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a plate of tortellini with sausage

Pesto Alfredo Tortellini with Smoked Sausage

Cheesy tortellini and juicy smoked sausage are drenched in a creamy pesto Alfredo sauce with tomatoes, garlic, and gooey cheese. It’s the best of both worlds: amazing taste AND it comes together in less than 30 minutes!
Course Main
Cuisine American
Prep Time 5 minutes
Cook Time 20 minutes
Total Time 25 minutes
Servings 8 servings
Calories 599kcal


  • 1 Tablespoon olive oil
  • 1 (13.5 oz) package Hillshire Farms Turkey Pepper Jack Smoked Sausage
  • 1 clove garlic, minced
  • 1 (20 oz) package fresh tortellini
  • 10 oz Alfredo sauce
  • 7 oz prepared pesto
  • 1 (14.5 oz) can diced tomatoes with italian seasonings, partially drained
  • 1/2 cup shredded parmesan cheese
  • 1/2 cup mozzarella cheese


  • Begin by preparing tortellini according to package directions.
  • While pasta is cooking, heat olive oil in a large skillet over medium-high heat. Slice the sausage and add to the hot pan, cooking until lightly browned. Add in garlic and sauté until fragrant, about 30 seconds.
  • Once tortellini is finished cooking, drain well and add to the skillet with the cooked sausage, along with Alfredo sauce, pesto, and diced tomatoes (I drain them a little, but not completely).
  • Reduce heat and stir ingredients well to combine. Continue cooking over low heat until heated through, about 5 minutes. Stir in parmesan cheese and mozzarella. Keep warm until ready to serve. Enjoy!


Calories: 599kcal | Carbohydrates: 37g | Protein: 23g | Fat: 39g | Saturated Fat: 13g | Cholesterol: 97mg | Sodium: 1347mg | Potassium: 198mg | Fiber: 3g | Sugar: 4g | Vitamin A: 655IU | Vitamin C: 4.7mg | Calcium: 268mg | Iron: 3mg