Butternut Squash Sausage Tortellini Soup

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Learn how to make Butternut Squash Sausage Tortellini Soup with Italian sausage, creamy broth, and cheesy tortellini in one pot.

james carter jr for recipes by clare
By James Carter Jr
Updated on Wed, 03 Dec 2025 10:47:57 GMT

I’ve been making Butternut Squash Sausage Tortellini Soup every fall since I discovered how well sweet squash pairs with spicy Italian sausage. This one-pot meal delivers restaurant-quality flavor without the fuss, and I love that everything cooks in the same pot for easy cleanup.

Last October, I threw this together on a rainy Tuesday when I had half a butternut squash sitting on my counter. The combination of fire-roasted tomatoes, creamy broth, and cheesy tortellini surprised me with how satisfying it was. Now it’s my go-to recipe when I want something hearty that doesn’t require hours of work. This butternut squash soup with sausage hits that perfect balance between comfort food and weeknight convenience.

Simple Ingredients for Butternut Squash Sausage Tortellini Soup

I always use sweet Italian sausage for this recipe because it adds the right amount of flavor without overwhelming the squash. Pro tip: buy pre-cubed butternut squash from the produce section to save yourself 10 minutes of prep time.

  • 1 pound sweet Italian sausage
  • Kosher salt and pepper to taste
  • 1 tablespoon olive oil (if needed)
  • 1 sweet onion, diced
  • 4 garlic cloves, minced
  • 2 1/2 cups cubed butternut squash
  • 1 tablespoon tomato paste
  • 14 ounces diced fire roasted tomatoes
  • 1 parmesan rind
  • 4 to 5 cups chicken stock
  • 3/4 cup heavy cream
  • 3 cups chopped kale or spinach
  • 8 to 12 ounces cheese tortellini
  • Parmesan cheese for topping
  • Crushed red pepper for topping
Butternut Squash Sausage Tortellini Soup 2

How to Make This Butternut Squash Tortellini Soup

I recommend using a heavy-bottomed pot or Dutch oven for even heat distribution. This prevents the bottom from scorching when you’re browning the sausage.

Step 1: Brown the sausage in a large pot over medium heat, seasoning with salt and pepper. Cook for 6 to 8 minutes, breaking it into bite-sized pieces until cooked through and golden. If your sausage is very lean, add 1 tablespoon olive oil. The browned bits on the bottom will add flavor later.

Step 2: Add diced onion, minced garlic, and cubed butternut squash to the pot with the sausage. Season with salt and pepper. Cook, stirring often, for 5 to 6 minutes until the onion turns translucent and the squash starts to soften slightly at the edges.

Step 3: Stir in tomato paste and cook for 2 minutes, allowing it to caramelize and deepen in color. This step removes the raw tomato taste and adds richness to your butternut squash sausage tortellini soup.

Step 4: Add diced fire roasted tomatoes, parmesan rind, and 4 cups chicken stock. Bring to a boil, then reduce to a gentle simmer. Cover and simmer for 15 to 20 minutes until the squash is fork-tender. The parmesan rind will melt slightly and infuse the broth with savory flavor.

Step 5: Remove the parmesan rind if it hasn’t fully dissolved. Stir in heavy cream, kale or spinach, and cheese tortellini. Cook uncovered for 5 minutes until the tortellini floats to the top and becomes tender. If the soup looks too thick, add the remaining cup of chicken stock.

Step 6: Taste and adjust seasoning with additional salt and pepper. The soup should have a balanced flavor with sweet butternut squash, savory sausage, and a slight tang from the tomatoes.

Step 7: Serve hot, garnished with freshly grated parmesan cheese and a pinch of crushed red pepper for heat.

Best Sides for Butternut Squash Sausage Tortellini Soup

This soup pairs beautifully with simple, crusty sides that let the rich flavors shine.

Garlic Bread: Crispy, buttery garlic bread is perfect for soaking up the creamy tomato broth and adds a satisfying crunch to each bite.

Caesar Salad: A classic Caesar with romaine and parmesan balances the richness of the soup with crisp, tangy freshness that cuts through the cream.

Roasted Brussels Sprouts: Caramelized Brussels sprouts add a nutty, earthy element that complements the sweet butternut squash and provides extra vegetables.

Focaccia: Soft, herb-topped focaccia offers a lighter alternative to garlic bread while still providing that essential bread-dipping experience.

Delicious Soup Variations for Every Craving

This butternut squash sausage tortellini soup combines the best of fall flavors, but there are wonderful variations to explore. The classic Sausage Tortellini Soup offers a heartier, more traditional approach without the squash, perfect when craving something robust. For poultry lovers, the Chicken Tortellini Soup delivers comfort with tender chicken in every spoonful.

Looking for something with fresh herb flavors? The Chicken Pesto Tortellini Soup adds vibrant pesto that brings an Italian garden to your bowl. When battling a cold or simply craving Asian-inspired comfort, the Ginger Garlic Chicken Noodle Soup provides warming spices and healing properties that soothe body and soul.

Storing Your Butternut Squash Sausage Tortellini Soup

Store leftover butternut squash sausage tortellini soup in an airtight container in the refrigerator for up to 3 days. The tortellini will absorb some broth as it sits, so the soup will thicken.

To reheat, warm gently on the stovetop over medium-low heat, stirring occasionally. Add a splash of chicken stock or water to thin it out if needed. Avoid boiling, as this can make the tortellini mushy.

Pro tip: If you’re meal prepping, store the cooked tortellini separately from the soup base. Add fresh tortellini when reheating for the best texture.

Common Questions About Butternut Squash Sausage Tortellini Soup

Can I make this soup vegetarian?

Yes, omit the sausage and use vegetable stock instead of chicken stock. Add white beans or chickpeas for protein and substance.

What if I can’t find fire roasted tomatoes?

Regular diced tomatoes work fine. Add 1/4 teaspoon smoked paprika to mimic the smoky depth that fire roasted tomatoes provide.

Can I freeze this soup?

The soup base freezes well for up to 3 months, but I recommend freezing it before adding the tortellini and cream. Thaw overnight, reheat, then add fresh tortellini and cream when serving.

Ready to Enjoy This Cozy Soup

Butternut Squash Sausage Tortellini Soup brings together everything I love about fall cooking: simple ingredients, big flavors, and minimal cleanup. The sweet squash and spicy sausage create a combination that keeps everyone coming back for seconds. Give this recipe a try tonight and see why it’s become a seasonal favorite in my kitchen.

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Butternut Squash Sausage Tortellini Soup

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A hearty one-pot soup featuring sweet Italian sausage, tender butternut squash, kale, and cheesy tortellini in a creamy tomato broth.

  • Author: James Carter Jr
  • Prep Time: 15 minutes
  • Cook Time: 35 minutes
  • Total Time: 50 minutes
  • Yield: 6 servings 1x
  • Category: Soup
  • Method: Stovetop
  • Cuisine: Italian-American

Ingredients

Scale
  • 1 pound sweet Italian sausage
  • Kosher salt and pepper to taste
  • 1 tablespoon olive oil (if needed)
  • 1 sweet onion, diced
  • 4 garlic cloves, minced
  • 2½ cups cubed butternut squash
  • 1 tablespoon tomato paste
  • 14 ounces diced fire roasted tomatoes
  • 1 parmesan rind
  • 4 to 5 cups chicken stock
  • ¾ cup heavy cream
  • 3 cups chopped kale or spinach
  • 8 to 12 ounces cheese tortellini
  • Parmesan cheese for topping
  • Crushed red pepper for topping

Instructions

  1. Brown the sausage in a large pot over medium heat with salt and pepper for 6 to 8 minutes, breaking into bite-sized pieces until cooked through. Add 1 tablespoon olive oil if needed.
  2. Add diced onion, minced garlic, and cubed butternut squash with salt and pepper. Cook, stirring often, for 5 to 6 minutes until softened.
  3. Stir in tomato paste and cook for 2 minutes until it darkens and caramelizes.
  4. Add diced fire roasted tomatoes, parmesan rind, and 4 cups chicken stock. Bring to a boil, then reduce to simmer. Cover and simmer for 15 to 20 minutes until squash is fork-tender.
  5. Remove parmesan rind if not dissolved. Stir in heavy cream, kale or spinach, and cheese tortellini. Cook uncovered for 5 minutes until tortellini is tender. Add remaining cup of stock if soup is too thick.
  6. Season with salt and pepper to taste. Serve garnished with grated parmesan cheese and crushed red pepper.

Notes

  • Fire roasted tomatoes add smoky depth. Substitute with regular diced tomatoes plus ¼ teaspoon smoked paprika.
  • For vegetarian version, omit sausage and use vegetable stock. Add white beans for protein.
  • Store leftovers in airtight container in refrigerator for up to 3 days. Tortellini will absorb broth during storage.
  • Freeze soup base without tortellini and cream for up to 3 months. Add fresh tortellini and cream when reheating.

Nutrition

  • Serving Size: 1 bowl (about 1.5 cups)
  • Calories: 430 kcal
  • Sugar: 8 g
  • Sodium: 890 mg
  • Fat: 26 g
  • Saturated Fat: 12 g
  • Unsaturated Fat: 12 g
  • Trans Fat: 0 g
  • Carbohydrates: 32 g
  • Fiber: 4 g
  • Protein: 20 g
  • Cholesterol: 75 mg

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