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Creamy Italian Sausage Soup Recipe is cozy and comforting! A simple and deliciously warming winter soup recipe.

Also, try my Creamy Sausage Potato Soup.

Creamy Italian Sausage Soup

This is a pasta dish the whole family will love! I made this soup recipe with Italian sausage, spinach, onions, garlic, pasta, and heavy cream. It is perfectly creamy, hearty, easy, and delicious.

Creamy Italian Sausage Soup Recipe is one of my favorite soup recipes. It has incredible flavors. Plus, there’s nothing better on a cold night than a bowl of steaming hot soup. Comfort food multiplied.

Creamy Italian Sausage Soup

Creamy Italian Sausage Soup Recipe

  1. I used Italian sausage. It’s my favorite and gives this soup a great taste. However, you can substitute lower-fat ground turkey or chicken for the sausage. As well, I recommend adding another teaspoon of Italian seasoning and 1/4 teaspoon of ground cayenne pepper to accommodate for the flavors omitted from the sausage.
  2. Additionally, you can use any shape of pasta in this soup or you can use tortellini.
  3. Furthermore, heavy cream or half & half is THE BEST. However, if you’re looking to lower the fat content, you can mix   
  4. You can add more vegetables if you prefer. Consider adding celery, sweet potatoes, or butternut squash.
Creamy Italian Sausage Soup

While you’re here, check out these soup recipes

  1. Pasta Meatball Soup Recipe
  2. Skinny Turkey Meatball Tortellini Soup
  3. Beefy Tomato Soup Recipe
  4. Chicken Pot Pie Lasagna Soup Recipe
  5. Healthy Slow Cooker Tex Mex Chicken Soup
  6. Hash Brown Slow Cooker Potato Soup 

What I used

Please keep in mind that nutritional information is a rough estimate and can vary based on products used.

Creamy Italian Sausage Soup
Creamy Italian Sausage Soup

Creamy Italian Sausage Soup Recipe

Creamy Italian Sausage Soup Recipe is cozy and comforting! A simple and deliciously warming winter soup recipe.

Author: Paula
5 from 6 votes
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Prep Time: 15 minutes
Cook Time: 18 minutes
Servings: 10 servings
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  • 1 pound Italian sausage
  • ½ cup onion diced
  • 1 cup carrots peeled and diced
  • 4 cloves garlic minced
  • 2 tablespoons all-purpose flour
  • 5 cups chicken broth
  • 14 ounces pasta cooked to al dente
  • ½ teaspoon salt or to taste
  • ½ teaspoon ground black pepper or to taste
  • 1 teaspoon Italian seasoning
  • 6 ounces spinach fresh, chopped
  • 2 cups heavy cream or half & half, or low-fat mixture listed above
  • ½ cup Parmesan grated, optional


  • In a large Dutch oven, cook the sausage on medium heat until browned. Transfer to a paper towel-lined plate.
  • Add the onion and carrots to the Dutch oven and cook for 5 minutes or until they're soft. Add the garlic and cook 1 to 2 minutes or until its fragrant. Stir occasionally to keep it from burning.
  • Whisk in the flour and cook it for one minute, stirring continuously.
  • Gradually add the chicken broth. Whisk to combine. Cook until the mixture almost comes to a boil. Reduce the heat to simmer and allow it to cook for 5 to 6 minutes.
  • Add the sausage, pasta, salt, pepper, Italian seasoning, spinach, and heavy cream. Stir. Simmer 5 to 6 minutes.
  • Serve hot with grated Parmesan if desired.


Calories: 509kcal | Carbohydrates: 35g | Protein: 16g | Fat: 34g | Saturated Fat: 17g | Cholesterol: 103mg | Sodium: 1001mg | Potassium: 490mg | Fiber: 2g | Sugar: 2g | Vitamin A: 4472IU | Vitamin C: 16mg | Calcium: 142mg | Iron: 2mg
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  1. This sounds most delicious! Would I be able to substitute for the heavy cream or half and half? Maybe milk with added cornstarch in place of heavy cream or half and half?

  2. What was your choice of Sausage – Sweet or Spicy ?
    For sure ; I will make this ! Can’t wait to try it !!

  3. If I added diced potatoes to this would I have to pre-cook them first?

    Thanks, Janet

    1. You could add them uncooked when you add the carrots and cook them then. Or you could parboil them and add them at the end.

  4. 5 stars
    This looks so hearty & delicious! Wish I had a bowl of this right now! Will surely enjoy this soon!

  5. 5 stars
    I love soup in the winter time always filling I love it more when they change up a bit thanks for sharing

  6. How much flour should you use. I don’t see flour listed as an ingredient, but #3 says to add it. I’m guessing maybe a tablespoon or 2?

  7. I love soup, & this sounds amazing! But step 3, add the flour… What flour? How much flour?

5 from 6 votes (3 ratings without comment)

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