Creamy, hearty, and full of comforting fall flavors, this Butternut Squash Sausage Tortellini Soup brings together Italian sausage, tender butternut squash, cheese-filled tortellini, and a rich, savory broth. Every spoonful is packed with delicious ingredients that make this soup satisfying enough for dinner.

The combination of sweet squash, fragrant herbs, and savory sausage creates a wonderful balance of flavors, while a splash of heavy cream gives the broth a smooth, velvety finish. It’s a cozy one-pot meal that’s perfect for chilly evenings, busy weeknights, or whenever you’re craving a warm bowl of homemade comfort food.
Why You’ll Love This Recipe
- A complete, comforting meal: Italian sausage, cheese tortellini, and butternut squash make this soup hearty and satisfying.
- Rich, creamy broth: Heavy cream adds a smooth texture without overpowering the other ingredients.
- Wonderful fall flavors: Butternut squash, thyme, sage, and Italian sausage create a delicious seasonal combination.
- Simple one-pot cooking: The soup comes together in one pot, making cleanup easier.
- Perfect for weeknight dinners: With straightforward preparation and easy-to-find ingredients, it’s a practical meal for the whole family.
Preparation and Tools
Before starting, prepare the ingredients so they’re ready to add as the soup cooks.
Peel the butternut squash, remove the seeds, and cut the flesh into evenly sized cubes. Uniform pieces help the squash cook at a similar rate and become tender without falling apart too quickly.
Dice the onion, mince the garlic, and remove the casing from the Italian sausage if necessary. Measure the chicken broth, heavy cream, and seasonings.
You’ll need:
- A large soup pot or Dutch oven
- A sharp knife and cutting board
- A vegetable peeler
- Measuring cups and spoons
- A wooden spoon or heatproof spatula
- A ladle for serving
A heavy-bottomed pot is especially helpful because it distributes heat evenly while browning the sausage and simmering the soup.
Preparation Tips
Choose the right sausage. Italian sausage provides much of the soup’s savory flavor. Mild sausage gives a balanced taste, while hot Italian sausage adds extra spice. Since the recipe already includes crushed red pepper flakes, adjust the heat according to your preference.
Cut the squash into bite-sized cubes. Pieces that are too large take longer to soften, while very small pieces may break down into the broth. Aim for roughly even cubes that are easy to eat with a spoon.
Use fresh garlic and onion. These aromatics build the foundation of the soup’s flavor. Allow them to soften before adding the broth so their sweetness develops.
Add the tortellini toward the end. Cheese tortellini cooks much faster than the squash. Adding it too early can cause the pasta to become overly soft or lose its shape.
Keep the cream from boiling vigorously. Stir it in once the squash is tender, then maintain a gentle simmer. This helps preserve the soup’s smooth, creamy texture.
Ingredients for Butternut Squash Sausage Tortellini Soup
Italian Sausage
One pound of Italian sausage gives the soup a rich, savory base. As it browns, it releases flavorful fat that helps season the onion and garlic. Mild or spicy sausage can be used depending on the flavor you prefer.
Butternut Squash
Three cups of peeled, cubed butternut squash add natural sweetness, color, and a tender texture. The squash softens as it simmers in the broth, creating a lovely contrast with the sausage and pasta.
Cheese Tortellini
A 9-ounce package of cheese tortellini makes the soup hearty and satisfying. The pasta pockets bring a creamy, cheesy filling that pairs beautifully with the sausage and squash.
Chicken Broth
Four cups of chicken broth provide the savory liquid that brings all the ingredients together. Choose a broth you enjoy the flavor of, since it forms the base of the soup.
Onion and Garlic
A small diced onion and three cloves of minced garlic add aromatic depth. They complement the sausage and help create a flavorful broth.
Heavy Cream
Half a cup of heavy cream gives the soup its silky finish. It softens the savory flavors and makes the broth feel rich without turning it into a heavy sauce.
Herbs and Seasonings
Dried thyme and ground sage add warm, earthy notes that complement the squash. Crushed red pepper flakes provide a little heat, while salt and black pepper help bring the flavors into balance.
Olive oil is used to start the cooking process, and fresh parsley makes an optional garnish that adds a fresh, colorful finish.
How to Make Butternut Squash Sausage Tortellini Soup
Step 1: Brown the Italian Sausage
Heat the olive oil in a large soup pot or Dutch oven over medium heat.
Add the Italian sausage, breaking it into small pieces with a wooden spoon. Cook until browned and no longer pink, stirring occasionally so it cooks evenly.
The browned sausage creates a flavorful base for the soup. If there is an excessive amount of rendered fat, you can carefully drain some, leaving enough in the pot to cook the aromatics.
Step 2: Cook the Onion and Garlic
Add the diced onion to the pot with the sausage. Cook for about 3–4 minutes, stirring occasionally, until the onion begins to soften.
Stir in the minced garlic and cook for another 30 seconds, just until fragrant.
Avoid letting the garlic brown too much, as it can develop a bitter flavor. The onion should be softened and the garlic aromatic before moving to the next step.
Step 3: Simmer the Butternut Squash
Pour in the chicken broth and add the cubed butternut squash.
Stir in the dried thyme, ground sage, crushed red pepper flakes, and a little salt and black pepper.
Bring the mixture to a gentle boil, then reduce the heat to maintain a steady simmer. Cook for approximately 15–20 minutes, or until the squash is fork-tender.
Check a few pieces with a fork. They should be soft enough to bite easily while still holding their shape.
Step 4: Add the Cream and Tortellini
Stir in the heavy cream, then add the cheese tortellini.
Cook according to the package directions, usually until the tortellini are tender and heated through. Stir gently from time to time to prevent the pasta from sticking to the bottom of the pot.
Keep the soup at a gentle simmer rather than a vigorous boil. The tortellini should be tender, and the broth should look creamy and well combined.
Taste the soup and adjust the salt and black pepper as needed.
Step 5: Garnish and Serve
Remove the pot from the heat once the tortellini are cooked.
Ladle the soup into bowls and garnish with fresh parsley, if desired.
Serve while warm, making sure each bowl gets a generous portion of sausage, squash, tortellini, and creamy broth.

Recipe Notes
- For a spicier soup: Use hot Italian sausage or increase the crushed red pepper flakes to suit your taste.
- For a thicker texture: Gently mash a few pieces of cooked butternut squash against the side of the pot and stir them into the broth.
- For the best pasta texture: If preparing the soup ahead, cook and store the tortellini separately, then add it when reheating.
Common Mistakes to Avoid
Adding the tortellini too early: Tortellini can become overly soft if it simmers for too long. Wait until the squash is tender before adding the pasta.
Cutting the squash unevenly: Large pieces may remain firm while smaller pieces become mushy. Keep the cubes relatively uniform.
Boiling the soup after adding cream: A vigorous boil can affect the creamy texture. Keep the heat gentle once the cream is added.
Underseasoning the broth: Sausage and chicken broth contribute salt, but the final flavor depends on the ingredients used. Taste before serving and adjust the seasoning gradually.
Overcooking the squash: The squash should be fork-tender but not completely dissolved. Check it near the end of the simmering time to maintain a pleasant texture.
What to Serve With Butternut Squash Sausage Tortellini Soup
This creamy tortellini soup is filling enough to serve as a complete meal, but a simple side dish can make dinner feel even more special.
- Crusty garlic bread: Perfect for dipping into the creamy broth and soaking up every last bit.
- Fresh green salad: A crisp salad with mixed greens, cucumber, tomatoes, and a light vinaigrette balances the richness of the soup.
- Roasted Brussels sprouts: Their slightly caramelized flavor complements the sweetness of the butternut squash.
- Parmesan breadsticks: A savory, cheesy side that pairs naturally with the Italian sausage and cheese tortellini.
- Roasted broccoli: Adds a fresh, lightly crisp vegetable side without making the meal too heavy.
For an easy weeknight dinner, serve the soup with warm garlic bread and a simple salad.
Storage Instructions
Refrigerating Leftovers
Allow the soup to cool slightly before transferring it to an airtight container. Refrigerate within two hours of cooking and store for up to 3–4 days.
The tortellini will continue absorbing some of the broth as the soup sits, so the leftovers may become thicker. Add a splash of chicken broth or water when reheating to loosen the consistency.
Reheating
Reheat individual portions in the microwave, stirring occasionally until heated through.
For larger portions, warm the soup in a saucepan over medium-low heat, stirring gently. Avoid bringing the creamy soup to a rapid boil, as this may affect its texture.
If the soup has thickened considerably, add a little broth until it reaches your preferred consistency.
Freezing
The soup can be frozen, but the tortellini and cream may change texture after thawing. For the best results, prepare the sausage, squash, and broth mixture without the cream or tortellini.
Cool the soup base, transfer it to freezer-safe containers, and freeze for up to 2–3 months.
When ready to serve, thaw it in the refrigerator overnight, reheat gently, stir in the heavy cream, and cook the tortellini in the soup according to the package directions.
Make-Ahead Tips
You can prepare the sausage, onion, garlic, squash, broth, and seasonings ahead of time. Refrigerate the cooked soup base, then add the cream and tortellini when you’re ready to serve.
This approach keeps the pasta tender and helps the soup maintain its creamy texture.
Estimated Nutrition
The following nutrition information is an estimate based on the listed ingredients and an assumed yield of 6 servings.
| Nutrient | Estimated amount per serving |
|---|---|
| Calories | 470 kcal |
| Carbohydrates | 35 g |
| Protein | 20 g |
| Fat | 27 g |
| Saturated Fat | 11 g |
| Fiber | 3 g |
| Sugar | 5 g |
| Sodium | 950 mg |
| Cholesterol | 85 mg |
Actual values will vary depending on the type of Italian sausage, chicken broth, tortellini, and heavy cream used. These estimates are intended as a general guide.
Frequently Asked Questions
Can I use frozen butternut squash?
Yes. Frozen butternut squash works well in this soup. Add it directly to the broth without thawing first. It may cook a little faster than fresh squash, so check for tenderness before adding the tortellini.
Can I use a different type of sausage?
Yes. Mild or hot Italian sausage both work well. You can also use chicken or turkey Italian sausage, although the soup may have a slightly lighter flavor. Choose a sausage with seasonings that complement the thyme and sage.
What tortellini works best?
Cheese tortellini is the best match for this recipe because its filling complements the creamy broth and savory sausage. Refrigerated, frozen, or shelf-stable tortellini can work, but cooking times vary, so follow the package directions.
Can I make this soup without heavy cream?
Heavy cream gives the soup its rich, smooth finish. You can substitute half-and-half for a lighter texture, although the broth will be less rich. Add it gently and avoid boiling the soup.
How can I make the soup thicker?
For a naturally thicker broth, mash a few of the cooked squash cubes directly into the soup. The softened squash will blend into the liquid and add body without requiring additional ingredients.
Can I prepare this soup in advance?
Yes. Prepare the soup base with the sausage, aromatics, squash, broth, and seasonings. Refrigerate it, then add the cream and tortellini shortly before serving. This helps prevent the pasta from becoming too soft.
A Cozy Soup for Any Night
Butternut Squash Sausage Tortellini Soup brings together everything you want in a comforting homemade dinner: savory sausage, tender squash, cheesy pasta, and a creamy herb-infused broth.
Serve it with crusty bread for a cozy family meal, or make a batch ahead for an easy dinner during the week. With its warm flavors and satisfying ingredients, this soup is a delicious addition to your fall and winter recipe collection.
Print
Butternut Squash Sausage Tortellini Soup
- Total Time: 50 minutes
- Yield: 6 servings 1x
Description
This creamy Butternut Squash Sausage Tortellini Soup combines savory Italian sausage, tender butternut squash, cheese tortellini, and a rich, herb-infused broth for a cozy and satisfying one-pot dinner.
Ingredients
- 1 tablespoon olive oil
- 1 pound Italian sausage (casing removed)
- 1 small onion (diced)
- 3 cloves garlic (minced)
- 4 cups chicken broth
- 3 cups butternut squash (peeled and cubed)
- 1 teaspoon dried thyme
- ½ teaspoon ground sage
- ¼ teaspoon crushed red pepper flakes
- ½ cup heavy cream
- 1 package (9 ounces cheese tortellini)
- Salt (to taste)
- Black pepper (to taste)
- Fresh parsley (for garnish, optional)
Instructions
- Heat the olive oil in a large soup pot or Dutch oven over medium heat.
- Add the Italian sausage, breaking it into small pieces. Cook until browned and no longer pink.
- Add the diced onion and cook for 3–4 minutes, until softened.
- Stir in the minced garlic and cook for about 30 seconds, until fragrant.
- Pour in the chicken broth and add the cubed butternut squash, dried thyme, ground sage, crushed red pepper flakes, salt, and black pepper.
- Bring the soup to a gentle boil, then reduce the heat and simmer for 15–20 minutes, or until the squash is fork-tender.
- Stir in the heavy cream.
- Add the cheese tortellini and cook according to the package directions, until tender.
- Taste and adjust the salt and black pepper as needed.
- Remove from the heat, garnish with fresh parsley if desired, and serve warm.
Notes
- Use mild or hot Italian sausage depending on your preferred spice level.
- For a thicker soup, mash a few tender squash cubes into the broth.
- For make-ahead meals, prepare the soup base and add the cream and tortellini when reheating.
- Prep Time: 15 minutes
- Cook Time: 35 minutes
- Category: Dinner
- Method: Stovetop
- Cuisine: Italian-Inspired
Nutrition
- Serving Size: 1/6
- Calories: 470 kcal
- Sugar: 5 g
- Sodium: 950 mg
- Fat: 27 g
- Saturated Fat: 11 g
- Unsaturated Fat: 14 g
- Trans Fat: 0.5 g
- Carbohydrates: 35 g
- Fiber: 3 g
- Protein: 20 g
- Cholesterol: 85 mg
Keywords: Butternut Squash Sausage Tortellini Soup, creamy tortellini soup, Italian sausage soup, butternut squash soup, fall soup recipe

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