5-ingredient Creamy Tortellini and Sausage Recipe

Cook Time: 15 minutes

Ingredients

This recipe is based on its original yield. Adjustments to ingredient amounts will automatically scale, though cooking times and methods remain the same. Note that some recipes may not scale perfectly.

• 1 (ounce) package cheese tortellini
• 1/2 (12 ounce) package beef sausage, diced
• 1 (14.5 ounce) jar garlic Alfredo sauce
• 1/4 cup milk
• 1/4 cup grated Parmesan cheese

Original recipe (1X) yields 4 servings.

Directions

1. Bring a large pot of lightly salted water to a rolling boil. Add the tortellini and cook uncovered, stirring occasionally. Once the tortellini float to the surface and the filling is hot, about 3 minutes, drain and set aside.
2. While the tortellini cooks, heat a nonstick skillet over medium heat. Add the diced sausage and cook until the edges are browned, approximately 3 minutes. Remove from heat and set aside.
3. In a saucepan, pour in the garlic Alfredo sauce. Add milk to any leftover sauce in the jar, shake well, and pour into the saucepan. Stir in the Parmesan cheese. Warm the sauce over medium-low heat, stirring frequently to prevent scorching, for about 5 minutes.
4. Add the cooked sausage and tortellini to the sauce, gently stirring to coat. Heat through for an additional 3 minutes. Serve immediately, ladled into bowls.

Nutrition Facts (per serving)

• Calories: 809
• Total Fat: 63g (80% DV)
• Saturated Fat: 35g (173% DV)
• Cholesterol: 187mg (62% DV)
• Sodium: 1762mg (77% DV)
• Total Carbohydrate: 36g (13% DV)
• Dietary Fiber: 1g (4% DV)
• Total Sugars: 3g
• Protein: 27g (55% DV)
• Vitamin C: 4mg (5% DV)
• Calcium: 527mg (41% DV)
• Iron: 2mg (9% DV)
• Potassium: 424mg (9% DV)

*Percent Daily Values are based on a 2,000 calorie diet. Individual needs may vary. Nutrient information is based on available data; consult a healthcare professional if following a medically restrictive diet.

History of Origin

The roots of creamy tortellini dishes can be traced back to Northern Italy, where filled pasta first became a symbol of festive family meals. Tortellini itself is believed to have originated in the Emilia-Romagna region, a place celebrated for its rich culinary traditions. Over time, Italian immigrants brought these delicate pasta rings to the United States, where cooks began adapting them with local ingredients such as smoked or beef sausage and quick Alfredo-style sauces. The modern 5-ingredient version reflects this evolution, blending Italian heritage with the fast-paced American cooking style.

Regional Variations

Although the dish is now popular across the U.S., its character changes slightly depending on regional preferences. In the Midwest, cooks often use hearty beef or pork sausages, creating a bolder, smokier flavor. On the West Coast, lighter versions may incorporate chicken sausage or even plant-based alternatives. In the Northeast, its common to enhance the creaminess with extra Parmesan or a splash of heavy cream. Each region maintains the simplicity of the five-ingredient concept while subtly adapting the dish to local tastes.

How It Differs from Similar Dishes

Unlike traditional tortellini Alfredo, which typically focuses solely on the rich sauce and cheese-filled pasta, this recipe introduces sausage as a key flavor element, adding contrast and depth. It also sets itself apart from classic Italian tortellini in brodo, which is served in broth and highlights delicate, minimal seasoning. The combination of jarred garlic Alfredo sauce and charred sausage creates a uniquely American comfort-food profile that is creamier, heartier, and designed for quick preparation.

Where It Is Commonly Served

This dish is most often found in home kitchens rather than restaurants, valued for its convenience and satisfying flavor. It appears frequently in weeknight dinner rotations, potluck gatherings, and casual family meals. Because it requires minimal prep and uses readily available ingredients, it is especially popular among busy households looking for a warm, comforting meal without spending hours in the kitchen.

Interesting Facts

A fun legend claims that tortellini was inspired by the shape of Venuss navel, a whimsical detail that adds charm to any pasta story. Another interesting point is that charred sausage, though simple to prepare, adds a depth of flavor similar to slow-cooked meats, elevating a quick meal into something more luxurious. Finally, despite having only five ingredients, this dish delivers a surprising richness thanks to the combination of aged Parmesan, filled pasta, and creamy sauce, proving that simplicity can still create remarkable flavor.

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