Creamy Pesto Tortellini

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Creamy Pesto Tortellini – Cheese tortellini tossed in a creamy pesto sauce with smoked turkey sauce gets dinner on the table in 20 minutes any night of the week!  

I am all for quick dinners. Weeknights are crazy. And when you have teenagers that add to that, the schedule just gets even crazier.  So if I can get dinner on the table in under 20 minutes, like One Pan Spicy Garlic Shrimp I am happy, and so is my family.  

I don’t want to spend hours in the kitchen making dinner, but I also don’t want to have take out or fast food every night either.  I love doing make your own take out like Chicken Lo Mein for quick dinners as well.  On the table in the same amount of time it would take for delivery.  

A bowl of food on a plate, with Pesto and Cream


I am a sucker for pesto, and will incorporate it any time I can.  Italian Turkey Cutlets are so easy and so good, and also work perfectly with chicken. This creamy pesto sauce would go with just about anything, but works really well with cheese tortellini.  I added some smoked turkey sausage to make it a full meal. It is super creamy, full of all the herbs and deliciousness of pesto and a great weeknight dinner.  

This is almost like tortellini alfredo that just has a little bit of pesto stirred in at the end.  You don’t want to heat the pesto too much, or it starts to separate and ruins the sauce.  But stirred in right at the end, it is creamy and delicious!  If you want to skip the sausage you could use a different flavored tortellini and it would be wonderful as well.

A pan of pasta and pesto

If you have a homemade pesto that you like it is great to use in this recipe.  This Spinach Pesto gives you all the flavor you need and works great.  Or you can use store bought.  Whatever you have on hand is fine, definitely not something to stress over. 

To make this tortellini alfredo I used a mix of heavy cream and regular milk.  That is just so I could cut some of the fat and calories, but still have it creamy.  If you want to go all out, feel free to use heavy cream for the entire thing.  I wouldn’t go less than half though, or your sauce will be runny. 

creamy pesto pasta in a bowl

This creamy pesto sauce is going to be a staple in my house.  I can see it tossed with spaghetti with grilled chicken served on top. Or even a shrimp pasta. It comes together in minutes. From start to finish you can have dinner on the table in 20 minutes, so it is great for any night of the week.  

Serve with a side salad or go crazy and have Cheesy Garlic Bread.  Whatever you do your family is going to love this dinner. 

skillet with cream pesto pasta
close up of creamy pesto pasta
Yield: 6

Creamy Pesto Tortellini

A pan of pasta and pesto

Creamy Pesto Tortellini - Cheese tortellini tossed in a creamy pesto sauce with smoked turkey sauce gets dinner on the table in 20 minutes any night of the week!  

Prep Time 5 minutes
Cook Time 15 minutes
Total Time 20 minutes


  • 2 tablespoons Butter
  • 13 ounces Smoked Turkey Sausage, such as kielbasa, sliced
  • 20 ounces Fresh Cheese Tortellini
  • 3/4 cup Heavy Cream
  • 3/4 cup Skim Milk
  • 1/2 cup Parmesan Cheese
  • 1/2 teaspoon Salt
  • 1/4 teaspoon Black Pepper
  • 1/2 cup Pesto


    1. Boil tortellini according to package directions.
    2. In a large skillet melt butter. Add sausage and sauté over medium high heat until browned. 
    3. Mix cream, milk, Parmesan cheese, salt, and pepper together. Pour over cooked sausage.
    4. Bring to a simmer and cook for 3-4 minutes until it starts to thicken. Add in cooked tortellini, tossing to coat.
    5. Stir in pesto until everything is blended. Taste and add more salt and pepper if necessary.

Nutrition Information



Serving Size


Amount Per Serving Calories 881Total Fat 58gSaturated Fat 24gTrans Fat 1gUnsaturated Fat 29gCholesterol 173mgSodium 2072mgCarbohydrates 55gFiber 2gSugar 7gProtein 36g

Nutrition Disclaimer: All information presented on this site is intended for informational purposes only. I am not a certified nutritionist and any nutritional information shared on should only be used as a general guideline.

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About Erin S

Welcome to Dinners, Dishes, & Desserts where my love of food meets my busy life. My name is Erin and I’m a casual home cook who loves to feed people. On this blog, you’ll find hundreds of quick and easy recipes made mostly from scratch. My days are spent in the kitchen, creating new recipes to share with family and friends.

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