This Hearty Sausage and Tortellini Bake is the ultimate comfort meal cheesy, saucy, and full of flavor. It combines juicy Italian sausage, pillowy cheese tortellini, and a rich tomato cream sauce, all baked under a golden layer of mozzarella. Perfect for cozy nights or potluck dinners, this dish is simple to make yet tastes like a restaurant favorite. If you love creamy baked pasta like Cajun Cream Cheese Chicken Pasta Bake, this hearty Italian-inspired version will steal the show.
Why You’ll Love It
- Family favorite: Everyone loves a cheesy, baked pasta dish.
- Quick to make: Ready in under 40 minutes with store-bought tortellini.
- Comfort food classic: Creamy, meaty, and deeply satisfying.
- Perfect for leftovers: Tastes even better the next day.
Ingredients
- 1 lb Italian sausage (mild or spicy)
- 2 cloves garlic, minced
- 24 oz marinara sauce
- ½ cup heavy cream
- 1 tsp Italian seasoning
- ¼ tsp crushed red pepper flakes (optional)
- 20 oz refrigerated cheese tortellini
- 1½ cups shredded mozzarella cheese
- ¼ cup grated Parmesan cheese
- 2 tbsp chopped fresh basil or parsley
- Salt and black pepper, to taste

Instructions
- Preheat the oven to 375°F. Lightly grease a 9×13-inch baking dish.
- Cook the tortellini according to the package directions, but undercook it by 1 minute. Drain and set aside.
- In a large skillet, cook sausage over medium heat until browned, breaking it into crumbles. Drain excess fat.
- Add garlic and sauté for 1 minute until fragrant. Stir in marinara, cream, Italian seasoning, and red pepper flakes. Simmer for 3–4 minutes.
- Combine the sauce with the tortellini and half the mozzarella. Toss until evenly coated.
- Transfer the mixture to the baking dish. Sprinkle with remaining mozzarella and Parmesan.
- Bake for 20–25 minutes, until bubbly and golden on top.
- Garnish with basil or parsley and serve warm.
Tips & Variations
- Add veggies: Stir in spinach, mushrooms, or zucchini before baking.
- Make it creamy: Add an extra ¼ cup of cream for a richer sauce.
- Swap proteins: Try chicken sausage or ground turkey for a lighter twist.
- Go extra cheesy: Mix ricotta into the pasta for more creaminess, similar to this cheesy beef skillet.
Substitutions
- Tortellini: Cheese or spinach tortellini both work great.
- Marinara: Substitute with homemade tomato basil sauce for extra freshness.
- Dairy-free: Use coconut cream and vegan cheese alternatives for a dairy-free bake.
Serving Suggestions
Serve your hearty sausage and tortellini bake with a green salad and garlic breadsticks. Pair it with a glass of red wine or sparkling water with lemon for a satisfying meal.
Storage & Reheating
- Store: Refrigerate leftovers in an airtight container for up to 4 days.
- Reheat: Bake at 350°F for 15 minutes or microwave individual portions until hot.
- Freeze: Wrap tightly and freeze up to 2 months. Thaw overnight before reheating.
FAQs
Can I use frozen tortellini?
Yes! Just boil frozen tortellini a few minutes longer than fresh. Drain well before adding to the sauce.
Can I make this ahead of time?
Absolutely. Assemble the bake, cover tightly, and refrigerate for up to 24 hours. Bake just before serving.
How can I make it spicier?
Use hot Italian sausage or add a pinch of cayenne to the sauce for extra heat.
More to Try
- Cajun Cream Cheese Chicken Pasta Bake
- Creamy Ground Beef Skillet
- Lasagna Soup
- Italian Pasta Salad
- Smoky Beef and Bean Chili
Conclusion
This Hearty Sausage and Tortellini Bake is everything you crave in a one-pan comfort dish. With tender pasta, flavorful sausage, and gooey melted cheese, it’s a warm, satisfying meal that brings everyone back for seconds.
Print
Hearty Sausage and Tortellini Bake
- Total Time: 40 minutes
- Yield: 6 servings 1x
Description
This Hearty Sausage and Tortellini Bake is the ultimate comfort meal — cheesy, saucy, and full of flavor. It combines juicy Italian sausage, pillowy cheese tortellini, and a rich tomato cream sauce, all baked under a golden layer of mozzarella.
Ingredients
- 1 lb Italian sausage (mild or spicy)
- 2 cloves garlic, minced
- 24 oz marinara sauce
- ½ cup heavy cream
- 1 tsp Italian seasoning
- ¼ tsp crushed red pepper flakes (optional)
- 20 oz refrigerated cheese tortellini
- 1½ cups shredded mozzarella cheese
- ¼ cup grated Parmesan cheese
- 2 tbsp chopped fresh basil or parsley
- Salt and black pepper, to taste
Instructions
- Preheat the oven to 375°F. Lightly grease a 9×13-inch baking dish.
- Cook the tortellini according to the package directions, but undercook it by 1 minute. Drain and set aside.
- In a large skillet, cook sausage over medium heat until browned, breaking it into crumbles. Drain excess fat.
- Add garlic and sauté for 1 minute until fragrant. Stir in marinara, cream, Italian seasoning, and red pepper flakes. Simmer for 3–4 minutes.
- Combine the sauce with the tortellini and half the mozzarella. Toss until evenly coated.
- Transfer the mixture to the baking dish. Sprinkle with remaining mozzarella and Parmesan.
- Bake for 20–25 minutes, until bubbly and golden on top.
- Garnish with basil or parsley and serve warm.
Notes
Add veggies like spinach or mushrooms, or use chicken sausage for a lighter twist. Great for make-ahead dinners and leftovers taste even better!
- Prep Time: 15 minutes
- Cook Time: 25 minutes
- Category: Main Course
- Method: Baked
- Cuisine: Italian
Nutrition
- Serving Size: 1 portion
- Calories: 520
- Sugar: 7g
- Sodium: 980mg
- Fat: 32g
- Saturated Fat: 15g
- Unsaturated Fat: 14g
- Trans Fat: 0g
- Carbohydrates: 35g
- Fiber: 3g
- Protein: 25g
- Cholesterol: 95mg
Keywords: tortellini, sausage, baked pasta, comfort food, creamy pasta, Italian recipe
