes: add a gentle heat adjust to your liking or leave out for a milder version
  • Shredded mozzarella cheese: melts into gooey perfection the low moisture kind melts best
  • Parsley flakes: give a pop of color and a hint of freshness dried is perfect but fresh if you have it

Step-by-Step Instructions

Brown the Italian Sausage and Onion:
Start by heating a large skillet over medium high heat. Add the sausage and chopped onion. Cook breaking up the sausage with a spoon until both are browned and the meat is no longer pink. This should take about six to eight minutes. Once browned drain off any excess fat to keep the sauce creamy not greasy.
Combine the Sauces and Aromatics:
Lower the heat to medium low. Stir in minced garlic let it sizzle for about thirty seconds until fragrant but not burnt. Pour in Alfredo sauce and marinara sauce. Sprinkle in Italian seasoning and red pepper flakes. Stir everything thoroughly making sure to scrape any browned bits from the bottom so you capture all that flavor.
Add the Tortellini:
Drop the frozen cheese tortellini into the skillet and mix so every piece is coated with sauce. Cover the pan with a lid and cook for three to five minutes until the tortellini are heated through and tender. Stir occasionally to keep anything from sticking.
Melt the Cheese:
Turn off the heat and scatter shredded mozzarella over the top. For a bubbly golden finish slide the skillet into a preheated oven at four hundred degrees for two to three minutes. If you prefer you can simply keep it covered on the stove until the cheese is melted and stretchy.
Garnish and Serve:
Finish with a generous sprinkle of parsley flakes. Serve hot right from the skillet ideally with crusty bread to scoop up every bit of sauce.
A close up of a creamy Italian sausage tortellini. Save
A close up of a creamy Italian sausage tortellini. | lilicooks.com

I absolutely adore the cheese tortellini in this recipe. Each bite is creamy and savory and my kids joke that it is like little cheese pillows in every mouthful. We had a family movie night and ate this straight from the skillet on the couch and now it is our go to dinner for cozy evenings in.

Storage Tips

Let the skillet cool then store leftovers in an airtight container in the fridge for up to three days. Reheat gently on the stove with a splash of milk to loosen the sauce and keep it creamy. You can also portion and freeze in smaller containers though the tortellini may get a little softer when thawed.

A close up of a creamy Italian sausage tortellini. Save
A close up of a creamy Italian sausage tortellini. | lilicooks.com

Ingredient Substitutions

Swap out Italian sausage for chicken sausage or even crumbled turkey to lower the fat but keep the flavor. If you are out of Alfredo sauce you can use all marinara and add a splash of heavy cream instead. Fresh or refrigerated tortellini also work great just adjust the cook time down to avoid overcooking.

Serving Suggestions

Serve with a crisp green salad with zippy vinaigrette to balance the richness. Garlic bread or warm focaccia makes a classic Italian style meal. For a festive touch scatter fresh basil or add grilled vegetables to the table.

Cultural Note

This is an American spin on classic Italian pasta bakes using shortcuts like store bought sauces and frozen tortellini. The technique is all about that cozy skillet experience which is about bringing everyone together for a hearty meal with big flavors and minimal fuss.

Recipe FAQs

→ Can I use fresh tortellini instead of frozen?

Absolutely. Just reduce the simmering time slightly, as fresh tortellini cooks faster than frozen.

→ Can I substitute another type of sausage?

Yes, try mild or spicy Italian sausage or switch to chicken or turkey sausage for a lighter flavor.

→ What’s the best way to reheat leftovers?

Gently reheat on the stove with a splash of milk or cream to keep the sauce smooth and velvety.

→ Can I add vegetables to this dish?

Definitely. Spinach, mushrooms, or bell peppers make great additions for extra color and nutrition.

→ Is it necessary to bake the cheese at the end?

No, you can simply cover the skillet and let the mozzarella melt from the residual heat if you prefer not to use the oven.

→ How can I make this dish spicier?

Increase the red pepper flakes or use hot Italian sausage for a spicier kick.

Creamy Italian Sausage Tortellini

Tender tortellini with Italian sausage in creamy tomato sauce, finished with melted mozzarella and herbs.

Preparation Time
5 min
Cooking Time
20 min
Overall Time
25 min
Created By: Lily Chen

Category: Main Dishes

Skill Level: Beginner-Friendly

Cuisine Type: American

Output: 4 Serves

Dietary Options: ~

Ingredients

01 1 lb Italian sausage
02 1 chopped onion
03 1 tbsp minced garlic
04 15 oz Rao's Alfredo sauce
05 15 oz Rao's Marinara sauce
06 19 oz frozen cheese tortellini
07 1 tsp Italian seasoning
08 1/4 tsp red pepper flakes
09 1 cup shredded mozzarella cheese
10 Parsley flakes

Steps

Step 01

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

Step 02

Reduce heat to medium-low. Add minced garlic, Alfredo sauce, marinara sauce, Italian seasoning, and red pepper flakes. Stir everything well to combine.

Step 03

Stir in the frozen cheese tortellini, ensuring it is well coated with the sauce. Cover with a lid and cook for a few minutes or until the tortellini is tender.

Step 04

Top with shredded mozzarella cheese and place in a 400°F oven for a few minutes to melt the cheese, or let it sit covered on the stove until the cheese is melted.

Step 05

Garnish with dried parsley flakes and serve warm.

Tips

  1. This one-pan pasta dish is quick, easy, and perfect for family dinners.

Required Tools

  • Large skillet
  • Oven-safe lid or cover
  • Stovetop

Allergy Information

Always check each ingredient for allergens, and consult a medical professional if unsure.
  • Contains dairy (cheese and sauces)
  • Contains gluten (tortellini)

Nutritional Information (per serving)

These details are shared for general guidance and don’t replace professional advice.
  • Calories: 600
  • Fats: 35 g
  • Carbohydrates: 45 g
  • Proteins: 30 g