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Italian Sausage Soup with Cream Recipe

If you’re craving something cozy, creamy, and packed with flavor, you’re in for a real treat with my Italian Sausage Soup with Cream Recipe. This soup is one of those recipes that just warms you up from the inside out, and it’s surprisingly easy to pull together on a weeknight. Trust me, once you try this, you’ll want to make it again and again.

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Why You’ll Love This Recipe

  • Rich and Creamy Texture: The blend of heavy cream with savory Italian sausage makes this soup irresistibly smooth and comforting.
  • Easy to Make: With straightforward steps and common ingredients, you’ll have dinner ready in under an hour—even on busy days.
  • Customizable Comfort: You can adjust the spice level and pasta choice to perfectly suit your family’s tastes.
  • Delicious Leftovers: This soup tastes just as amazing the next day, making it great for meal prep or easy lunches.

Ingredients You’ll Need

Every ingredient here plays an important role— from the savory Italian sausage that adds a ton of flavor, to the cream that gives the soup its luscious texture. I always recommend using good quality sausage and fresh garlic for maximum flavor.

Flat lay of a small pile of fresh Italian sausage links with a natural pinkish-red color and flecks of herbs, a small white onion whole with papery skin, three whole garlic cloves unpeeled with smooth white skins, a small white ceramic bowl filled with golden olive oil, a small white ceramic bowl containing bright red crushed red pepper flakes, a small white ceramic bowl with coarse salt crystals, a small white ceramic bowl with whole black peppercorns, a large white ceramic bowl filled with rich golden chicken broth, a small white ceramic bowl brimming with diced ripe red tomatoes, a small pile of uncooked casarecce pasta with twisted, short tube shapes, a small white ceramic bowl filled with thick, creamy off-white heavy cream, a few fresh basil sprigs with vibrant green leaves, a small mound of freshly grated pale yellow Parmesan cheese, all arranged symmetrically and balanced, placed on a clean white marble surface, soft natural light, photo taken with an iPhone, professional food photography style, fresh ingredients, white ceramic bowls, no bottles, no duplicates, no utensils, no packaging --ar 2:3 --v 7 --p m7354615311229779997 - Italian Sausage Soup with Cream, creamy Italian sausage soup, easy sausage soup recipe, comforting sausage and cream soup, quick Italian sausage soup
  • Italian sausage: I prefer spicy for a little kick, but sweet sausage works well too.
  • Olive oil: Adds a subtle fruitiness when sautéing the aromatics.
  • White onion: Provides a mild sweetness and base flavor.
  • Garlic: Fresh minced garlic really brightens up the soup.
  • Crushed red pepper: Controls the heat—add less for mild or more if you like it spicy.
  • Salt & black pepper: Enhances all the other flavors perfectly.
  • Low-sodium chicken broth: Keeps things balanced without too much salt.
  • Diced tomatoes: Adds acidity and a bit of texture contrast.
  • Short pasta (casarecce used here): Holds the soup beautifully; rigatoni or ditalini work well too.
  • Heavy cream: Room temperature to avoid curdling and to give the soup that silky finish.
  • Fresh basil and parmesan cheese: Ideal finishing touches for an extra pop of flavor.
Note: You’ll find the complete list of ingredients, along with their exact measurements, in the printable recipe card at the bottom of this post.

Variations

I love making this Italian Sausage Soup with Cream Recipe my own by tweaking the heat level or swapping out pasta shapes. Feel free to experiment; you might find your new favorite version!

  • Mild Version: I sometimes skip the crushed red pepper or swap spicy sausage for mild to suit kids’ palates.
  • Vegetable Boost: Adding chopped kale or spinach towards the end makes it a green powerhouse without changing the flavor much.
  • Gluten-Free: Use gluten-free pasta and double-check the sausage ingredients for an allergy-friendly bowl.
  • Extra Creamy: Stir in a little mascarpone cheese at the end for a decadent twist that my family goes crazy for.

How to Make Italian Sausage Soup with Cream Recipe

Step 1: Brown the Sausage Perfectly

Start by crumbling the Italian sausage into a large soup pot and cook it over medium heat until the sausage is nicely browned and cooked through. This step is key because it builds the foundation for all the flavors to come. Don’t rush it—getting that golden brown color adds so much depth. Once it’s done, drain the fat to keep things from getting greasy, then scoop the sausage out and set it aside in a bowl.

Step 2: Sauté Onions & Garlic

Using the same pot, add olive oil and toss in your diced onion. Cook it gently until it turns translucent, about 3 minutes—this makes the onions sweet and soft without overpowering the soup. Stir in the minced garlic, crushed red pepper, salt, and black pepper, cooking just until fragrant (about 30 seconds). This quick step unleashes the aromatics that make the soup sing.

Step 3: Bring to a Boil with Broth and Tomatoes

Turn the heat up to high and pour in the chicken broth and diced tomatoes. Bring everything to a boil—that’s when the magic starts and the flavors start melding. This also prepares the perfect liquid base to cook your pasta right in the pot.

Step 4: Cook the Pasta until Perfectly Al Dente

Add your short pasta straight into the boiling broth and cook according to the package directions—I usually aim for al dente so it has just the right bite and doesn’t get mushy as the soup simmers. Depending on the pasta type, this will take between 7 to 15 minutes. Keep an eye on it and stir occasionally to prevent sticking.

Step 5: Stir in Sausage and Cream, then Simmer

When the pasta is just right, turn the heat down to low. Gently stir the cooked sausage back into the pot followed by the heavy cream. Let everything simmer together for about 2 minutes to meld the flavors and heat the cream without boiling it—this keeps it velvety smooth and prevents curdling.

Step 6: Serve with Fresh Basil and Parmesan

Ladle the soup into bowls and top with fresh torn basil leaves and freshly grated parmesan cheese. These last touches brighten and elevate the flavors beautifully. I promise you’ll love the creamy broth with that burst of fresh herbs and cheesy goodness.

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Pro Tips for Making Italian Sausage Soup with Cream Recipe

  • Drain the Sausage Fat Well: This keeps the soup from getting too greasy and lets the other flavors shine.
  • Room Temperature Cream: Adding cream that’s not too cold prevents curdling when you mix it into the hot soup.
  • Don’t Overcook the Pasta: Pasta will continue to soften in the soup; pull it a minute or two early if you plan to store leftovers.
  • Use Fresh Herbs: Adding basil at the end keeps its flavor bright and fresh rather than cooked away.

How to Serve Italian Sausage Soup with Cream Recipe

A creamy soup fills a white bowl with two small handles, layered with pale yellow pasta pieces, chunks of red tomato, and small brown meat bits. The soup has a soft orange color with a smooth texture. On top, thin strips of green herb and sprinkled white cheese add color and texture contrast. A white marbled surface holds the bowl, with some green herb and cheese bits scattered around. In the blurred background, two more white bowls with similar soups can be seen. Photo taken with an iphone --ar 2:3 --v 7 - Italian Sausage Soup with Cream, creamy Italian sausage soup, easy sausage soup recipe, comforting sausage and cream soup, quick Italian sausage soup

Garnishes

I always reach for lots of freshly torn basil—it gives the soup a fresh aroma and pretty pop of green. And freshly grated parmesan cheese is a must; it melts just enough into the warm soup for that perfect cheesy finish. Sometimes I throw on a pinch of red pepper flakes for an extra kick if we’re feeling bold.

Side Dishes

This soup loves company! I usually pair it with a crusty garlic bread or buttery dinner rolls so you can sop up every last drop. A simple green salad with lemon vinaigrette keeps the meal balanced and fresh.

Creative Ways to Present

For entertaining, I like serving this soup in mini bread bowls—it’s fun and feels special. Alternatively, garnish each bowl with a basil sprig, a drizzle of olive oil, and a little parmesan crisp for a restaurant-worthy touch that’s actually easy at home.

Make Ahead and Storage

Storing Leftovers

I store leftovers in an airtight container in the fridge and it keeps beautifully for up to 4 days. I’ve found the pasta softens a bit with time, so if you want to keep it firmer, cook the pasta separately next time and add it fresh when reheating.

Freezing

I’ve successfully frozen this soup without the cream ahead of time. Once thawed, stir in fresh cream before warming. This keeps the soup’s texture silky rather than grainy after freezing.

Reheating

Reheat gently on the stove over low heat, stirring often to prevent sticking. If soup feels too thick, add a splash of broth or water. If you froze the soup without cream, stir in fresh cream just before serving to revive that luscious texture.

FAQs

  1. Can I use turkey sausage or another type of sausage?

    Absolutely! Turkey sausage works fine, just keep in mind it’s leaner, so the flavor and fat content will be lighter. You might want to add a touch more olive oil during sautéing to keep the soup rich.

  2. What pasta works best for Italian Sausage Soup with Cream Recipe?

    Short pasta shapes like casarecce, ditalini, penne, or rigatoni are best since they hold up well in soup and soak up the broth nicely without turning mushy quickly.

  3. How spicy is this soup?

    The heat depends mostly on the sausage and how much crushed red pepper you add. I prefer a moderate kick, but you can easily adjust by varying these two ingredients for milder or hotter versions.

  4. Why do I need to add cream at room temperature?

    Adding cold cream to hot soup can cause it to curdle or separate. Letting the cream come to room temperature before mixing it in helps it blend seamlessly for a silky smooth soup.

Final Thoughts

Italian Sausage Soup with Cream Recipe has become a dinner table favorite in my home because it’s comforting, flavorful, and so easy to make. I genuinely look forward to sharing this with friends and family, knowing everyone will go crazy for its creamy broth and savory sausage. If you want a recipe that feels like a warm hug in a bowl, this is definitely it—give it a try and I bet it will become a staple in your kitchen too!

Print
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Italian Sausage Soup with Cream Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4.9 from 240 reviews
  • Author: Sophia
  • Prep Time: 15 minutes
  • Cook Time: 40 minutes
  • Total Time: 55 minutes
  • Yield: 6 servings
  • Category: Soup
  • Method: Stovetop
  • Cuisine: Italian

Description

This hearty Italian Sausage Soup combines savory Italian sausage, tender pasta, and a creamy tomato broth infused with garlic and crushed red pepper for a comforting meal perfect for any day of the week.


Ingredients

Meat

  • 1 pound Italian sausage

Vegetables and Aromatics

  • 1 small white onion, diced
  • 3 cloves garlic, minced

Seasonings

  • 1 teaspoon crushed red pepper
  • ½ teaspoon salt
  • ½ teaspoon black pepper

Liquids and Broth

  • 1 tablespoon olive oil
  • 6 cups low-sodium chicken broth, plus more if needed
  • 1 (15-ounce) can diced tomatoes
  • 1 cup heavy cream, brought to room temperature

Pasta & Garnishes

  • 8 ounces short pasta (casarecce pasta recommended)
  • Fresh basil, for serving
  • Parmesan cheese, for serving


Instructions

  1. Cook the sausage: Crumble and cook the Italian sausage in a large soup pot over medium heat until fully cooked, about 7-10 minutes. Drain excess fat and remove sausage from the pot using a slotted spoon. Set aside.
  2. Sauté aromatics: Add olive oil to the same pot and cook the diced onion over medium heat until translucent, about 3 minutes. Stir in minced garlic, crushed red pepper, salt, and black pepper, cooking until fragrant, about 30 seconds.
  3. Add broth and tomatoes: Increase heat to high, add chicken broth and diced tomatoes, then bring the mixture to a boil.
  4. Cook the pasta: Add the pasta to the boiling soup and cook according to package instructions until al dente, usually 7-15 minutes depending on pasta type.
  5. Combine and simmer: Reduce heat to low, return the cooked sausage to the pot, stir in the heavy cream, and let the soup simmer gently for 2 minutes to meld flavors.
  6. Serve: Ladle soup into bowls and garnish with fresh basil leaves and freshly grated Parmesan cheese as desired.

Notes

  • Store leftovers in an airtight container in the refrigerator for up to 4 days.
  • Add more chicken broth as needed if the soup becomes too thick during cooking.
  • Use low-sodium broth to better control salt levels.
  • For a spicier version, increase crushed red pepper amount.

Nutrition

  • Serving Size: 1 bowl (approx. 1.5 cups)
  • Calories: 350
  • Sugar: 4g
  • Sodium: 600mg
  • Fat: 22g
  • Saturated Fat: 9g
  • Unsaturated Fat: 11g
  • Trans Fat: 0g
  • Carbohydrates: 21g
  • Fiber: 2g
  • Protein: 18g
  • Cholesterol: 60mg

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