Warmly inviting, this rich Italian sausage soup combines succulent sausage, smoky fire-roasted tomatoes, nutty Parmesan, and al dente ditalini pasta in a sumptuous, creamy broth that’s sure to become a cold-weather comfort classic. Done in just 25 minutes on the stovetop!
Consider pairing these with some fresh breadsticks for a satisfying meal?

This hearty, creamy sausage soup is a comforting, flavor-packed recipe that warms the soul from the very first spoonful. I craft a rich and satisfying dish by combining flavorful Italian sausage, pungent garlic, and nutty Parmesan, served alongside delicate ditalini in a velvety tomato broth that’s simply divine. Warmly presented with generous slices of crispy French bread, this hearty dish becomes the ultimate solace on a frigid winter’s day.
- While some recipes may require boiling pasta separately, this one doesn’t. Savoring a comforting blend of flavors, you effortlessly cook sausage, pasta, and vegetables in a single pot, achieving harmonious balance with each succulent bite.
- Discover all the ingredients you require for a rich and velvety sausage soup right on your local grocery store’s shelves. This hearty soup requires minimal effort, as the combination of zesty Italian sausage and smoky fire-roasted tomatoes brings a rich depth of flavour to every bowl.
- When recommending whether to combine pasta with the soup, I suggest considering one scenario: will you be freezing the final product? You can indeed prepare a large quantity of this sausage soup ahead of time and refrigerate or freeze it for convenient reheating on subsequent meal occasions. Here’s a proven method for freezing and reheating this dish, ensuring it remains fresh and creamy:

With a reliable stash of ground sausage in the freezer, I’m always prepared to whip up recipes like my rich creamy Italian sausage pasta and savory Tuscan sausage dip at a moment’s notice. With just a few additional simple ingredients, this sausage soup is ready to come together seamlessly.
- Consider using avocado oil as an alternative option for sautéing.
- – Yellow or white onion, diced. You can also use shallots.
- Whichever you prefer, spicy or mild ground Italian sausage is available. When purchasing sausage links, it’s essential to remove the meat from its casings before cooking. This hearty soup can be made with pork, turkey, or chicken sausage for a delicious and flexible meal option.
- – Freshly minced. If you’re in a pinch and lack fresh garlic, you can easily substitute one teaspoon of garlic paste for every clove needed.
- I combine Italian seasoning, salt, pepper, and crushed red pepper flakes in a harmonious blend. Feel free to omit the red pepper flakes if you’re not fond of spicy flavors.
- Utilize your preferred store-purchased chicken broth or create your own homemade chicken stock for added depth of flavor. Consider enriching the dish with the robust taste of beef broth or opt instead for a lighter, vegetable-based stock.
- With a desire for depth of flavor, I prefer using fire-roasted tomatoes; however, regular canned tomatoes remain a suitable alternative. Leave the tomatoes undrained.
- This tiny, cylindrical pasta has a distinctive shape. While versatility is key, substituting digitalni with other pasta shapes may alter the dish’s harmony; consider using short tubular pasta like penne or rigatoni for a similar texture and taste. Here are alternative pasta shapes that pair well with tomato sauce: orzo, elbow macaroni, or pastina.
- A sprinkle of freshly grated Parmesan, or its peers such as Pecorino, yields the most superior results.
- Allow the cream cheese to soften to room temperature. For an alternative, consider using sour cream, Greek yogurt, or heavy cream as suitable replacements.
- – Any kind. Infuse your soup with the luxurious creaminess of half-and-half for an unparalleled richness.
Weekend afternoons are made for simmering this hearty Italian sausage soup in my trusty Dutch oven. You can also cook it in a large, heavy pot. Follow the steps below.


- Initially, heat a sufficient amount of oil in a pan and then gently cook the finely chopped onion until it’s translucent. As the mixture softens, introduce the ground sausage and allow it to develop a rich, caramelized color through thorough cooking.
- Stir in the minced garlic, crushed red pepper flakes, and a pinch of Italian seasoning. Season with salt and pepper to taste, then sauté the mixture for 1 minute, allowing the aromatic properties of the garlic to unfold.


- With a gentle stir, pour in the rich broth and succulent canned tomatoes, allowing their flavors to mingle harmoniously with the dish. Boil water, then add pasta, reducing the heat and maintaining a gentle simmer for 10 minutes, with frequent stirring, to achieve perfectly cooked al dente noodles.


- With the mixture still warm from the stove, slowly whisk in the melted Parmesan and cream cheese until smooth, followed by the addition of milk. Add the remaining seasonings to taste. Consider adding a garnish of fresh parsley, then accompany the dish with an optional sprinkle of Parmesan cheese for added flavor and texture.
Make This Soup Ahead
Italian sausage soup’s ease of preparation makes it an ideal candidate for advance preparation, requiring only a few strategic adjustments to preserve its velvety texture and robust flavor upon reheating. When preparing to freeze your sausage soup, I recommend the following trusted approach:
- Prepare the soup as directed, stopping just short of adding the pasta and dairy products.
- Cool the soup completely before freezing it for a maximum of two months. Serve the soup either at room temperature after thawing, or warmed through from a frozen state.
- As you prepare to serve the soup, remove the cream cheese from the refrigerator and use a grater or zester to freshly shred the Parmesan cheese. Meanwhile, allow the soup to reheat on the stove. Combine the cooked pasta with the simmering liquid, then reduce the heat and stir in Parmesan, cream cheese, and milk until the sauce is smooth and well combined.
While we’re on the topic of preserving your culinary creations, what’s wrong with freezing the finished soup with the pasta, dairy, and all? Despite its initial appeal, I’ve noticed that the reconstituted product lacks the same textural integrity when thawed and reheated – the dairy’s tendency to separate and the pasta’s resulting mushiness undermine its overall quality. Refrigerating is the better option. See the storage and reheating instructions below?

- Prior to proceeding with the recipe, ensure you have drained sufficient excess grease from the ground sausage based on its level of fattiness, as this step is crucial for optimal flavor and texture. Excessively retained fat renders the broth overly greasy.
- Continuously agitate the pasta as the soup simmers to prevent it from adhering to the pot’s surface.
- Ensure the pot is positioned over a gentle simmer when introducing the trifecta of parmesan cheese, cream cheese, and milk or cream. Don’t allow the soup to boil after adding dairy, lest it splits and curdles.
- Feel free to substitute the small ditalini pasta with any type that suits your taste and pantry availability. Would you like to sample my rich and velvety sausage-filled tortellini soup, infused with the deep flavors of slow-cooked onions and garlic?
- Add heat to your soup by increasing the chili flakes or substituting in hot Italian sausage for added spice.
- Transform this hearty Italian sausage soup by incorporating a medley of vegetables, including vibrant kale, satisfying potatoes, and crunchy carrots. Sear the heartier vegetables, such as carrots and bell peppers, alongside the onions to create a harmonious balance of textures and flavors. Then, introduce quicker-cooking leafy greens, including kale or spinach, towards the tail-end of the cooking process.


- The leftover Italian sausage soup should be stored in the refrigerator, tightly sealed, and reheated safely within five days. As it’s heavily reliant on dairy, freezing isn’t recommended due to the potential for separation and spoilage. The best approach for freezing this soup without dairy is detailed in the “Make Ahead” section earlier.
- Warm the soup gently over medium-low heat, ensuring it reaches a consistent temperature without boiling.
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Description
This hearty Italian sausage soup recipe is a warm, comforting blend of robust sausage, slow-cooked fire-roasted tomatoes, nutty Parmesan cheese, and al dente ditalini pasta swimming in a velvety, richly flavored homemade broth. Make it in 25 minutes!
- olive oil
- yellow onion, diced
- pound ground Italian sausage
- cloves garlic, minced
- red pepper flakes
- Italian seasoning
- kosher salt
- freshly ground black pepper
- chicken broth
- A 14.5-ounce can of fire-roasted, diced tomatoes, with liquid retained.
- uncooked ditalini pasta
- Parmesan, freshly grated
- cream cheese, room temperature
- milk
- parsley, chopped (optional)
- With the lid slightly ajar, heat the olive oil in a substantial Dutch oven over moderate warmth, introducing the finely chopped onion. Saute the onion until it begins to tenderize, followed by the addition of ground sausage; cook until the meat is nicely browned, carefully draining any surplus fat.
- The aromatic blend of flavors is added: minced garlic, a pinch of fiery red pepper flakes, a sprinkle of Italian seasoning, a dash of salt, and a few grinds of pepper; the mixture simmers together for precisely one minute, as the flavors begin to meld in harmony.
- With the rich flavor of the broth and the tanginess of the tomatoes, the dish is now poised to reach a rolling boil, its savory aroma wafting up to tantalize the taste buds. Adding the pasta, I stir gently to combine, then adjust the heat to a low simmer. Bring a large pot of salted water to a boil, then cook the pasta for 10 minutes, stirring every minute or two to prevent sticking, until it reaches an al dente texture.
- Gently reduce the heat to a simmer and stir in the Parmesan, cream cheese, and a mixture of heavy cream and milk, allowing the ingredients to meld together harmoniously. Gently stir to ensure a harmonious blend, permitting the cheese to seamlessly dissolve into the broth within approximately two minutes.
- Add additional seasoning to taste by sprinkling more salt and pepper over the dish, then gently fold in the chopped parsley.
- Add additional Parmesan cheese to taste, if preferred.
Notes
- Store at a refrigerated temperature of 40°F (4°C) or below, and consume within 5 days.