Creamy Tortellini Slow Cooker

Section: Satisfying Main Dishes for Every Occasion

This creamy tortellini dish combines tender cheese-filled pasta with a luscious sauce made from heavy cream, Parmesan, and mozzarella. Slow cooked to develop deep flavors, it offers a comforting, cheesy texture perfect for family meals or weeknight dinners. Optional Italian sausage adds savory richness, while spinach brightens the dish. Using fresh cheese and carefully timing the addition of tortellini ensures tender pasta with a smooth sauce. Serve with garlic bread or a fresh salad for a balanced and satisfying meal.

A woman wearing a chef's hat and apron.
Published By Maria
Updated as of Tue, 23 Dec 2025 17:58:14 GMT
A bowl of creamy tortellini. Bookmark
A bowl of creamy tortellini. | foodbymary.com

This creamy tortellini slow cooker recipe is a rich and comforting meal that fits perfectly into busy weeknights or when you want an easy dish to bring to family gatherings. The melty mozzarella combined with Parmesan and heavy cream creates a luxurious sauce that makes every bite satisfying and indulgent. Minimal prep means you can set it and forget it while still serving up a flavorful dinner.

I remember the first time I made this during a hectic week and how it instantly became a new favorite. Now it’s one of those dishes my family requests regularly, especially when life gets busy.

Ingredients

  • Cheese tortellini: fresh or frozen works well, frozen may take a little longer to cook so plan accordingly
  • Italian sausage (optional): adds richness and depth, brown first to drain excess fat for best flavor
  • Spinach: fresh or frozen. Thawed and drained frozen spinach is just as good, providing color and nutrients
  • Chicken broth: builds a savory base, use vegetable broth for a vegetarian twist
  • Heavy cream: critical for that velvety, creamy sauce, avoid milk substitutes for best texture
  • Parmesan cheese: freshly grated enhances both flavor and sauce thickness
  • Mozzarella cheese: shredded and melts to create gooey, cheesy goodness
  • Garlic powder, Italian seasoning, black pepper: seasonings that round out and brighten the dish

Choosing high quality and fresh ingredients, especially the cheeses and broth, makes a noticeable difference in flavor and texture.

Step-by-Step Instructions

Prepare the Sausage (If Using):
Heat a skillet over medium heat and brown the Italian sausage, breaking it apart as it cooks. Cook thoroughly until no pink remains. Drain carefully on paper towels to remove excess grease, which keeps the dish from becoming oily and heavy.
Combine Ingredients in the Slow Cooker:
Pour chicken broth and heavy cream into the slow cooker bowl. Add freshly grated Parmesan cheese, garlic powder, Italian seasoning, and ground black pepper. Stir to blend these base flavors together. Mix in the cooked sausage (if using) and spinach evenly to distribute the greens and protein.
Slow Cook the Base:
Cover the slow cooker and set it to low heat. Let the mixture cook gently for three to four hours, allowing the flavors to meld and the sauce to thicken slightly.
Add Tortellini and Mozzarella:
Stir in the cheese tortellini along with shredded mozzarella cheese. Replace the lid and cook on high for 30 minutes. This ensures the tortellini is perfectly tender without turning mushy and that the mozzarella melts into the sauce creating a luscious texture.
Serve and Enjoy:
Use a ladle to portion the creamy tortellini into serving bowls. Sprinkle additional Parmesan cheese on top if desired for extra flavor. Serve warm accompanied by garlic bread or a crisp salad for contrast.
A bowl of creamy tortellini. Bookmark
A bowl of creamy tortellini. | foodbymary.com

Storage Tips

Cool the dish completely before transferring it to airtight containers to maintain texture and freshness. Refrigerate for up to three days to enjoy leftovers. Avoid freezing if possible since the cream sauce tends to separate and become grainy, but you can freeze the broth and sausage base separately then add fresh tortellini when reheating.

Ingredient Substitutions

Vegetarian option by skipping sausage and using vegetable broth instead of chicken broth keeps it meat-free without losing flavor. Try cooked shredded chicken or crumbled bacon if you want to switch up the protein. Fresh or frozen spinach works well. Half-and-half can substitute heavy cream for a lighter sauce, but avoid milk which will not yield the same creaminess.

Serving Suggestions

A sprinkle of fresh basil or parsley adds brightness and color right before serving. Extra grated Parmesan takes the cheesiness up a notch. Serve alongside garlic bread for a classic pairing or a crisp Caesar salad to balance richness with freshness. Roasted vegetables add sweetness and texture contrast that complements the creamy pasta.

Cultural Context

Tortellini is a traditional Italian stuffed pasta originating from the Emilia-Romagna region, often associated with comforting family recipes. This adaptation brings that Italian classic into the slow cooker for a modern, hands-off approach without sacrificing the rich flavors that make tortellini so beloved.

Common Recipe Questions

→ How do I prevent tortellini from becoming mushy?

Add the tortellini to the slow cooker during the last 30 minutes of cooking and use high heat. This keeps the pasta tender and avoids overcooking.

→ Can I use frozen tortellini?

Yes, frozen cheese tortellini works well but may require a few extra minutes of cooking to become tender.

→ What can I use instead of Italian sausage?

Try shredded cooked chicken, ground turkey, or crumbled bacon. For a vegetarian version, increase spinach or add mushrooms and bell peppers.

→ How do I achieve a creamy, rich sauce?

Use heavy cream along with freshly grated Parmesan and mozzarella. Avoid low-fat substitutes to maintain richness and texture.

→ How should I store leftovers to keep texture?

Cool completely before refrigerating in an airtight container for up to 3 days. Reheat gently on the stovetop, adding broth or cream if needed to loosen the sauce.

→ What sides pair well with this dish?

Garlic bread, fresh salads, roasted vegetables, or steamed green beans complement the creamy tortellini nicely.

Creamy Tortellini Slow Cooker

A rich and creamy tortellini dish with melted mozzarella and Parmesan, slow-cooked to tender perfection.

Prep Time
15 minutes
Cooking Time
270 minutes
Complete Time
285 minutes
Published By: Maria

Recipe Category: Main Dishes

Skill Level: Beginner-Friendly

Cuisine Type: Italian

Total Portions: 4 Serves How Many (4 portions)

Dietary Preferences: Vegetarian-Friendly

Required Ingredients

→ Pasta

01 500 g cheese tortellini (fresh or frozen)

→ Meat (Optional)

02 300 g Italian sausage, casing removed (optional)

→ Vegetables

03 100 g fresh spinach or 120 g frozen spinach, thawed and drained

→ Liquids

04 480 ml chicken broth (or vegetable broth for vegetarian)
05 240 ml heavy cream

→ Cheese

06 60 g freshly grated Parmesan cheese
07 150 g shredded mozzarella cheese

→ Spices and Seasonings

08 1 teaspoon garlic powder
09 1 teaspoon Italian seasoning
10 ½ teaspoon freshly ground black pepper

Step-by-Step Instructions

Step 01

Heat a skillet over medium heat, cook the Italian sausage until fully browned. Drain excess grease and set aside.

Step 02

In the slow cooker, combine chicken broth, heavy cream, Parmesan cheese, garlic powder, Italian seasoning, black pepper, cooked sausage (if using), and spinach. Stir to blend evenly.

Step 03

Cover and cook on low heat for 3 to 4 hours to develop flavors and soften the spinach.

Step 04

Stir in the cheese tortellini and shredded mozzarella. Cover again and cook on high for 30 minutes until tortellini is tender and cheese is melted.

Step 05

Ladle into bowls and optionally garnish with additional freshly grated Parmesan. Serve warm alongside garlic bread or a fresh salad.

Handy Cooking Tips

  1. Add tortellini only during the final 30 minutes of cooking to prevent overcooking and maintain texture.
  2. Use freshly grated Parmesan for optimal flavor and sauce consistency.
  3. Brown the sausage thoroughly and drain fat to avoid greasy sauce.
  4. If the sauce is too thick, add a small amount of chicken broth; if too thin, cook uncovered briefly or add extra Parmesan.
  5. This dish can be prepared ahead by cooking the base without tortellini; add tortellini just before final cooking.
  6. Refrigerate leftovers for up to 3 days; freezing is not recommended due to dairy separation.

Necessary Kitchen Tools

  • 6-quart slow cooker
  • Skillet
  • Ladle
  • Cheese grater

Allergy Details

Always check ingredient packaging for potential allergens and consult a healthcare professional when in doubt.
  • Contains dairy and wheat (gluten).

Nutritional Information (Per Serving)

These nutrition details are for guidance and don’t replace professional advice.
  • Calories: 560
  • Fat: 30 grams
  • Carbohydrates: 45 grams
  • Proteins: 22 grams