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Bowl of tortellini soup on wooden table

Creamy Instant Pot Tortellini and Sausage Soup

This Instant Pot tortellini soup is packed with a rich, creamy texture and filled with spicy Italian sausage, diced tomatoes, and tortellini cooked to perfection. Our recipe is easy, delicious, and will have dinner on your table in less than 30 minutes from start to finish!
4.8 from 5 votes
Prep Time 10 mins
Cook Time 2 mins
Pressure Build-Up Time 15 mins
Total Time 27 mins
Course Appetizer, Main Course, Soup
Cuisine American, Italian
Servings 6 servings (up to 8)
Calories 1200 kcal


  • Instant Pot Dup Mini (3 qt) or larger- see above for link



  • 1 package frozen tortellini (19 oz)
  • 1 lb ground Italian sausage
  • 1 onion (chopped)
  • 1.5 Tbsp garlic (minced)
  • 14 oz can diced tomatoes (not drained)
  • 2 Tbsp tomato paste
  • 1/2 cube chicken bouillon
  • 2 1/2 cups water
  • 1 cup heavy cream
  • 1/2 cup parmesan cheese
  • 2 1/2 cups baby spinach


  • 1/2 tsp oregano
  • 1/2 tsp red pepper flakes
  • 1/2 tsp Italian seasoning
  • salt and pepper to taste


  • Turn Instant Pot to Saute and grease pot with cooking oil.
  • Add ground Italian sausage. Brown sausage completely and break up into small pieces.
  • Add in onions and garlic. Saute for 1 minute.
  • Pour in the can of diced tomatoes. Scrape bottom of Instant Pot to remove any brown bits stuck to the bottom.
  • Add in tomato paste, bouillon, water, and all of the seasonings. Give everything a good stir.
  • Place the tortellini in the pot and press down until the pasta has been submerged under the liquid.
  • Seal the lid, making sure to turn the vent off. Cancel saute and cook on High Pressure for 2 minutes. When finished, perform a quick release.
  • Add in the heavy cream and parmesan cheese. Stir. Add the baby spinach and stir completely. Leave for 2 minutes. Serve!
Keyword Instant Pot, sausage tortellini soup, soup, tortellini, tortellini soup