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4.50 from 2 votes

Spicy Italian Sausage Alfredo Tortellini

A quick & easy meal, this 20 minute dish features spicy Italian sausage & cheese tortellini in a homemade seasoned garlic alfredo sauce.
Prep Time5 mins
Cook Time15 mins
Total Time20 mins
Course: Pasta
Cuisine: American
Servings: 4


  • 1 9 oz pkg refrigerated cheese tortellini
  • 1 pkg spicy Italian sausages, thinly sliced
  • 2 tbsp butter
  • 4 tsp minced garlic
  • 1/2 tsp zesty Italian dressing mix
  • 1/4 tsp crushed red pepper flakes
  • 2 tbsp flour
  • 3/4 cup milk
  • 3/4 cup cream
  • 2 oz cream cheese, softened & cubed
  • 1/4 cup shredded Parmesan cheese
  • salt & pepper, to taste


  • Bring a pot of heavily salted water to a boil. Cook the tortellini according to package instructions. Drain, and set aside.
  • While waiting for the water to boil, in a large skillet over medium heat, cook the sliced sausages until cooked and nicely browned. Transfer to a plate or bowl.
  • Add the butter to the drippings, stirring to melt. Stir in the garlic, Italian seasoning, and red pepper flakes until fragrant, about a minute. 
  • Stir in the flour, constantly whisking until slightly browned and the flour taste has cooked out, about a minute or so. A little at a time, whisking constantly-add in the milk and cream, waiting each time until the roux has reformed before adding some more, until it's all come together. 
  • Let the mixture simmer, whisking occasionally, until thickened, about 3-5 minutes.
  • Remove the skillet from heat and stir in the cheese. When the cheese has melted, add the sausage & pasta to the skillet. Stir until everything's evenly combined. Salt & pepper, to taste.
  • Serve immediately.


recipe adapted from Life Love and Sugar