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This creamy Italian sausage soup is a velvety, cozy bowl layered with savory sausage, tender ditalini pasta, and a gentle Parmesan richness that makes weeknights feel special without any fuss. From the first spoonful, the broth tastes rounded and full, with subtle spice and a silky finish that invites a second helping.
Quick Facts / Recipe Snapshot
Total Time: about 40 minutes; Servings: 6; Skill: Easy; Cost: Moderate; Category: Pasta soup; Dietary Notes: contains dairy and gluten; Highlight Ingredients: ditalini pasta and Parmesan for classic Italian warmth.
What Is Creamy Italian Sausage Soup?
It’s an Italian-inspired pasta soup where browned sausage simmers with aromatics and broth, then finishes with cream, Parmesan, and small pasta for a rich but balanced texture. The result lands between a hearty pasta dish and a spoonable comfort soup with satisfying chew and luxurious body.
Origins & Inspiration
Small-shape pasta soups are a staple across Italian and Italian‑American kitchens, and ditalini pasta is often chosen for its tidy spoonable size and ability to catch broth. This version leans on Parmesan and cream for a softly decadent profile while keeping the broth bright and savory.
Why You’ll Love This Recipe
The broth turns silky without feeling heavy, and ditalini pasta keeps each bite balanced and fun. Gentle spice from the sausage adds depth, while Parmesan finishes the soup with signature umami and a cozy, restaurant‑at‑home vibe.
Ingredients & Notes
- 1 lb Italian sausage, casings removed; use mild or spicy to suit your crowd; drain excess fat for a cleaner broth.
- 1 tbsp olive oil, only if pan looks dry after browning.
- 1 medium onion, finely diced, for sweetness and body.
- 3 garlic cloves, minced, for aromatic lift.
- 5 cups low‑sodium chicken broth to control seasoning.
- 1 cup ditalini pasta; small, tubular, and perfect for pasta soup texture.
- 1 cup heavy cream for a creamy finish; half‑and‑half works lighter.
- 3/4 cup grated Parmesan; add gradually to melt smoothly.
- 3 cups baby spinach, roughly chopped, stirred at the end to stay vibrant.
- 1 tsp Italian seasoning; adjust to taste.
- 1/4–1/2 tsp crushed red pepper for warmth, optional.
- Kosher salt and black pepper to taste, added gradually as flavors concentrate.
Step-by-Step Instructions
- Brown the sausage in a Dutch oven over medium heat, breaking into small crumbles; drain excess fat if needed for a clean finish.
- Add onion and sauté until translucent; stir in garlic until fragrant, about 30 seconds.
- Pour in broth and bring to a lively simmer; add ditalini and cook just shy of al dente.
- Lower heat; stir in cream and Parmesan gradually until smooth and velvety.
- Fold in spinach, Italian seasoning, and crushed red pepper; taste and adjust salt and pepper.
- Rest 2–3 minutes off heat to thicken slightly before serving.

Tips for Perfect Creamy Italian Sausage Soup Every Time
Brown sausage thoroughly to develop fond, then control richness by draining or keeping a spoonful of fat. Add Parmesan in small handfuls off a hard boil to prevent clumping and keep the broth silky.
Variations, Swaps & Add-Ins
Try kale instead of spinach for a heartier bite, or sub tiny shells for ditalini if needed. For a lighter profile, use half‑and‑half and add extra broth to keep the soup spoonable.
Ingredient Spotlight
Ditalini pasta offers reliable texture that holds up in hot broth without overwhelming a spoonful. Parmesan, added gradually and melted gently, gives the soup its signature savory depth and a polished finish.
Serving Suggestions (Presentation & Plating)
Warm shallow bowls accentuate the soup’s silky body and keep portions balanced. Finish with a light snowfall of Parmesan and a twist of pepper for visual contrast.
Best Sides to Serve With Creamy Italian Sausage Soup
Crusty bread or garlicky toast supports dunking and sops up the creamy broth. A crisp side salad with lemony vinaigrette balances richness and refreshes the palate.
Flavor Pairing & Beverage Match
Bright Italian whites like Pinot Grigio complement the creamy texture, while light reds such as Chianti offer gentle tannin to cut through richness. Sparkling water with citrus keeps things clean and weeknight friendly.
Make-Ahead & Storage Guide
Cook pasta a minute under al dente if planning ahead, since it softens during storage. Chill quickly, store airtight up to 3–4 days, and reheat gently; add a splash of broth or cream to revive silkiness.

Budget & Pantry Strategy
Choose store‑brand broth and Parmesan and buy ditalini in bulk for better value. Use leftover greens or herbs to finish bowls and reduce waste while adding freshness.
Scaling for a Crowd
Double in a wide Dutch oven and cook pasta in the pot in shifts to avoid sticking. Hold cream and Parmesan until just before serving to maintain a smooth texture for everyone.
Weeknight Workflow Planner
Pre‑dice onion and mince garlic in the morning; refrigerate in covered containers. In the evening, brown sausage, simmer pasta, and finish with cream and Parmesan for a 40‑minute dinner.
Kids & Family Friendly Adaptations
Opt for mild sausage and hold crushed red pepper, serving chili flakes at the table. Keep greens chopped small so they meld into the broth without big leafy bites.
Troubleshooting & Fixes
If the broth turns too thick after resting, loosen with warm broth and stir briefly. If Parmesan clumps, lower heat and whisk in small amounts until smooth again.
Cultural or Seasonal Context
This bowl captures the spirit of Italian soup recipes that bring small pasta, savory broth, and cheese together for everyday comfort. Cooler months especially showcase its cozy appeal with minimal effort.
FAQs
1-Can another pasta replace ditalini?
Yes—tiny shells or elbows work; adjust cook time.
2-Can this be dairy‑lighter?
Use half‑and‑half and add extra broth to keep it silky.
Related Recipes You’ll Love
Explore other sausage soup recipes and pasta soup ideas if you enjoy this cozy profile and weeknight simplicity. Keep ditalini pasta on hand for quick Italian soup recipes all season.
Reader Reviews / Testimonials
“Rich, silky, and such a satisfying weeknight bowl—the ditalini make perfect spoonfuls!” “Saved and made twice—Parmesan finish seals the deal.”
Tools and Equipment Needed
A heavy Dutch oven ensures even browning and steady simmering. A fine grater melts Parmesan quickly into the creamy broth for a polished finish.
Texture Science
Starch released from ditalini pasta lightly emulsifies with cream and Parmesan, yielding a broth that coats the spoon without turning pasty. Gentle heat preserves the dairy’s smoothness and avoids separation, giving a velvety mouthfeel that stays stable as the soup rests.
Heat Management
Sauté aromatics just past translucent to build sweetness before simmering; this balances the savory sausage without extra sugar. Keep the pot below a full boil when adding cream and Parmesan so proteins stay integrated and the soup remains glossy.
Aromatic Layering
Bloom garlic and Italian seasoning in residual fat to dissolve fat‑soluble flavor molecules, amplifying depth with minimal ingredients. A pinch of crushed red pepper wakes up the creamy base, leaving warmth rather than heat.
Pasta Timing
Cooking ditalini just shy of al dente in the broth seasons the pasta from the inside out while sharing starch with the soup. Residual heat completes the bite, so serving a couple minutes after simmering preserves ideal texture.
Parmesan Technique
Finely grated Parmesan melts faster and integrates cleanly, delivering umami without strings. Adding it in small handfuls while stirring gently ensures a silky finish that defines creamy Italian sausage soup.
Greens Strategy
Spinach waits until the end so chlorophyll stays vivid and tender. The greens integrate into the pasta soup without overwhelming the spoon, offering fresh contrast to the rich broth.
Freezer Planning
If planning to freeze, cook ditalini separately and add to reheated portions to avoid softness. Cool the soup quickly, freeze flat in bags, and reheat gently before stirring in a touch of fresh Parmesan.
Restaurant Plating
Use warmed shallow bowls and finish with micro‑planed Parmesan so it melts instantly on the surface. A light pepper twist adds visual texture that frames the creamy surface attractively.
Nutrition Notes
Balancing richness with greens keeps the bowl satisfying without heaviness, and portion control maintains comfort without excess. Using broth as the primary liquid ensures the soup tastes savory and bright rather than overly creamy.
Seasonality Guide
This pasta soup shines in cooler months, but swapping spinach for tender spring greens keeps it lively in shoulder seasons. Parmesan and ditalini provide continuity year‑round, anchoring the Italian soup recipes vibe.
PrintCreamy Italian Sausage Soup
A cozy, velvety Italian pasta soup with savory sausage, tender ditalini, and a silky Parmesan finish—perfect for comfort nights.
- Prep Time: 10 mins
- Cook Time: 30 mins
- Total Time: 40 mins
- Yield: 6
Ingredients
– 1 lb Italian sausage, casings removed
– 1 tbsp olive oil (as needed)
– 1 medium onion, finely diced
– 3 garlic cloves, minced
– 5 cups low-sodium chicken broth
– 1 cup ditalini pasta
– 1 cup heavy cream (or half-and-half)
– 3/4 cup grated Parmesan
– 3 cups baby spinach, chopped
– 1 tsp Italian seasoning
– 1/4–1/2 tsp crushed red pepper (optional)
– Kosher salt and black pepper, to taste
Instructions
1. Brown sausage; drain excess fat if desired.
2. Sauté onion; add garlic briefly.
3. Add broth; simmer. Cook ditalini shy of al dente.
4. Lower heat; stir in cream and Parmesan until smooth.
5. Fold in spinach and seasoning; adjust salt and pepper.
6. Rest 2–3 minutes and serve.
Notes
Cook pasta slightly under if storing. Loosen leftovers with warm broth. Add Parmesan off a boil for a silky finish.

