Tortellini Sausage Alfredo

Total Time

Prep/Total Time: 30 min.


2 servings

Updated: Sep. 25, 2022
I invented this dish for my kids when were young using all the things they like—sausage, mushrooms, onions, green pepper and pasta. It's still a favorite with them today.—Nelson Wandrey, Paulden, Arizona


  • 1 package (9 ounces) refrigerated cheese or spinach tortellini
  • 1 teaspoon olive oil
  • 1/4 teaspoon salt
  • 1/4 teaspoon white pepper
  • 1/8 teaspoon garlic powder
  • Dash ground nutmeg
  • 1/4 pound bulk Italian sausage
  • 1/2 cup chopped onion
  • 1/4 cup chopped green pepper
  • 1/4 cup chopped fresh mushrooms
  • 2 tablespoons all-purpose flour
  • 1-1/4 cups milk
  • 1-1/4 cups grated Parmesan cheese
  • 1/8 teaspoon Worcestershire sauce


  1. In a large saucepan, bring 2 qts. water to a boil. Add the tortellini, oil, salt, pepper, garlic powder and nutmeg. Cook according to package directions until pasta is tender.
  2. Meanwhile, in a large skillet, cook the sausage, onion, green pepper and mushrooms over medium heat until meat is no longer pink; drain.
  3. Stir in flour until blended. Gradually add milk. Bring to a boil; cook and stir for 2 minutes or until thickened.
  4. Drain tortellini; add to the sausage mixture. Stir in Parmesan cheese and Worcestershire sauce.

Nutrition Facts

1-1/2 cups: 743 calories, 38g fat (19g saturated fat), 103mg cholesterol, 1900mg sodium, 55g carbohydrate (14g sugars, 3g fiber), 45g protein.