Creamy Parmesan Italian Sausage Soup

by Rachel

If you’re craving something cozy, filling, and full of flavor, this One-Pot Creamy Parmesan Italian Sausage & Pasta Soup is exactly what you need. It comes together quickly in just one pot, making it perfect for busy weeknights when you still want a homemade meal. With savory Italian sausage, tender pasta, tomatoes, and a rich, creamy Parmesan broth, every spoonful feels comforting and satisfying. Best of all, the pasta cooks right in the soup, soaking up all that delicious flavor.


1. Brown the sausage and onion
Start by cooking the Italian sausage and diced onion together in a large pot over medium heat. Break the sausage into small pieces as it cooks. Once fully browned, drain off any excess grease.

2. Build the flavor base
Add the garlic, fennel, and red pepper flakes. Stir and cook briefly until fragrant, about one minute. This step adds depth and warmth to the soup.

3. Add broth, tomatoes, and pasta
Pour in the chicken broth and diced tomatoes, then stir in the pasta and Italian seasoning. Bring everything to a gentle boil, then reduce to a simmer and cook until the pasta is tender.

4. Make it creamy
Lower the heat and stir in the Parmesan, cream cheese, and heavy cream. Stir slowly until the cheeses melt completely and the broth becomes rich and creamy.

5. Season and serve
Taste and adjust with salt and pepper. Ladle into bowls, garnish with fresh parsley if desired, and serve hot.


  • Serve right away: The pasta continues absorbing liquid, so this soup is creamiest when enjoyed fresh.
  • Adjust thickness easily: Add a splash of broth when reheating if the soup thickens too much.
  • Control the spice: Use mild sausage and skip red pepper flakes for a gentler flavor, or increase them for extra heat.
  • Shortcut option: Pre-chopped onions and garlic can save a few extra minutes on busy nights.

Can I make this soup ahead of time?
Yes, but for best texture, consider cooking the pasta separately and adding it when reheating.

What type of sausage works best?
Italian sausage is ideal, but you can use turkey sausage or chicken sausage for a lighter option.

Can I freeze this soup?
Freezing is possible, but creamy soups may separate slightly. Stir well after reheating.

How do I make it lighter?
Swap heavy cream for milk or half-and-half, and reduce the cream cheese slightly.

Can I add vegetables?
Absolutely. Spinach, kale, or roasted red peppers are great additions stirred in near the end.

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