LOW CARB Creamy "Tortellini" Sausage Soup

LOW CARB Creamy "Tortellini" Sausage Soup is a easy Italian recipe that serves 4. 350 calories per serving. Recipe by Low Carb Love on YouTube.

Prep: 15 min | Cook: 40 min | Total: 1 hr 5 min

Cost: $17.45 total, $4.36 per serving

Ingredients

  • 1 link Italian Sausage (about 12 oz, sliced or crumbled)
  • 1 pound Ground Chicken (or ground turkey for a leaner option)
  • 1 tablespoon Olive Oil (extra‑virgin preferred)
  • 1 medium Onion (diced)
  • 3 cloves Garlic (minced)
  • 2 medium Zucchini (cut into half‑moon pieces or spiralized)
  • 2 cups Cauliflower (small florets, can be riced)
  • 4 cups Chicken Broth (low‑sodium; bone broth optional for extra nutrients)
  • 1 cup Half‑and‑Half (for a lighter creamy texture; can substitute ½ cup heavy cream + ½ cup milk)
  • ½ cup Parmesan Cheese (freshly grated)
  • 1 cup Mozzarella Cheese (shredded)
  • 2 cups Fresh Spinach (roughly chopped; can use a 5‑oz bag)
  • 1 teaspoon Salt (adjust to taste)
  • ½ teaspoon Black Pepper (freshly ground)
  • ¼ teaspoon Crushed Red Pepper Flakes (optional for a mild kick)
  • 2 tablespoons Fresh Basil (chopped, added at the end)

Instructions

  1. Prepare Ingredients

    Dice the onion, mince the garlic, slice the sausage, and cut zucchini into half‑moon pieces. Break cauliflower into small florets. Measure broth, half‑and‑half, cheeses, and seasonings.

    Time: PT5M

  2. Brown Sausage and Ground Meat

    Heat 1 Tbsp olive oil in a skillet over medium heat. Add sliced Italian sausage and cook until lightly browned, about 3‑4 minutes. Add ground chicken (or turkey) and break it up, cooking until no longer pink, about 5 minutes.

    Time: PT8M

    Temperature: Medium

  3. Sauté Aromatics

    Add the diced onion to the meat mixture and sauté until translucent, 3‑4 minutes. Stir in minced garlic and cook an additional 30 seconds until fragrant.

    Time: PT4M

    Temperature: Medium

  4. Combine in Pot and Add Broth

    Transfer the meat and aromatics to a large pot. Add the zucchini, cauliflower, and 4 cups chicken (or bone) broth. Bring to a gentle boil, then reduce to a simmer.

    Time: PT2M

    Temperature: Medium

  5. Simmer Vegetables

    Simmer the soup for 12‑15 minutes, or until the zucchini and cauliflower are tender.

    Time: PT15M

    Temperature: Low

  6. Add Creamy Base

    Stir in 1 cup half‑and‑half. Heat gently (do not boil) for 3‑4 minutes until the broth is slightly thickened.

    Time: PT5M

    Temperature: Low

  7. Incorporate Cheeses

    Add grated Parmesan and shredded mozzarella, stirring until fully melted and the soup is smooth.

    Time: PT4M

    Temperature: Low

  8. Finish with Greens and Seasoning

    Stir in fresh spinach until wilted (about 1‑2 minutes). Add salt, black pepper, and crushed red pepper flakes. Taste and adjust seasoning.

    Time: PT3M

    Temperature: Low

  9. Serve

    Ladle the soup into bowls, garnish with a sprinkle of extra Parmesan and a few basil leaves. Serve hot with low‑carb garlic bread or a side salad if desired.

    Time: PT2M

    Temperature: Hot

Nutrition Facts

Calories
350
Protein
30 g
Carbohydrates
9 g
Fat
22 g
Fiber
3 g

Dietary info: Low Carb, Gluten Free, Keto Friendly, High Protein

Allergens: Dairy, Egg (if using pasta substitute with egg), Meat

Last updated: April 19, 2026

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LOW CARB Creamy "Tortellini" Sausage Soup

Recipe by Low Carb Love

A hearty, creamy Italian‑style tortellini soup re‑imagined for low‑carb and keto diets. Tender Italian sausage, ground chicken or turkey, zucchini, cauliflower, spinach and a splash of half‑and‑half create a rich, cheesy broth without the carbs of traditional pasta. Perfect for a cozy dinner or meal‑prep for the week.

EasyItalianServes 4

Shop all ingredients on Amazon in one click • Printable PDF with shopping checklist

Source Video
14m
Prep
34m
Cook
10m
Cleanup
58m
Total

Cost Breakdown

$17.45
Total cost
$4.36
Per serving

Critical Success Points

  • Brown the sausage and ground meat fully to develop flavor.
  • Temper the half‑and‑half to prevent curdling.
  • Melt the cheeses over low heat to keep the soup smooth.

Safety Warnings

  • Handle raw poultry and sausage with clean hands and utensils; wash thoroughly after use.
  • Hot broth can cause burns – use a pot holder when stirring.

Frequently Asked Questions

Everything you need to know about this recipe

Q

What is the cultural significance and history of tortellini soup in Italian cuisine?

A

Tortellini soup, often called "tortellini in brodo," originates from the Emilia‑Romagna region where tiny cheese‑filled pasta is served in a clear chicken or beef broth. It was traditionally a comforting winter dish for farmers and families, showcasing the region’s love of handmade pasta and rich, simple broths.

cultural
Q

What are the traditional regional variations of tortellini soup in Italy?

A

In Bologna, the broth is usually chicken‑based and seasoned with nutmeg; in Modena, a richer beef broth is used and sometimes a splash of cream is added. Some regions also include peas or carrots for extra sweetness, while others keep it strictly meat‑free for a lighter version.

cultural
Q

How is authentic tortellini soup traditionally served in Italy?

A

Authentic tortellini soup is served hot in shallow bowls, garnished with freshly grated Parmigiano‑Reggiano and a drizzle of extra‑virgin olive oil. It is often accompanied by a slice of rustic Italian bread for dipping.

cultural
Q

What occasions or celebrations is tortellini soup traditionally associated with in Italian culture?

A

Tortellini soup is a popular starter for holiday meals such as Christmas and New Year’s Eve, as well as a comforting dish for cold winter evenings and family gatherings in the Emilia‑Romagna region.

cultural
Q

What makes this low carb version of tortellini soup special in the low carb cuisine?

A

The low carb version swaps high‑carb pasta for zucchini and cauliflower, keeping the soup creamy with half‑and‑half and cheese while boosting protein with sausage and ground chicken. This maintains the classic Italian flavor profile without the carbohydrate load, making it suitable for keto and weight‑loss diets.

cultural
Q

What are the most common mistakes to avoid when making low carb tortellini soup?

A

Common mistakes include over‑cooking the dairy, which causes curdling, and adding the vegetables too early, which can turn them mushy. Also, under‑seasoning the broth can leave the soup flat, so taste and adjust salt and pepper before serving.

technical
Q

Why does this low carb tortellini soup recipe use half‑and‑half instead of heavy cream?

A

Half‑and‑half provides a creamy texture with fewer calories and less fat than heavy cream, keeping the soup lighter while still delivering richness. It also reduces the risk of the soup becoming overly heavy for a low‑carb diet.

technical
Q

Can I make low carb tortellini soup ahead of time and how should I store it?

A

Yes, the soup can be prepared a day ahead. Cool it quickly, store in airtight containers in the refrigerator for up to 4 days, and reheat gently over low heat, adding a splash of broth if it thickens too much.

technical
Q

What texture and appearance should I look for when making low carb tortellini soup?

A

The broth should be velvety and slightly thickened from the half‑and‑half, with melted cheese creating a glossy sheen. The zucchini and cauliflower should be tender but still retain a bite, and the spinach should be wilted but vibrant green.

technical
Q

How do I know when the low carb tortellini soup is done cooking?

A

The soup is done when the vegetables are fork‑tender, the meat is fully cooked, and the cheese has melted into a smooth, creamy broth. A gentle simmer for about 15 minutes after adding the broth ensures everything is heated through.

technical
Q

What does the YouTube channel Low Carb Love specialize in?

A

The YouTube channel Low Carb Love, hosted by Mayra, specializes in low‑carb, keto‑friendly recipes for weight‑loss and healthy living, offering practical meal ideas, nutrition tips, and lifestyle guidance for sustainable low‑carb living.

channel
Q

How does the YouTube channel Low Carb Love's approach to Italian cooking differ from other Italian cooking channels?

A

Low Carb Love adapts classic Italian dishes by replacing high‑carb ingredients like pasta with low‑carb vegetables and protein‑rich meats, focusing on nutrient density and weight‑loss goals, whereas many traditional Italian channels emphasize authentic ingredients without carb restrictions.

channel

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