Sausage Tortellini Alfredo is a hearty and comforting dish that brings together tender cheese-filled tortellini, savory sausage, and a rich, creamy Alfredo sauce. It’s the perfect mix of flavors and textures, with the sausage adding a nice little kick to the smooth, cheesy sauce. The combination feels indulgent without being too heavy, making it a great choice for a cozy dinner.
I love making this recipe when I want something that feels special but doesn’t take forever to prepare. The sausage browns up so nicely and the Alfredo sauce comes together quickly, which means you can have a delicious meal on the table in no time. I often sneak in some fresh herbs like parsley or a sprinkle of parmesan on top, just to add a bright touch that makes it taste even better.
One of my favorite ways to enjoy Sausage Tortellini Alfredo is with a big green salad on the side and some crusty bread to soak up all that creamy sauce. It’s such a crowd-pleaser whenever I serve it, especially on chilly nights when everyone wants something filling and satisfying. This dish always feels like a warm hug in a bowl, and I’m pretty sure it will become a favorite in your home too.
Key Ingredients & Substitutions
Cheese Tortellini: Fresh or frozen tortellini both work well. If you can’t find tortellini, cheese ravioli or even tortellini with spinach or mushroom fillings could be tasty alternatives.
Italian Sausage: I prefer using mild sausage, but spicy sausage adds a nice kick. You can substitute with ground turkey or chicken for a lighter option.
Heavy Cream & Milk: Heavy cream makes the sauce creamy and smooth. For a lighter sauce, you can use half-and-half or whole milk only, but the sauce won’t be as rich.
Parmesan Cheese: Parmesan gives the sauce its classic flavor. If needed, Pecorino Romano is a good substitute, but keep the saltiness in mind.
How Can You Make a Smooth, Creamy Alfredo Sauce Every Time?
Making Alfredo sauce is simple but requires attention to prevent it from separating or becoming grainy. Here’s how:
- Use medium heat to melt butter and sauté garlic gently, avoiding browning, which can make the sauce bitter.
- Add cream and milk slowly and bring to a gentle simmer, stirring often to keep the sauce smooth.
- Stir in grated Parmesan off the heat or on very low to avoid clumping.
- If the sauce thickens too much, add a splash of milk to loosen it.
- Season gradually with salt and pepper, tasting as you go.
Patience and stirring are key. This way, you’ll get a velvety sauce that coats the tortellini and sausage perfectly.
Equipment You’ll Need
- Large pot – perfect for boiling tortellini quickly and evenly.
- Large skillet or frying pan – great for cooking sausage and making the Alfredo sauce all in one pan.
- Wooden spoon or silicone spatula – helps you stir the sauce gently without scratching your pan.
- Colander – to drain the cooked tortellini easily.
- Measuring cups and spoons – to get the cream, milk, and seasonings just right.
Flavor Variations & Add-Ins
- Swap Italian sausage for sliced chicken breast for a milder, leaner protein option.
- Stir in sautéed spinach or kale for a boost of green and extra nutrients.
- Add sun-dried tomatoes for a tangy sweetness that brightens the creamy sauce.
- Use a mix of Parmesan and mozzarella cheese for a gooey, melty twist on the sauce.
Sausage Tortellini Alfredo
Ingredients You’ll Need:
For the Pasta:
- 1 pound (450g) cheese tortellini (fresh or frozen)
For the Sausage:
- 1 pound (450g) Italian sausage (mild or spicy), casings removed and meat crumbled or sliced into coins
- 2 tablespoons olive oil
- 3 cloves garlic, minced
For the Alfredo Sauce:
- 1 cup heavy cream
- 1 cup whole milk
- 1 cup grated Parmesan cheese
- 2 tablespoons unsalted butter
- 1/2 teaspoon dried Italian seasoning (optional)
- Salt and freshly ground black pepper, to taste
- Fresh parsley, chopped (for garnish)
How Much Time Will You Need?
This delicious meal comes together in about 25 to 30 minutes. It includes time to boil the tortellini, brown the sausage, and prepare the creamy Alfredo sauce. It’s quick enough for a weekday dinner but tasty enough to be served to guests!
Step-by-Step Instructions:
1. Cook the Tortellini:
Bring a large pot of salted water to a boil. Add the tortellini and cook according to package instructions until al dente, usually about 3-5 minutes. Drain and set aside for now.
2. Cook the Sausage:
While the pasta cooks, heat the olive oil in a large skillet over medium-high heat. Add the sausage pieces (crumbled or sliced) and cook, stirring occasionally, until they’re browned and cooked through, about 6-8 minutes. Remove the cooked sausage from the skillet and set it aside.
3. Make the Alfredo Sauce:
In the same skillet, lower the heat to medium and add the butter. Once it melts, add the minced garlic and sauté for about 30 seconds until fragrant but not browned. Slowly pour in the heavy cream and milk, stirring to combine. Let the mixture come to a gentle simmer while stirring frequently.
4. Add Cheese and Seasoning:
Stir in the grated Parmesan cheese along with the dried Italian seasoning if you’re using it. Continue stirring until the sauce is smooth and creamy. Taste and season with salt and freshly ground black pepper as needed.
5. Combine All Ingredients:
Return the cooked tortellini and sausage to the skillet with the Alfredo sauce. Toss gently to coat everything evenly. Warm everything through for another 2-3 minutes so all the flavors blend together.
6. Serve:
Serve hot, garnished with chopped fresh parsley and extra Parmesan cheese if you like. Enjoy your delicious, creamy Sausage Tortellini Alfredo!
Can I Use Frozen Tortellini for This Recipe?
Yes, frozen tortellini works perfectly! Just add a minute or two to the cooking time as directed on the package, and make sure to thaw slightly if needed before cooking to prevent sticking.
What Can I Substitute for Italian Sausage?
If you prefer, ground chicken, turkey, or even crumbled tofu make great alternatives. Just cook them the same way and adjust seasonings to taste for a delicious twist.
How Do I Store Leftovers?
Store leftovers in an airtight container in the fridge for up to 3 days. Reheat gently on the stove or in the microwave, stirring occasionally. If the sauce thickens too much, add a splash of milk while reheating.
Can I Make This Dish Ahead of Time?
You can cook the tortellini and sausage ahead, but it’s best to make and combine the Alfredo sauce fresh to keep it creamy. Reheat the sauce gently before mixing with the pasta and sausage for best results.
