Creamy Parmesan Italian Sausage Soup is a warm and comforting dish that mixes rich, creamy broth with savory Italian sausage and a touch of Parmesan cheese. It’s full of flavors that feel both hearty and fresh, thanks to the blend of herbs and veggies that usually join the party. The creamy texture makes every spoonful smooth and satisfying, perfect for a chilly day.
I always find this soup to be such a crowd-pleaser. The sausage adds a lovely depth of flavor that keeps things interesting without being too spicy, which I appreciate. I like to simmer it just long enough to let the flavors blend together, then finish with a sprinkle of Parmesan right before serving—this little step makes it taste extra special every time.
One of my favorite ways to enjoy this soup is alongside some crusty bread or garlic toast. It’s great for a cozy dinner or even a casual lunch, especially when you want something filling but not too heavy. This soup has that homey feel that makes leftovers just as good the next day, so I often make a big pot to share with family or friends.
Key Ingredients & Substitutions
Italian Sausage: This is the heart of the soup. Mild sausage keeps it gentle, while spicy adds a nice kick. If you prefer less fat or want a milder flavor, try turkey sausage or even ground pork seasoned with Italian herbs.
Heavy Cream: Adds richness and creaminess. For a lighter option, use half-and-half or a mixture of milk and a bit of cream cheese. Coconut cream works too if you want dairy-free, but it slightly changes the taste.
Parmesan Cheese: Freshly grated Parmesan melts smoothly into the soup, giving it that classic Italian flavor. Pecorino Romano can work as a saltier alternative. Avoid pre-grated cheese here—it doesn’t melt as well.
Pasta Shells: Small shapes like shells or macaroni hold the broth nicely. You can swap for orzo or ditalini for a similar effect. Gluten-free pasta is a good substitute if needed but add it later in cooking as it tends to cook faster.
Spinach: Fresh spinach adds color and freshness. Baby kale or Swiss chard are tasty swaps with a bit more bite. If using frozen spinach, thaw and squeeze out excess water first.
How Can I Make the Soup Rich and Creamy Without Curdling?
To keep your soup smooth and creamy, especially when adding dairy, follow these simple steps:
- Use medium-low heat when stirring in the heavy cream. Avoid boiling the soup once cream is added to prevent curdling.
- Temper the Parmesan cheese by mixing it with a little warm broth first, then stir it into the soup slowly for smooth melting.
- Finish cooking the soup gently to let flavors blend without harsh heat.
- Keep stirring occasionally, so the cream blends well with all ingredients.
These small steps help you get that silky texture every time, making your soup extra comforting and delicious.

Equipment You’ll Need
- Large pot or Dutch oven – I like using this because it gives plenty of room for browning sausage and simmering the soup.
- Wooden spoon or spatula – perfect for breaking up the sausage and stirring ingredients without scratching the pan.
- Measuring cups and spoons – helps keep everything accurate, especially for liquids and seasonings.
- Knife and chopping board – for finely chopping the onion, garlic, and parsley.
- Grater – essential for freshly grating Parmesan cheese to get the best flavor and melt.
- Soup ladle – makes serving easy and neat when you’re ready to dish out bowls.
Flavor Variations & Add-Ins
- Use ground turkey or chicken sausage instead of Italian sausage for a leaner option that still tastes delicious.
- Mix in chopped bell peppers or mushrooms for extra veggies and textures.
- Replace spinach with kale or Swiss chard if you want a slightly different leafy green flavor.
- Add a pinch of red pepper flakes for some heat or fresh basil for a brighter, herbaceous note.

Creamy Parmesan Italian Sausage Soup
Ingredients You’ll Need:
Main Ingredients:
- 1 lb Italian sausage (mild or spicy, casings removed)
- 1 tablespoon olive oil (optional, if sausage is lean)
- 1 small onion, finely chopped
- 2 cloves garlic, minced
- 1 can (14.5 oz) diced tomatoes, drained slightly
- 4 cups chicken broth
- 1 cup heavy cream
- 1 cup small pasta shells or macaroni
- 2 cups fresh spinach, roughly chopped
- 1 cup freshly grated Parmesan cheese
- 1 teaspoon dried Italian seasoning (or mix of basil, oregano, thyme)
- Salt and freshly ground black pepper, to taste
- Fresh parsley, chopped (for garnish)
Time Needed
This delicious soup takes about 10 minutes to prep and around 20 minutes to cook, so you’ll have a warm, comforting meal ready in about 30 minutes total. Perfect for a quick weeknight dinner!
Instructions to Make Creamy Parmesan Italian Sausage Soup
1. Brown the Sausage:
Start by heating a large pot or Dutch oven over medium heat. Add the Italian sausage, breaking it up with a spoon as it cooks. If your sausage is very lean, add a tablespoon of olive oil before cooking. Cook until the sausage is fully browned and slightly crispy. Once done, remove any excess fat if there’s too much.
2. Cook the Onion and Garlic:
Add the finely chopped onion to the pot with the sausage. Cook for about 3-4 minutes until the onion softens and becomes translucent. Then stir in the minced garlic and cook for another minute until you can smell the lovely garlic aroma.
3. Add Tomatoes and Seasoning:
Stir in the diced tomatoes and sprinkle the dried Italian seasoning. Give it a good mix to combine all those flavors together.
4. Add Broth and Cook Pasta:
Pour in the chicken broth and bring everything to a boil. Once boiling, add the pasta shells. Cook according to the package instructions until the pasta is tender but not mushy, usually about 8-10 minutes.
5. Finish with Cream and Spinach:
Turn the heat down to low. Stir in the heavy cream and the chopped spinach. Let the spinach wilt and the soup warm through, about 3-5 minutes.
6. Add Parmesan and Season:
Remove the pot from the heat. Stir in the freshly grated Parmesan cheese until it melts into the soup. Taste the soup and add salt and pepper as you like.
7. Serve and Enjoy:
Ladle the soup into bowls and garnish with chopped fresh parsley and a little extra Parmesan if you like. Enjoy it hot with crusty bread or garlic toast for the perfect cozy meal!
Can I Use Frozen Italian Sausage for This Soup?
Yes! Just make sure to thaw it completely in the fridge overnight before cooking. This helps it brown evenly and cook through without steaming.
Can I Make This Soup Ahead of Time?
Absolutely! Prepare the soup up to the point before adding cream and spinach. Refrigerate, then reheat and stir in the cream and spinach just before serving to keep everything fresh and creamy.
How Do I Store Leftovers?
Store leftovers in an airtight container in the fridge for up to 3 days. When reheating, warm gently on the stove over low heat and stir occasionally to avoid curdling the cream.
What Can I Substitute for Heavy Cream?
You can use half-and-half or a mix of milk and cream cheese for a lighter version. Just add it toward the end and avoid boiling to prevent curdling.



