If you’re craving a comforting weeknight dinner that feels indulgent yet easy to whip up, this Creamy Garlic Butter Beef Tortellini with Italian Sausage & Spinach will be your new favorite go-to. It’s the kind of meal that fills your kitchen with the rich aroma of garlic and herbs and leaves everyone asking for seconds. Perfectly cooked cheese tortellini are smothered in a luscious, creamy garlic butter sauce, complemented by hearty Italian sausage and fresh baby spinach.

What makes this dish stand out is the layers of flavor that come together so effortlessly. From the savory richness of the sausage to the slight bite of wilted spinach, every forkful is balanced and delicious. It’s a family-friendly recipe that feels gourmet without requiring hours in the kitchen.

What Kind of Tortellini Should I Use?

Refrigerated cheese tortellini are best for this recipe, as they cook quickly and have a deliciously soft texture that pairs beautifully with creamy sauces. You can also use frozen tortellini—just adjust the cooking time accordingly. Avoid dried tortellini for this particular dish, as they won’t give you the same tender, indulgent bite.

Ingredients for the Creamy Garlic Butter Beef Tortellini with Italian Sausage & Spinach

Cheese Tortellini – The star of the show. These stuffed pasta pockets are rich and flavorful and soak up the creamy sauce perfectly.

Italian Sausage – Adds bold, savory flavor and hearty texture. Mild or spicy, both work great depending on your preference.

Ground Beef – Blends seamlessly with the sausage for a meaty base that’s deeply satisfying.

Fresh Garlic – Essential for creating the bold garlic butter flavor. Don’t skimp!

Butter – Creates a silky base for the sauce with irresistible richness.

Heavy Cream – Makes the sauce luxuriously creamy. You can substitute half-and-half for a lighter option.

Parmesan Cheese – Adds salty, nutty depth and helps thicken the sauce.

Fresh Spinach – Lightens up the dish and adds a hint of earthiness.

Salt, Pepper, Italian Seasoning – Basic but crucial seasonings that tie everything together.

Red Pepper Flakes (optional) – For a little extra kick if you like heat.

How To Make the Creamy Garlic Butter Beef Tortellini with Italian Sausage & Spinach

Step 1: Brown the Meats

In a large skillet over medium heat, add the ground beef and Italian sausage. Break up the meat with a wooden spoon and cook until fully browned, about 7-8 minutes. Drain excess grease if needed.

Step 2: Sauté the Garlic

Push the meat to one side of the pan and melt the butter in the cleared space. Add minced garlic and sauté for 30 seconds to release its aroma, stirring gently so it doesn’t burn.

Step 3: Make the Cream Sauce

Pour in the heavy cream and bring to a simmer. Stir in grated Parmesan cheese and Italian seasoning, letting it simmer until slightly thickened—about 3-5 minutes. Add salt and pepper to taste.

Step 4: Cook the Tortellini

While the sauce simmers, cook the tortellini in a separate pot according to package directions. Drain and set aside.

Step 5: Combine Everything

Add the cooked tortellini and fresh spinach into the skillet. Toss everything together gently until the spinach wilts and the tortellini is coated in the sauce. Taste and adjust seasoning. Add a pinch of red pepper flakes if using.

Step 6: Serve Hot

Spoon into bowls and top with extra Parmesan or a sprinkle of chopped parsley for a fresh finish. Serve immediately while hot and creamy.

Serving and Storing Creamy Garlic Butter Beef Tortellini

This tortellini dish is best served fresh, piping hot out of the skillet when the sauce is silky and the spinach just wilted. If you have leftovers, store them in an airtight container in the fridge for up to 3 days. Reheat gently on the stovetop or in the microwave with a splash of cream or milk to revive the sauce’s creamy texture.

Freezing is not recommended for this dish, as the cream sauce can separate and the tortellini may become mushy after thawing.

What to Serve With Creamy Garlic Butter Beef Tortellini?

Garlic Bread

A crusty garlic bread is perfect for soaking up the creamy sauce.

Caesar Salad

The crisp lettuce and tangy dressing contrast nicely with the richness of the tortellini.

Roasted Broccoli

Adds a crunchy, slightly charred flavor that complements the creamy pasta.

Tomato Cucumber Salad

A refreshing and light option to balance out the meal.

Parmesan Roasted Green Beans

Ties in beautifully with the Parmesan in the dish.

Creamy Mushroom Soup

For a cozy, hearty meal that’s extra comforting.

Antipasto Skewers

Offer a fun and colorful way to start the meal.

Simple Balsamic Glazed Carrots

They add a sweet, tangy edge to your savory pasta plate.

Want More Pasta Dinner Ideas?

If this Creamy Garlic Butter Beef Tortellini with Italian Sausage & Spinach hit the spot, you’ll definitely want to explore these other comforting pasta favorites:

Stovetop Creamy Ground Beef Pasta for a one-pot, fuss-free dinner.
Creamy Ground Beef Alfredo Pasta when you crave indulgence with minimal effort.
Cheesesteak Tortellini in Rich Provolone Sauce for a bold twist on tortellini.
Creamy Beef and Shells Recipe that delivers comfort in every bite.
Marry Me Chicken Pasta if you’re looking for a creamy dish with romance in every forkful.

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And let me know in the comments how yours turned out. Did you go spicy with the sausage or keep it mild? Maybe you added mushrooms or swapped spinach for kale?

I love hearing how you make these recipes your own. Questions or tips? Drop them below—we’re all about cooking smarter together.

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