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Tortellini Alfredo Spinach & Sausage is an amazing Pasta Alfredo.  I kicked my Pasta Alfredo way up with Garlic, Mushrooms, Sausage, & Spinach. The best Pasta Alfredo I have ever had.



It is easy to make a homemade Alfredo sauce with butter, cream, and Parmesan cheese.  When you toss this Alfredo sauce with some pasta, you have a quick and easy homemade Pasta Alfredo.  This time I kicked it up way over the top with Tortellini and added Garlic, Mushrooms, Spinach, and Sausage.   WOW!   I will never make plain Pasta Alfredo again.  The mushrooms are amazing in this pasta.  They absorb all the garlic, blackening, and seasonings from the Italian sausage.  This recipe was a mouth dropping, home run out of the park recipe.  The flavors were incredible!  I browned the sausage, added the garlic, fresh mushrooms, spinach, and heavy cream.  Next, I cooked and drained then added the Tortellini to the cream mixture.  Walla!  Dinner is served, and this Tortellini Alfredo Spinach & Sausage is a huge hit.

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Tortellini Alfredo Mushroom Spinach & Sausage

Prep Time5 hrs 27 mins
Cook Time5 hrs 27 mins
Course: entree
Cuisine: Italian
Author: Diane @Recipes for our Daily Bread


  • 20 ounces Tortellini I use Stuffed Cheese Tortellini by Buitoni.
  • 1 pound ground Italian sausage
  • 8 ounces fresh sliced mushrooms
  • Two tablespoons crushed garlic
  • Two tablespoons blackening
  • 1 -1/2 cups heavy cream
  • 1-1/2 cups half and half
  • 2 cups fresh spinach
  • 1 - 1/2 cups Parmesan cheese


  • Brown ground sausage
  • Put in the mushrooms and continue to sauté until tender.
  • Add two tablespoon of crushed garlic and blackening.
  • Next, slowly add the heavy cream and half and half and bring to a boil.
  • Stir in 2 cups of fresh spinach until wilted.
  • Add 1-1/2 cups Parmesan cheese
  • The Alfredo will thicken as it cools.

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  1. Mouth dropping recipe, Tortellini is new for me, I’ll order required ingredients to make it as soon as possible. I’m excited to try it. It’s delicious. Thanks for sharing it, Daine.

    • Dana,

      I love linking up with Pintastic Pinterest Party. Thanks for stopping by and leaving me a comment. I truly appreciate it. This Tortellini Alfredo with Spinach and Sausage has such a great flavor. It has become a family favorite. I have made it 5 or 6 times in the past couple of months. YUM!

      Blessings and have a Terrific Tuesday!
      Diane Roark

  2. Hi Diane, You definitely raised the bar with your delicious Tortellini Alfredo recipe. Thank you for sharing your recipe on Foodie Friends Friday party this week. I’ve pinned and shared.

    We look forward to seeing you again next week with another delicious recipe.
    A Foodie Friends Friday Co-host,
    Joanne/WineLady Cooks

    • Joanne,

      I will have to check out your blog and make sure I am following your social medias. Thank you so much for stopping by from Foodie Friends Friday party. I will definitely link up more often.

      Diane Roark

    • Shari,

      Thanks for comment and sharing my Tortellini Alfredo with Mushrooms sausage and spinach. The flavor was soooo good. I think it must have been the sausage with the garlic and then the mushrooms soaked everything up. Anyway, it was delish!
      Diane Roark

    • Jenny,

      Thanks Jenny! I decided to add mushroom, sausage, and spinach this time to my Alfredo. It turned out so flavorful and delicious.

      Thanks so much for all your support.

      Diane Roark

  3. Looks so totally delicious and will say that I would not have thought to add sausage and mushrooms to my Alfredo pasta, but now need to try! 🙂

    • Janine,

      After adding the mushrooms, sausage, and spinach to my Alfredo, I could not believe how it really kicked up the flavor. It must have been the sausage. Thanks for sharing and all your support.

      I truly hope you are having a wonderful day!
      Diane Roark

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