01 -
Bring a large saucepan of salted water to a boil. Add tortellini and cook according to package instructions, typically 3–5 minutes, until al dente. Drain and reserve.
02 -
Heat olive oil in a large skillet over medium heat. Add the Italian sausage, breaking it into small pieces with a wooden spoon, and cook until thoroughly browned.
03 -
Stir the marinara or tomato sauce into the cooked sausage. Reduce heat to low and allow to simmer for 5 minutes, letting the flavours meld.
04 -
Pour the heavy cream into the sausage and tomato mixture and stir well. Heat gently until the sauce is warmed through.
05 -
Fold in the baby spinach and cook for 1–2 minutes until the leaves have wilted.
06 -
Gently toss the drained tortellini into the sauce. Sprinkle mozzarella and Parmesan cheese over the mixture and fold carefully to blend.
07 -
Cover the pan and cook for 2–3 minutes, allowing the cheeses to melt and the dish to become creamy.
08 -
Taste and adjust with salt, black pepper, and red pepper flakes as desired. Serve immediately, garnished with additional Parmesan or chili flakes if preferred.