In a large pot or Dutch oven, heat a little oil over medium heat. Add the Italian sausage, breaking it apart with a spoon. Cook until browned and cooked through, about 5-7 minutes. Remove any excess grease.
Sauté the Aromatics:
Add the diced onion to the pot and cook until softened, about 3-4 minutes. Add the minced garlic, Italian seasoning, and red pepper flakes (if using). Stir and cook for an additional 1 minute until fragrant.
Add Broth and Cream:
Pour in the chicken broth and heavy cream, stirring to combine. Bring the mixture to a simmer.
Cook the Tortellini:
Add the tortellini to the soup and cook according to package instructions, usually about 3-5 minutes if using fresh tortellini. If using frozen, follow the instructions on the package.
Finish the Soup:
Once the tortellini is cooked, stir in the spinach (if using). Cook for another 1-2 minutes until the spinach is wilted. Taste the soup and season with salt and pepper as needed.
Serve:
Ladle the soup into bowls and garnish with fresh parsley and grated Parmesan cheese, if desired.
Serving and Storage Tips:
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