Garlic Butter Beef Tortellini with Italian Sausage & Spinach

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Rich, savory, and packed with comfort—this Creamy Garlic Butter Beef Tortellini with Italian Sausage & Spinach is everything you want in a weeknight pasta dinner. Imagine velvety garlic cream sauce clinging to every cheesy bite of beef tortellini, layered with the bold flavors of Italian sausage and the earthy freshness of wilted spinach.

It’s indulgent without being fussy. The kind of recipe that feels like a warm hug after a long day. Whether you’re looking to elevate your usual pasta routine or impress guests without breaking a sweat, this dish has your back. One bite, and you’ll be reaching for seconds.

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What Type of Tortellini Works Best?

Refrigerated or fresh beef tortellini works beautifully for this recipe because it cooks quickly and holds its shape. You can use frozen tortellini in a pinch—just add a minute or two to the boiling time and make sure not to overcook so the pasta doesn’t fall apart.

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Ingredients for the Creamy Garlic Butter Beef Tortellini with Italian Sausage & Spinach

• Beef Tortellini: The heart of the dish, bringing cheesy, meaty richness in each bite.
• Italian Sausage: Adds depth and spice; use mild or hot based on preference.
• Garlic Butter: Infuses the sauce with bold, aromatic flavor.
• Heavy Cream: Creates a silky, rich sauce base.
• Parmesan Cheese: Adds nutty, salty notes and thickens the sauce.
• Fresh Spinach: Brings a pop of color and freshness to balance the richness.
• Olive Oil: For browning the sausage and sautéing the garlic.
• Salt & Pepper: To enhance all the layered flavors.

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How To Make the Creamy Garlic Butter Beef Tortellini with Italian Sausage & Spinach

Step 1: Brown the Sausage

Heat olive oil in a large skillet over medium heat. Add the Italian sausage, breaking it into chunks with a wooden spoon. Cook until browned and fully cooked through. Remove from the skillet and set aside.

Step 2: Sauté the Garlic

In the same skillet, add a bit more olive oil if needed and sauté minced garlic until fragrant—about 1 minute. Be careful not to burn it.

Step 3: Create the Creamy Base

Pour in the heavy cream and bring to a gentle simmer. Stir in the garlic butter and shredded parmesan. Let the sauce simmer for 2-3 minutes until it thickens slightly.

Step 4: Cook the Tortellini

While the sauce simmers, cook the tortellini in salted boiling water according to package directions. Drain and set aside.

Step 5: Combine Everything

Add the cooked tortellini and sausage into the skillet with the cream sauce. Stir to coat everything evenly. Toss in the spinach and cook until just wilted, about 1-2 minutes.

Step 6: Final Touches

Taste and adjust with salt and pepper. Serve warm, garnished with extra parmesan if desired.

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Serving and Storing Creamy Garlic Butter Beef Tortellini

This dish is best served immediately while the sauce is hot and creamy. Pair it with crusty bread or a simple side salad to round out the meal. Leftovers can be stored in an airtight container in the fridge for up to 3 days. Reheat gently on the stove or in the microwave, adding a splash of cream or milk to loosen the sauce if needed.

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Frequently Asked Questions

How can I make this recipe spicier?

Use hot Italian sausage and add a pinch of red pepper flakes when sautéing the garlic.

Can I use a different type of tortellini?

Absolutely. Cheese or mushroom tortellini also work well, although it will slightly change the flavor profile.

What if I don’t have garlic butter?

You can substitute with regular butter and add minced garlic to mimic the flavor.

Is this recipe freezer-friendly?

It’s best enjoyed fresh. The creamy sauce can break when frozen and thawed, resulting in a grainy texture.

Can I add vegetables?

Yes! Mushrooms, sun-dried tomatoes, or zucchini would all pair nicely.

Is it okay to use light cream instead of heavy cream?

You can, but the sauce will be thinner. Add extra parmesan to help thicken if needed.

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Want More Pasta Dinner Ideas?

If this Creamy Garlic Butter Beef Tortellini won your heart, these comforting pasta recipes will be right up your alley:

• Cheesy Baked Tortellini with Meat Sauce for a bubbly, oven-baked favorite.
• Creamy Garlic Parmesan Tortellini with Sausage and Broccoli when you want double the creaminess.
• Creamy Cheesy Garlic Butter Rigatoni with Savory Beef for big bold flavor and cozy vibes.
• Red Pepper Rigatoni if you’re craving a creamy twist with a touch of heat.
• One Pot Creamy Beef and Garlic Butter Pasta for an easy cleanup night.

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Save This Pin + Share Your Results

📌 Save this recipe to your Pinterest dinner board so you can come back to it any time.

And let me know in the comments how yours turned out. Did you use hot or mild sausage? Did you sneak in some mushrooms or sun-dried tomatoes?

I love hearing how others make these recipes their own. Questions are welcome too—let’s help each other cook smarter.

Want more meal inspiration? Follow along on Pinterest: Life with Jam

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