Sausage Alfredo Pesto Tortellini
Meals

Sausage Alfredo Pesto Tortellini

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This Sausage Alfredo Pesto Tortellini is creamy, cheesy, decadent, and delicious!

It’s for sure a splurge meal for when you’re craving come great comfort food.

I threw in the spinach and mushrooms to add at least a little freshness 😉

How to Make Sausage Alfredo Pesto Tortellini

This dish is made all in the same large soup pot, but in several smaller batches before combining it all at the end.

First, boil a 36 ounce bag of frozen tortellini according to the package directions.

Once finished cooking, drain it in a colander and rinse very well with cold water to prevent it from becoming mushy.

ingredients for the dish

While the tortellini was cooking, I chopped some spinach and sliced the mushrooms and smoked sausage.

chopped spinach mushrooms and sausage

Put the same pot that you used for the tortellini back on the stove over medium high heat.

Then add some olive oil and the smoked sausage.

The sausage is already cooked, we just want to brown the sides and edges for a few minutes.

cooked sausage slices

Remove the sausage, set aside, and place the same pot over medium heat.

Add a little more olive oil and the spinach, mushrooms, kosher salt, pepper, and crushed red pepper flakes.

adding spinach and mushrooms to the pot

Cook the spinach and mushrooms about 5 minutes, stirring a few times.

Then remove them and set aside with the sausage.

cooked spinach and mushrooms

Rinse the same large pot with some water and then set it back on the stove over high heat.

Add some butter and a pint of heavy cream.

Bring to a boil and then reduce the heat to simmer for 5 to 6 minutes, stirring a few times.

adding cream to make alfredo sauce

To finish the sauce, add some pesto and a cup of shredded parmesan cheese.

Stir until it’s melted into a gorgeous, thick cream sauce.

alfredo pesto sauce in a pot

Now all the components come together in the same pot that cooked every layer of this dish 🙂

Gently stir until combined and then put in a 9×13 casserole dish.

Sausage Alfredo Pesto Tortellini before mixing

Top Sausage Alfredo Pesto Tortellini with mozzarella cheese and bake in a 350 degree oven for 10 to 15 minutes 🙂

It’s all cooked, we just want the flavors to come together and for the cheese to melt over top.

Serve with fresh basil for garnish if desired.

Sausage Alfredo Pesto Tortellini
Sausage Alfredo Pesto Tortellini
Sausage Alfredo Pesto Tortellini

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Sausage Alfredo Pesto Tortellini

Sausage Alfredo Pesto Tortellini has spinach and mushrooms in a homemade alfredo sauce with pesto, then topped with cheese and baked

Course Main Course
Cuisine American, Italian
Keyword Cheese, Mushroom, Pasta, Pesto, Sausage, Spinach, Tortellini
Prep Time 15 minutes
Cook Time 40 minutes
Servings 8
Calories 623 kcal

Ingredients

  • 1 36 oz bag frozen cheese tortellini
  • olive oil
  • 1 pound smoked sausage sliced
  • 2 to 3 cups chopped fresh spinach
  • 8 oz baby portobello mushrooms sliced
  • kosher salt, pepper, crushed red pepper flakes
  • 2 Tbsps butter
  • 1 pint heavy cream
  • 4 oz pesto
  • 1 cup shredded parmesan cheese
  • 1 cup shredded mozzarella cheese
  • Optional: fresh basil for garnish

Instructions

  1. Cook the tortellini in salted, boiling water according to package directions in a large soup pot. Drain them in a colander and rinse well with cold water to prevent them from becoming mushy.

  2. Set the same large pot over medium high heat, add some olive oil and the sliced smoked sausage. Cook 3 to 4 minutes or until browned how you prefer and set them aside.

    Note: Smoked sausage is already cooked, we just want to char or brown them for extra flavor.

  3. Set the same pot over medium heat and add more olive oil, the spinach, mushrooms, kosher salt, pepper, and crushed red pepper flakes. Cook 5 to 6 minutes, stirring a few times. Remove and set aside with the sausage.

  4. Rinse out the same pot with water and set it back on the stove on high. Add the butter and heavy cream. Once that comes to a boil, reduce the heat to medium low and simmer 5 to 6 minutes. Add the pesto and parmesan and cook 2 to 3 more minutes, stirring a few times.

  5. Add the cooked tortellini, sausage, spinach, and mushrooms to the pot with the pesto cream sauce and gently stir until evenly mixed. Pour into a 9×13 casserole dish. Top with the mozzarella cheese and bake in a 350 degree oven for 10 to 15 minutes.

  6. Serve with fresh basil for garnish if desired.

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