Golden seared beef, savory Italian sausage, and plump cheese-filled tortellini come together in this rich and luxurious garlic butter cream sauce. With a hint of spice, a touch of sweetness from caramelized garlic, and the earthy depth of wilted spinach, every bite of this dish wraps around your taste buds like a warm, comforting hug. It’s a perfect fusion of hearty and creamy, elevated with a beautiful balance of textures—from the tender tortellini to the slightly crispy sausage crumbles.

This Garlic Butter Tortellini in Creamy Sauce is not your average weeknight dinner. It tastes like something you’d find in a cozy trattoria, but it comes together surprisingly fast. The flavors are bold, the ingredients are approachable, and it’s a crowd-pleaser that works as well for entertaining as it does for a quiet dinner after a long day. If you’re craving something rich, cheesy, and deeply satisfying—this one absolutely delivers.
Why You’ll Love This Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach
- Creamy and Rich: The garlic butter and cream sauce create a luxurious texture that clings perfectly to the tortellini.
- Savory and Hearty: Seared beef and sausage bring depth and satisfying protein to the dish.
- Fast but Fancy: Despite its restaurant-quality taste, it’s ready in under 40 minutes.
- One-Pan Wonder: Fewer dishes, more flavor.
- Customizable: Swap proteins or add mushrooms, sun-dried tomatoes, or even a spicy kick with chili flakes.
- Kid-Friendly: Creamy pasta? Always a yes.
- Leftovers Reheat Beautifully: It may even taste better the next day.
Preparation Phase & Tools to Use
Essential Tools and Equipment (and Why They Matter):
To make Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach as smooth and stress-free as possible, having the right tools on hand is crucial. Here’s what you’ll need:
- Large Nonstick Skillet or Cast Iron Pan: This is where all the magic happens—from browning the meat to simmering the sauce. A large skillet gives enough space for the ingredients to cook evenly and for the sauce to coat the pasta well.
- Wooden Spoon or Silicone Spatula: Ideal for stirring without scratching the pan and for scraping up all the flavorful brown bits that form on the bottom.
- Medium Pot: For boiling the tortellini. Use a pot that allows the pasta to move freely and cook evenly.
- Colander: To quickly drain the tortellini without overcooking them.
- Sharp Knife & Cutting Board: You’ll need these for chopping garlic, spinach, and slicing the sausage or beef, if not pre-prepped.
- Measuring Cups & Spoons: Precision matters for balancing the butter, cream, and seasonings just right.
- Grater (Optional but Recommended): For adding freshly grated Parmesan cheese, which melts smoother and has better flavor than pre-grated versions.
Preparation Tips
- Cook Tortellini Al Dente: Since it will continue to cook slightly in the sauce, avoid overboiling. A slightly firm bite ensures perfect texture.
- Brown Meat Separately: Cook the beef and sausage until caramelized and set aside before starting the sauce. This layering builds more flavor and prevents overcrowding.
- Deglaze with Broth or Pasta Water: After cooking the meat, splash in a little broth or reserved pasta water to lift the flavorful bits off the pan before adding cream.
- Wilt the Spinach Last: Add spinach at the very end to keep its color and texture fresh—overcooked spinach becomes mushy and dull.
- Use Fresh Garlic: The flavor of fresh minced garlic sautéed in butter is unmatched. Don’t rush this step—it’s the soul of the sauce.
- Simmer Gently: Once the cream is added, lower the heat to avoid curdling or breaking the sauce.
Ingredients for Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach
Here’s everything you’ll need to recreate this ultra-satisfying, flavor-packed dish. The ingredient list is straightforward but each item plays an important role in layering flavor and texture.
- 1 lb cheese tortellini (fresh or refrigerated)
- ½ lb ground beef (preferably 80/20 for extra flavor)
- ½ lb Italian sausage (mild or spicy, casing removed)
- 3 tbsp unsalted butter
- 4 cloves garlic, minced
- 1½ cups heavy cream
- ½ cup low-sodium chicken broth (or reserved pasta water)
- 1½ cups baby spinach (loosely packed)
- ¾ cup freshly grated Parmesan cheese
- ½ tsp red pepper flakes (optional, for heat)
- ½ tsp Italian seasoning
- Salt & black pepper, to taste
- 1 tbsp olive oil (for browning the meat)
- Extra Parmesan or mozzarella for topping (optional but recommended)
Optional Add-ins for Custom Flavor:
- Chopped sun-dried tomatoes
- A handful of fresh basil leaves
- Crumbled bacon for smoky richness
- Mushrooms for extra umami

Step-by-Step Instructions for Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach
Follow these steps to bring all the savory, creamy, garlicky goodness together into one irresistible dish.
Step 1: Cook the Tortellini
Bring a large pot of salted water to a boil.
Add tortellini and cook according to package instructions until al dente.
Drain and set aside, reserving ½ cup of the pasta water.
Step 2: Brown the Beef and Sausage
Heat olive oil in a large skillet over medium-high heat.
Add the ground beef and Italian sausage.
Break apart with a wooden spoon and cook until browned and slightly crispy on the edges (about 6–8 minutes).
Transfer to a plate and set aside. Drain excess fat, leaving about 1 tablespoon in the pan.
Step 3: Make the Garlic Butter Base
Lower the heat to medium.
Add butter to the same skillet. Once melted, stir in minced garlic.
Cook for 1–2 minutes, stirring often, until garlic is golden and fragrant—do not let it burn.
Step 4: Build the Creamy Sauce
Pour in chicken broth (or reserved pasta water) to deglaze the pan, scraping up any flavorful bits.
Add heavy cream and bring to a gentle simmer.
Stir in Italian seasoning, red pepper flakes (if using), and Parmesan cheese.
Simmer 4–5 minutes, stirring until sauce thickens slightly.
Step 5: Add Spinach and Combine
Add baby spinach and stir until wilted—this takes about 1 minute.
Return the cooked tortellini and browned meats to the skillet.
Toss gently to coat everything in the sauce. Let it simmer together for 2–3 more minutes so flavors meld.
Step 6: Final Touch and Serve
Taste and adjust seasoning with salt and pepper.
For extra richness, top with more shredded mozzarella or Parmesan and cover for 1–2 minutes to melt.
Serve hot, preferably with a spoon to scoop up all that sauce.
Notes
- Cheese-Filled Tortellini Is Best: The richness of cheese pairs beautifully with the creamy sauce and savory meat. Avoid using meat-filled tortellini, which may clash with the beef and sausage.
- Use Freshly Grated Cheese: Pre-shredded Parmesan can be waxy and doesn’t melt as smoothly. Freshly grated cheese will create a silkier, more cohesive sauce.
- Control the Heat: The red pepper flakes give a subtle heat, but you can adjust or skip them depending on your spice preference. For extra spice, a touch of Calabrian chili paste works wonders.
Watch Out for These Mistakes While Cooking
- Overcooking the Tortellini: Tortellini continues to cook when it hits the hot sauce. Slightly undercook it in the boiling water to avoid mushy pasta later.
- Burning the Garlic: Garlic burns fast and turns bitter—make sure the butter isn’t too hot when you add it and stir constantly.
- Crowding the Pan with Meat: If your pan is small, brown the sausage and beef in batches. Overcrowding can steam the meat instead of searing it.
- Too Much Heat After Adding Cream: Boiling cream can cause it to curdle or separate. Keep the sauce at a gentle simmer.
- Not Saving Pasta Water: The starch in the reserved water helps thicken the sauce and binds it to the tortellini beautifully.
- Using Low-Fat Substitutes: For the creamiest result, stick with heavy cream. Milk or light cream will make the sauce thin and less flavorful.
- Skipping Seasoning Adjustments: Taste your sauce after everything is combined. Cheese and sausage add salt, so season mindfully at the end.
- Forgetting the Final Melt: Melting some extra cheese on top before serving elevates the dish from great to glorious.
What to Serve With Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach
This dish is rich, indulgent, and full of bold Italian flavor—so pair it with sides that complement without overwhelming. Whether you’re going for a cozy night in or feeding a hungry crowd, here are some well-balanced and flavor-enhancing options.
### 8 Recommended Sides
1. Garlic Bread or Cheesy Breadsticks
You’ll want something to mop up every last bit of that creamy garlic sauce—and nothing does it better than warm, crusty garlic bread or melty cheese breadsticks.
2. Crisp Caesar Salad
The sharpness of romaine lettuce, crunchy croutons, and zesty Caesar dressing provides a refreshing contrast to the rich, creamy tortellini.
3. Sautéed Green Beans with Lemon Zest
Lightly sautéed green beans with olive oil, garlic, and a touch of lemon zest add brightness and crunch to your plate.
4. Balsamic Roasted Vegetables
Try a mix of zucchini, red onion, bell peppers, and carrots roasted with a balsamic glaze. Their natural sweetness complements the savory pasta.
5. Caprese Salad Skewers
Fresh mozzarella, basil, and cherry tomatoes drizzled with balsamic reduction—light and refreshing.
6. Simple Arugula Salad with Shaved Parmesan
Peppery arugula with olive oil and lemon vinaigrette gives you a clean, crisp bite between creamy forkfuls.
7. Toasted Focaccia with Herbs
If you’re skipping garlic bread, opt for focaccia. Its fluffy texture and rosemary-kissed flavor make it a perfect pairing.
8. Red Wine or Sparkling Water with Citrus
To drink, a light red like Pinot Noir or sparkling water with a squeeze of orange or lemon will cut through the richness and refresh your palate.
Storage Instructions
One of the great things about Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach is how well it holds up as leftovers. Here’s how to store and reheat it properly to enjoy every last bite.
- Refrigerator:
Store any leftovers in an airtight container in the fridge for up to 3–4 days. The sauce will thicken as it cools, but it remains rich and flavorful when reheated. - Freezer:
While this dish can be frozen, cream-based sauces may separate when thawed. If you plan to freeze it, do so before adding the spinach and reheat gently, then stir in fresh spinach right before serving. - Reheating Tips:
Reheat in a skillet over low heat with a splash of milk, cream, or broth to loosen the sauce. Stir frequently to maintain the creamy texture. Microwave in 30-second bursts, stirring in between, if you’re short on time.
Estimated Nutrition (Per Serving, based on 6 servings)
Nutrient | Amount |
---|---|
Calories | ~620 kcal |
Protein | ~27 g |
Carbohydrates | ~38 g |
Sugars | ~4 g |
Dietary Fiber | ~3 g |
Total Fat | ~38 g |
Saturated Fat | ~17 g |
Unsaturated Fat | ~18 g |
Trans Fat | ~0.5 g |
Cholesterol | ~120 mg |
Sodium | ~820 mg |
Note: These values are estimates and can vary based on specific brands and ingredient choices.
Frequently Asked Questions
1. Can I use frozen tortellini instead of fresh?
Absolutely. Just increase the boiling time slightly based on the package instructions. Make sure it’s fully cooked but still firm before adding to the sauce.
2. Can I make this dish vegetarian?
Yes! Simply skip the beef and sausage. Add sautéed mushrooms or a plant-based sausage alternative, and use vegetable broth instead of chicken broth.
3. What’s the best type of cream to use?
Heavy cream works best for a rich, thick sauce. Half-and-half can be used, but the sauce may be thinner. Avoid using milk—it won’t provide enough body.
4. How do I make the sauce even thicker?
Simmer the cream sauce a little longer before adding the pasta, or stir in a tablespoon of cream cheese or a cornstarch slurry (1 tsp cornstarch mixed with 1 tbsp water) while simmering.
5. Is it okay to prep this ahead of time?
Yes. You can brown the meat and prep the sauce a day ahead. Cook the tortellini and reheat everything gently when ready to serve. Add fresh spinach just before serving to keep it vibrant.
6. What if I don’t have Parmesan cheese?
Grana Padano or Pecorino Romano are great substitutes. Avoid pre-shredded “Parmesan” powders—they don’t melt properly and can make the sauce gritty.
7. Can I use ground turkey or chicken instead of beef/sausage?
Definitely. Ground turkey or chicken works well if you’re looking for a leaner option. Add a touch more seasoning to boost flavor.
8. Why is my sauce separating or curdling?
This often happens if the cream is boiled too rapidly or added to a very hot pan. Always lower the heat before stirring in the cream and simmer gently.
Conclusion
Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach is more than a dinner—it’s a rich, soul-warming experience packed into a skillet. Whether you’re making it for a special date night, feeding a hungry family, or simply indulging yourself after a long day, this dish delivers comfort and bold flavor in every bite. It’s easy enough for weeknights, impressive enough for guests, and delicious enough to earn a permanent spot in your dinner rotation.

Garlic Butter Tortellini in Creamy Sauce with Beef, Italian Sausage & Spinach
- Total Time: 35 minutes
- Yield: 6 servings
Description
This rich and comforting garlic butter tortellini dish is packed with savory ground beef, spicy Italian sausage, and tender cheese-filled tortellini. All of it is tossed in a creamy garlic-Parmesan sauce and finished with fresh spinach for balance. Whether you’re looking for an easy dinner idea, a quick weeknight meal, or something impressive for guests, this creamy tortellini is a guaranteed crowd-pleaser. Perfect for lovers of hearty food ideas, indulgent pasta recipes, and simple yet elegant dinner ideas!
Ingredients
1 pound cheese tortellini
0.5 pound ground beef
0.5 pound Italian sausage, casing removed
3 tablespoons unsalted butter
4 cloves garlic, minced
1.5 cups heavy cream
0.5 cup low-sodium chicken broth
1.5 cups baby spinach
0.75 cup freshly grated Parmesan cheese
0.5 teaspoon red pepper flakes (optional)
0.5 teaspoon Italian seasoning
salt and black pepper, to taste
1 tablespoon olive oil
extra Parmesan or mozzarella, for topping (optional)
Instructions
1. Bring a large pot of salted water to a boil. Add tortellini and cook according to package directions until al dente. Drain and reserve ½ cup of the pasta water.
2. Heat olive oil in a large skillet over medium-high heat. Add ground beef and Italian sausage, breaking it apart with a spoon. Cook for 6–8 minutes until browned. Transfer to a plate and drain excess fat, leaving about 1 tablespoon in the pan.
3. Lower heat to medium. Melt butter in the same pan, then stir in minced garlic. Cook for 1–2 minutes until fragrant and golden.
4. Deglaze the pan with chicken broth or reserved pasta water, scraping up brown bits. Stir in heavy cream and bring to a gentle simmer.
5. Add red pepper flakes (if using), Italian seasoning, and Parmesan cheese. Simmer 4–5 minutes, stirring frequently, until slightly thickened.
6. Stir in spinach until wilted. Return tortellini, beef, and sausage to the skillet. Gently toss everything to coat in the sauce.
7. Let everything simmer for 2–3 more minutes to marry the flavors.
8. Taste and adjust with salt and pepper. Optionally, sprinkle with mozzarella or more Parmesan, cover, and melt before serving. Serve hot.
Notes
Use freshly grated Parmesan for the best melting texture and richer flavor.
Slightly undercook tortellini before tossing it in the sauce to avoid mushiness.
If the sauce thickens too much when reheating, add a splash of milk or broth to loosen it.
- Prep Time: 10 minutes
- Cook Time: 25 minutes
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian-American
Nutrition
- Serving Size: 1 portion
- Calories: 620 kcal
- Sugar: 4 g
- Sodium: 820 mg
- Fat: 38 g
- Saturated Fat: 17 g
- Unsaturated Fat: 18 g
- Trans Fat: 0.5 g
- Carbohydrates: 38 g
- Fiber: 3 g
- Protein: 27 g
- Cholesterol: 120 mg
Keywords: easy dinner, creamy tortellini, garlic butter pasta, comfort food, dinner ideas, pasta with sausage, beef tortellini