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Remove the casings from the mild Italian sausage and chop the meat into bigger chunks. In a large pot or deep skillet, brown the sausage over medium-high heat until cooked through and nicely colored. Remove the cooked sausage with a slotted spoon and set aside, leaving the rendered fat in the pan.

Reduce the heat to medium-low. Add the garlic and herb butter to the pan, allowing it to melt into the remaining sausage drippings.

Stir in the minced garlic, Italian seasoning, black pepper, red pepper flakes, and onion powder. Cook for 1 minute, stirring constantly, until fragrant.

Pour in the beef broth and heavy cream. Stir well, scraping up any browned bits from the bottom of the pan to incorporate them into the sauce. Bring the mixture to a gentle simmer.

Add the fresh tortellini to the simmering sauce. Stir gently to ensure the tortellini are submerged. Cook according to package directions (typically 3-5 minutes for fresh tortellini), stirring occasionally, until the tortellini are tender and the sauce has thickened slightly.

Return the cooked Italian sausage to the pot with the tortellini and sauce. Stir to combine and heat through for about 1 minute.

Serve the one-pot tortellini immediately, garnished with fresh Parmesan cheese or parsley if desired.


Remove the casings from the mild Italian sausage and chop the meat into bigger chunks. In a large pot or deep skillet, brown the sausage over medium-high heat until cooked through and nicely colored. Remove the cooked sausage with a slotted spoon and set aside, leaving the rendered fat in the pan.

Reduce the heat to medium-low. Add the garlic and herb butter to the pan, allowing it to melt into the remaining sausage drippings.

Stir in the minced garlic, Italian seasoning, black pepper, red pepper flakes, and onion powder. Cook for 1 minute, stirring constantly, until fragrant.

Pour in the beef broth and heavy cream. Stir well, scraping up any browned bits from the bottom of the pan to incorporate them into the sauce. Bring the mixture to a gentle simmer.

Add the fresh tortellini to the simmering sauce. Stir gently to ensure the tortellini are submerged. Cook according to package directions (typically 3-5 minutes for fresh tortellini), stirring occasionally, until the tortellini are tender and the sauce has thickened slightly.

Return the cooked Italian sausage to the pot with the tortellini and sauce. Stir to combine and heat through for about 1 minute.

Serve the one-pot tortellini immediately, garnished with fresh Parmesan cheese or parsley if desired.
