We dream of soup, especially this easy tortellini soup. If you love soup like we do, you will want to cook Healthy Broccoli Cheddar Soup or Roasted Garlic Potato Soup. For another Instant Pot soup idea make this Italian Lentil Soup.

Instant Pot Tortellini Soup with Sausage
Normally, I am sharing healthy recipes at this time of year, but this soup recipe was too good to resist. It had to be shared! I had to get it into your recipe craving little hands.
How could you resist a soup that is bursting with cheese tortellini, mild Italian sausage, tender spinach leaves, and heavy cream?
This soup is kind of rich and not exactly healthy, but it is FULL of flavor. I mean it does have spinach in it, that should count for something, right?
This will become your go-to soup to make for company or family that is coming over. If sausage in soup is your thing, vegetable hash with sausage soup or crock pot kielbasa soup are also great options.

What is Tortellini Soup?
Tortellini soup is soup that has tortellini cooked into it. There are varying ingredients that include tortellini, of course, a meat, and vegetables all in a hot broth.
This is neither a tomato based soup nor does it have tomatoes in it. If you are looking for tomatoes, try this Rao’s tomato soup. There is also no added oil or flour to thicken the soup. But, you could make it thicker (or add tomatoes) if you like. Another great way to use tortellini is in this tortellini apple salad.
What to Serve with Tortellini Soup
The best thing to serve with this soup is dinner rolls (we like these air fryer rolls because they cook quickly), but you could also make your own homemade French bread, buttermilk biscuits, or pour it into a bread bowl. Soup always pairs well with a large healthy salad, we always have a good salad with our soups to get all those good veggies in.
You can serve Instant Pot Tortellini Soup with roasted parmesan asparagus, air fryer broccoli, or even these brown sugar sliced carrots.

Pressure Cooker Tortellini Soup Ingredients
- Sausage: I use a mild or sweet Italian sausage, country ground pork or turkey sausage.
- Onion: A small white or yellow onion.
- Garlic: Fresh garlic is a must for this soup.
- Stock: You will want to use a low or no salt chicken broth or stock.
- Tortellini: Fresh, refrigerated tortellini. I use Buitoni tortellini. The 3 cheese tortellini tastes the best in this soup.
- Spinach: Fresh baby spinach gets added after the soup has cooked.
- Heavy Cream: I like the creaminess that heavy cream adds. You could use half and half instead of substitute it all with milk.
- Milk: Low fat or whole milk can be used.

How to Make Tortellini Soup in an Instant Pot
- Set Instant Pot to the sauté setting.
- Cook the sausage until nice and brown making sure to chop it up as it cooks. Using a slotted spoon pull all the sausage out and place onto a plate or bowl lined with a few paper towels.
- Add finely chopped onion to the sausage oil in the instant pot. Cook until soft and translucent, about 8-10 minutes. Add in minced garlic and cook for 1 minute longer. Then add in chicken stock, the sausage and tortellini.
- Put the lid on, lock it, and seal the valve. Set the pressure to high and cook for 2 minutes.
- When the timer goes off, immediately release the pressure by moving the valve from the sealing position to the venting position.
- Open the lid once all pressure has been released and turn the Instant Pot off.
- Then add in the spinach, allowing it to wilt. Next, stir in the heavy cream and milk. Let cool for a few minutes before serving.

How to Make Tortellini Soup on the Stove Top
If you don’t have a pressure cooker it is not a problem. Here is how I make tortellini soup on the stove instead.
- In a large pot, cook the sausage over medium heat making sure to break it up as it cooks. Cook until well browned. Using a slotted spoon to pull all the sausage out and place onto a plate or bowl lined with a few paper towels.
- Add small diced onion to the sausage oil in the pot. Cook until soft and translucent, about 8-10 minutes. Add in minced garlic and cook for 1 minute longer.
- Pour in chicken stock and bring up to a nice simmer. Add in the sausage, spinach, heavy cream, and milk and bring up to a simmer again. Add the tortellini and cook for 3-5 more minutes.
- Season with salt and pepper as needed. Allow soup to cool a little before serving.
Instant Pot Tortellini Soup with Sausage Tips
- Less salt. Use reduced or no salt added chicken broth otherwise the soup will be too salty. If you feel it is not salty enough you can always add salt after the soup is done cooking.
- For reduced calories. Replace the heavy cream with all low fat or whole milk. Soup will still be creamy just not as decadent.
- Thicker soup. I love the broth in this soup but if you find it a little too thin you can thicken it up. Pull out 1/2 cup of the broth and mix in 1-2 tablespoons of corn starch or all purpose flour. Pour back into soup.

Tortellini Soup Instant Pot Variations
- Make it spicy. It is super easy to make this into a spicy tortellini soup instead of mild one. All you need to do is use spicy sausage instead of mild sausage. You will also want to add in 1/4-1/2 teaspoon of red pepper flakes or ground cayenne pepper to the soup.
- Vegetables. Add in some chunks of carrots, chopped up celery, bell pepper, zucchini or use kale instead of spinach.
- Add chicken. To make chicken tortellini soup add in. You can even use precooked, shredded rotisserie chicken.
Frequently Asked Questions
Is Instant Pot Tortellini Soup healthy? This particular recipe for Instant Pot Tortellini soup is not particularly healthy. It has sausage and heavy cream which are both pretty fattening.
Can tortellini soup be made vegetarian? Yes, all you need to do is leave out the sausage or use Impossible sausage. Instead of sautéing the chopped onion and garlic in the sausage grease, use 1-2 tablespoons of vegetable oil.
Storage Instructions
How to refrigerate Instant Pot Tortellini Soup? Let the soup cool and put in an air tight container. It should last about 4-5 days in the fridge.
How do you reheat Instant Pot Tortellini Soup? Reheat soup on the stove over medium heat until desired temperature is reached.
How to freeze tortellini soup? I do not recommend freezing this soup. Since this tortellini soup recipe has pasta in it and is cream based, it will not freeze well.

Try these dinner recipes!
- Leftover Turkey Pot Pie with Cheddar Bacon Biscuits
- Stuffed Poblano Peppers
- Cheese Enchiladas with Red Sauce
- Bean Tostadas
- Cornish Hen in the Air Fryer
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Instant Pot Tortellini Soup with Sausage
Ingredients
- 16 ounces Italian sausage or country sausage, ground
- 1 small yellow onion, small dice
- 4 large garlic cloves, minced
- 4 1/2 cups chicken stock, no salt added or low sodium (36 ounces)
- 9 ounces cheese tortellini, refrigerated
- 3 cups baby spinach, fresh
- 1/2 cup heavy cream
- 1 cup milk
- salt and pepper as needed
Instructions
How to Make Tortellini Soup in Instant Pot
-
Set Instant Pot to the sauté setting. Cook the sausage until nicely browned making sure to chop it up as it cooks. Using a slotted spoon pull all the sausage out and place it onto a plate or bowl lined with a few paper towels.
-
Add finely chopped onion to the sausage oil in the instant pot. Cook until soft and translucent, about 8-10 minutes. Add in minced garlic and cook for 1 minute longer. Add in chicken stock, the sausage and tortellini.
-
Put the lid on, lock it, and seal the valve. Set the pressure to high. Let the Instant Pot come up to pressure and cook for 2 minutes.
-
When the timer goes off, immediately release the pressure by moving the valve from the sealing position to the venting position. Open the lid once all pressure has been released and turn the Instant Pot off.
-
Then add in the spinach, allowing it to wilt. Next, stir in the heavy cream and milk.
-
Season with salt and pepper as needed. Let cool for a few minutes before serving.
How to Make Tortellini Soup on the Stove Top
-
In a large pot or dutch oven, cook the sausage over medium heat making sure to break it up as it cooks. Cook until well browned. Using a slotted spoon to pull all the sausage out and place onto a plate or bowl lined with a few paper towels.
-
Add small diced onion to the sausage oil in the pot. Cook until soft and translucent, about 8-10 minutes. Add in minced garlic and cook for 1 minute longer.
-
Pour in chicken stock and bring up to a nice simmer. Add in the sausage, spinach, heavy cream, and milk and bring up to a simmer again. Add the tortellini and cook for 3-5 more minutes.
-
Season with salt and pepper as needed. Allow soup to cool a little before serving.
Equipment
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1 Pressure Cooker
Recipe Notes
- Use reduced or no salt added chicken broth otherwise the soup will be too salty. If you feel it is not salty enough you can always add salt after the soup is done cooking.
- Replace the heavy cream with all low fat or whole milk. Soup will still be creamy just not as decadent.
- I love the broth in this soup but if you find it a little too thin you can thicken it up. Pull out 1/2 cup of the broth and mix in 1-2 tablespoons of corn starch or all purpose flour. Pour back into soup.
- Instant Pot tortellini soup will last about 4-5 days in an airtight container in the refrigerator.
* Please note that all nutrition information are just estimates. Values will vary among brands, so we encourage you to calculate these on your own for most accurate results.
Nutrition Information
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