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Creamy Crockpot Cheese Tortellini with Sausage served in a bowl

Crockpot Cheese Tortellini and Sausage – Comforting & Creamy

This crockpot recipe for cheese tortellini and sausage is a delightfully comforting and creamy dish, perfect for a hearty family meal with minimal fuss.
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Prep Time 15 minutes
Cook Time 4 hours
Total Time 4 hours 15 minutes
Servings 6 people
Calories 550 kcal

Equipment

  • Slow cooker (6-quart or larger)
  • Skillet

Ingredients
  

Main Ingredients

  • 19 ounces Italian sausage casings removed, cooked, and drained
  • 8 ounces cream cheese softened and cut into cubes
  • 2 cups chicken broth
  • 14.5 ounces diced tomatoes undrained
  • 6 ounces tomato paste
  • 0.5 cup heavy cream
  • 5 ounces fresh spinach
  • 0.5 cup Parmesan cheese grated, plus more for serving
  • 1 teaspoon dried oregano
  • 0.5 teaspoon garlic powder
  • 19 ounces refrigerated cheese tortellini

Seasoning (Optional)

  • Salt to taste
  • Black pepper to taste

Instructions
 

Instructions

  • Cook the Italian sausage in a skillet over medium heat, breaking it apart, until it is no longer pink; then drain any excess grease and transfer the cooked sausage to a 6-quart or larger slow cooker.
  • To the slow cooker, add the cubed cream cheese, chicken broth, undrained diced tomatoes, tomato paste, heavy cream, dried oregano, and garlic powder, stirring well to combine all ingredients.
  • Cover the slow cooker and cook on low for 3-4 hours or on high for 1.5-2 hours, stirring occasionally to ensure the cream cheese melts and the sauce is smooth.
  • Stir in the fresh spinach and refrigerated cheese tortellini, ensuring they are submerged in the sauce, then replace the lid.
  • Continue cooking for another 20-30 minutes on high, or until the tortellini are al dente and the spinach has wilted.
  • Stir in the grated Parmesan cheese and season with salt and pepper to taste; serve immediately, garnished with additional Parmesan cheese if desired.

Notes

This recipe is incredibly versatile! Feel free to add other vegetables like mushrooms, bell peppers, or zucchini during the last hour of cooking. For a vegetarian option, omit the sausage and add extra vegetables, or use a plant-based sausage alternative. The sauce can be made thicker by adding a cornstarch slurry at the end, if desired.