This creamy parmesan italian sausage soup is made with savory sausage, pasta, and a rich, comforting broth. Easy and perfect for weeknights. Ready in just 35 minutes with simple ingredients.
Remove the sausage from its casing and add it to a large soup pot or Dutch oven over medium-high heat. Break it up with a wooden spoon as it cooks until crumbly and browned, about 5-7 minutes. Transfer cooked sausage to a plate using a slotted spoon, leaving about 1 tablespoon of fat in the pot.
Sauté the Aromatics
In the same pot with sausage drippings, add diced onion and cook for 3-4 minutes until softened and translucent. Add minced garlic and cook for 1 minute, stirring constantly to prevent burning.
Build the Soup Base
Pour in chicken broth and diced tomatoes with their juices. Stir well, scraping up any browned bits from the bottom of the pot. Add Italian seasoning and red pepper flakes if using. Bring the mixture to a boil.
Cook the Pasta
Once boiling, add the uncooked pasta and reduce heat to a simmer. Cook according to package directions, usually 8-10 minutes, stirring occasionally to prevent sticking.
Add Cream and Sausage
Once pasta is tender, return the cooked sausage to the pot. Reduce heat to low and stir in heavy cream. Let warm through for about 2 minutes without boiling.
Incorporate Parmesan Cheese
Remove pot from heat and slowly stir in freshly grated parmesan cheese. Stir until completely melted and the soup is creamy and smooth.
Add Fresh Spinach
Add chopped spinach and stir until wilted, about 1-2 minutes. Taste and adjust seasonings with salt and black pepper as needed.
Serve and Garnish
Ladle soup into bowls and top with extra grated parmesan cheese, fresh basil, and a drizzle of olive oil if desired. Serve immediately with crusty bread.
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