Sausage Tortellini Alfredo

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This Sausage Tortellini Alfredo is pure comfort food! Alfredo flavored with sausage and mixed together with tortellini – it’s full of flavor and a favorite meal of ours!

Sausage Tortellini Alfredo

overhead view of pasta

The hubs is a big fan of a few things when it comes to meals, but one of them is pasta. He’s a pretty good eater and pasta is one of those meals that will be sure to fill him up. Plus, it makes great leftovers for him to take to work and that’s a big bonus.

This particular pasta is one we made a fair amount during my pregnancy. It’s pretty easy to put together and I love the sausage. Sausage was a meat that I couldn’t really get enough of and there’s lots of sausage flavor in this meal.

scoop of Sausage Tortellini Alfredo on spoon

To get started, you’ll cook the sausage. I like to use brats and slice it. Definitely the best form of sausage for this pasta. Cook the brats right in your pan on the stove. Once cooked, remove from the pan and slice. Leave those good juices and drippings behind in the pan and for making the sauce. You could drain off a bit of the juices if you wanted, but don’t lose that flavor! All the flavor from cooking the sausage goes into the sauce and gives it the BEST taste! Love it!

The sauce is a fairly simple alfredo sauce. A little butter, garlic and red pepper gives it some flavor, flour helps thicken it and then of course there’s the milk and cream. Once everything is combined and a little thickened, there’s two kinds of cheese added – cream cheese and parmesan. Delicious!

While making the sauce, the tortellini can be cooking and then added to the sauce when ready. The final pasta is seriously a hearty meal that’s full of flavor! We really are big fans. I hope you enjoy it as much as we do!

sausage and pasta in skillet

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close up image of Sausage Tortellini Alfredo

Sausage Tortellini Alfredo

  • Author: Life, Love and Sugar
  • Prep Time: 5 minutes
  • Cook Time: 20 minutes
  • Total Time: 25 minutes
  • Yield: 4 Servings
  • Category: Dinner
  • Method: Stove
  • Cuisine: American


This Sausage Tortellini Alfredo is pure comfort food! Alfredo flavored with sausage and mixed together with tortellini – it’s full of flavor and a favorite meal of ours!


  • 1 (9-ounce) package refrigerated three cheese tortellini
  • 1lb 3oz package brats (I used Johnsonville Brats)
  • 2 tbsp unsalted butter
  • 3 cloves garlic, minced
  • 1/4 teaspoon crushed red pepper flakes
  • 2 tbsp all-purpose flour
  • 1 cup milk
  • 1/2 cup heavy whipping cream
  • 2 ounces cream cheese, cubed
  • 1/4 cup grated parmesan cheese
  • salt and pepper, to taste


1. In large pot of boiling water, cook the tortellini according to package instructions, then drain and set aside.
2. In a large saucepan, cook the brats until cooked through. Remove from pan, slice and set aside.
3. Leave the juices from cooking the sausage in the pan, then add the butter and allow it to melt.
4. Add the garlic and red pepper flakes and cook, stirring regularly, for about 1 minute.
5. Add the flour and whisk until lightly browned, about one minute.
6. Gradually add the milk and heavy whipping cream, whisking constantly, until slightly thickened, about 2-3 minutes.
7. Stir in the cheeses until melted. If you find the sauce is a little thick, you can always add a touch more milk.
8. Stir in the sausage and pasta and add salt and pepper to taste. Serve immediately.


  • Serving Size: 1
  • Calories: 725
  • Sugar: 4.9 g
  • Sodium: 1178.4 mg
  • Fat: 56.6 g
  • Carbohydrates: 24.5 g
  • Protein: 29.1 g
  • Cholesterol: 159.4 mg

Keywords: easy pasta dinner, sausage dinner recipe, quick weeknight dinner, work week pasta dish

Filed Under:


Alfredo sauce modified from Damn Delicious.

Sausage Tortellini Alfredo

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  1. Paige

    LOVEDDDDD this recipe!! The the flavors were perfect all together! I just have to say that it definitely took me longer than 25 minutes to make.

  2. Brooke

    Absolutely delish! I made it with chicken andouille sausage that I purchase at Costco. My family loved it and toddler approved.

  3. KC

    Our local grocery store was out of brats and tortellini so we improvised with macaroni noodles and diced chicken and it was so good! I can’t wait to try the actual recipe.

    1. Lindsay

      I haven’t tried freezing it, but I’m sure you probably could. I do generally think that pasta gets a little softer though after it thaws.

  4. Andrea

    Hi!  This looks delicious!  I want to make it for a friend and I’m wondering if I could make it ahead?  Thanks!  

  5. M Robinson

    This was AMAZING! My husband and I both loved it. I followed the recipe exactly, except I used frozen tortellini and Hot Italian sausages. Turned out great! Thanks for a new recipe to add to my rotation.

  6. Ashlee

    I just made this. We are living in Italy and the pasta is next to nothing when it comes to prices. My family is going nuts over this recipe. Hubby took one bite and said it’s a keeper recipe! 

  7. Nickie

    Very very good!!! The only thing I changed was I used sweet Italian sausage instead of brats. I will definitely make this again.

  8. Jenny R.

    I just found this recipe and all I can say is WOW! Such a nice change up from boring ol’ spaghetti. I followed the recipe exactly except I removed the casings from the brats and cut the raw sausage up into little cubes. They cooked up so nicely and were very tender. I like the texture without the casing. Plus they seemed to render their juices much more. This was super! Thanks for the recipe! ❤️

  9. Terry

    I love your recipes. Thanks for sharing them. I have a question about the sausage tortellini Alfredo. Can I use 1/2 and 1/2. Or should I stick with the milk and whipping cream. Thanks

  10. Receitas Facil

    Hello, I’m a fan of your work and whenever I can I’m here reading each new post. Congratulations on the great work you have been doing on the blog. Kisses

  11. Kristi blackard

    I am making this right now!  I’m going to use turkey sausage instead and cheese mini ravioli since that’s what I had already. Looks delish! 

  12. Lonnie

    I’m about to try this tonight but don’t have heavy whipping cream. Can I use half and half? Also can I add in vegetables such as broccoli or spinach?


    I have been on a major tortellini kick and this will be another great recipe to add to that list!

  14. Laura Zalaznik

    Yum!! New favorite making it to the menu rotation!! Had a side of asparagus with it!! Thank you for a great recipe!

  15. yify

    I really loved reading your blog. I also found your posts very interesting. In fact after reading, I had to go show it to my friend and he ejoyed it as well!

  16. Marilyn

    Hi, Lindsay! I am new to your blog. Your sweet food creations are a work of art! And I am so trying this sausage tortellini, it looks yummy! Blessings to you and keep those recipes coming.

About Lindsay

I'm a wife and a mom to twin boys and a baby girl! And I've got a serious sweets addiction! Bring on the treats!

Scripture I’m Loving

“Come to me, all you who are weary and burdened, and I will give you rest. Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls.” Matthew 11:28-29