Creamy Parmesan Italian Sausage Soup with Spinach and Mushrooms

Last Updated on October 13, 2025 by Chef Josie

There’s something magical about a steaming bowl of Parmesan Italian Sausage Soup on a chilly fall evening. The aroma of garlic, herbs, and rich cream fills the kitchen as the soup simmers on the stove, drawing everyone in before it’s even ready. This creamy, hearty, and flavor-packed soup combines the comfort of Italian flavors with the simplicity of a one-pot stovetop recipe.

This recipe was inspired by my family’s love for cozy dinners that feel indulgent but still come together quickly. Whether you’re serving it for a casual weeknight meal or as part of your fall dinner ideas lineup, this soup delivers warmth, satisfaction, and a touch of rustic Italian charm in every spoonful.

A hearty and flavorful bowl of Creamy Parmesan Italian Sausage Soup made with Italian sausage, spinach, mushrooms, and tomatoes simmered in a rich, cheesy cream broth — the perfect cozy dinner for chilly nights.
A hearty and flavorful bowl of Creamy Parmesan Italian Sausage Soup made with Italian sausage, spinach, mushrooms, and tomatoes simmered in a rich, cheesy cream broth; the perfect cozy dinner for chilly nights.

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Creamy Parmesan Italian Sausage Soup in a white bowl with spinach, mushrooms, tomatoes, and shredded Parmesan cheese on top.

Creamy Parmesan Italian Sausage Soup with Spinach and Mushrooms


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  • Author: Chef Josie
  • Total Time: 40 minutes
  • Yield: 6 servings 1x

Ingredients

Scale
  • 1 Tbsp olive oil

  • 1 lb Italian sausage

  • 1 onion, diced

  • 3 cloves garlic, minced

  • 8 oz mushrooms, sliced

  • 1 (14.5-oz) can diced tomatoes

  • 4 cups chicken broth

  • 1 cup heavy cream

  • ½ cup grated Parmesan

  • 3 cups baby spinach

  • 1 tsp Italian seasoning

  • Salt & pepper to taste

Optional: small pasta, red pepper flakes, extra Parmesan


Instructions

  • Heat oil in a pot, brown sausage, then remove.

  • Sauté onion 3–4 min, add garlic 30 sec.

  • Add mushrooms, cook until tender.

  • Return sausage, add tomatoes, broth, and seasoning. Simmer 15–20 min.

  • Stir in cream and Parmesan; simmer gently 3–5 min.

  • Add spinach to wilt. Taste and adjust seasoning. Serve warm.

Notes

Use half-and-half for lighter soup.

Skip pasta for low-carb.

Don’t boil after adding cream.

Store up to 4 days refrigerated; reheat gently.

  • Prep Time: 10 minutes
  • Cook Time: 30 minutes
  • Category: Dinner, Main Dish
  • Cuisine: Italian

Nutrition

  • Calories: 420 kcal per serving

Why You’ll Love This Parmesan Italian Sausage Soup

  • Rich and comforting: A creamy broth infused with Parmesan and Italian herbs creates deep, savory flavor.
  • Quick stovetop recipe: Ready in about 40 minutes from start to finish.
  • Perfect for fall and winter: Cozy, filling, and great for chilly nights.
  • Customizable: Easily adapt for low-carb, gluten-free, or dairy-free diets.
  • Crowd-pleaser: Everyone from kids to adults loves its creamy, cheesy flavor.

Ingredient Breakdown

Here’s what you’ll need for this easy soup recipe and how each ingredient contributes to the flavor:

  • Italian sausage: Use mild or spicy sausage depending on your preference. It provides rich flavor and protein.
  • Onion and garlic: The aromatic base that builds depth.
  • Mushrooms: Add an earthy note and heartiness.
  • Diced tomatoes: Brighten the broth with a hint of acidity.
  • Spinach: Adds nutrition and color without overpowering the flavor.
  • Chicken broth: The foundation of the soup. Use low-sodium broth for better control of seasoning.
  • Heavy cream: Brings silky richness and helps balance acidity. Substitute with half-and-half for a lighter option.
  • Parmesan cheese: The star of the show. Adds umami depth and creamy texture.
  • Italian seasoning, salt, and pepper: Essential for a balanced, savory finish.
  • Olive oil or butter: For sautéing vegetables and building flavor.

Optional Add-ins:

  • Small pasta (like ditalini or shells) for a hearty pasta soup variation.
  • Red pepper flakes for a little heat.
  • Kale instead of spinach for a sturdier green.

Step-by-Step Instructions

1. Brown the sausage
In a large pot or Dutch oven, heat 1 tablespoon olive oil over medium heat. Add the Italian sausage, breaking it apart with a spoon as it cooks. Continue until browned and cooked through. Remove from pot and set aside.

2. Sauté the aromatics
In the same pot, add chopped onion and cook until translucent. Add minced garlic and sliced mushrooms, cooking for 3–4 minutes until tender.

3. Build the base
Return the sausage to the pot. Add diced tomatoes, chicken broth, and Italian seasoning. Stir well and bring to a simmer.

4. Simmer and enrich
Reduce heat and let the soup simmer gently for 15–20 minutes, allowing flavors to meld.

5. Add cream and spinach
Stir in heavy cream and Parmesan cheese. Simmer for 3–5 minutes, stirring occasionally until slightly thickened. Add spinach and cook until just wilted.

6. Season and serve
Taste and adjust with salt, pepper, or extra Parmesan. Serve hot with crusty bread or garlic toast.

A comforting bowl of Creamy Parmesan Italian Sausage Soup filled with Italian sausage, spinach, mushrooms, and tomatoes simmered in a rich, cheesy broth — perfect for cozy weeknight dinners.
A comforting bowl of Creamy Parmesan Italian Sausage Soup filled with Italian sausage, spinach, mushrooms, and tomatoes simmered in a rich, cheesy broth; perfect for cozy weeknight dinners.

Notes and Top Tips

  • For a lighter version, substitute half-and-half or evaporated milk for heavy cream.
  • To make it low-carb, skip the pasta and serve as is.
  • Use freshly grated Parmesan for the smoothest texture; pre-grated can make the soup grainy.
  • Don’t boil after adding cream to prevent curdling.
  • This soup thickens as it cools; thin it with a splash of broth when reheating.

Serving Suggestions and Variations

  • With Bread: Pair with warm focaccia, garlic bread, or a rustic sourdough loaf.
  • Add Pasta: Stir in cooked pasta or tortellini for a hearty pasta soup twist.
  • Add Vegetables: Zucchini, carrots, or kale work beautifully.
  • Make it spicy: Use hot Italian sausage and a pinch of crushed red pepper.
  • Make it Crockpot-friendly: Brown the sausage first, then add all ingredients (except cream, spinach, and cheese) to a slow cooker. Cook on low for 6–7 hours, then stir in cream, cheese, and spinach before serving.
Creamy Parmesan Italian Sausage Soup in a white bowl with spinach, mushrooms, tomatoes, and shredded Parmesan cheese on top.
Creamy Parmesan Italian Sausage Soup in a white bowl with spinach, mushrooms, tomatoes, and shredded Parmesan cheese on top.

Storage and Reheating Tips

  • Refrigerator: Store in airtight containers for up to 4 days.
  • Freezer: Freeze cooled soup (without spinach) for up to 2 months. Add fresh spinach when reheating.
  • Reheat: Warm on the stovetop over low heat, adding a splash of broth or cream if thickened.

Closing and Call to Action

If you love cozy fall soups and stews, this Creamy Parmesan Italian Sausage Soup will become a cold-weather favorite. It’s rich, creamy, and layered with Italian-inspired flavors that comfort from the inside out. Try it this week, then come back to rate and comment below. I’d love to hear how it turned out!

Explore more easy soup recipes and healthy soup recipes on the blog for your next fall dinner idea.

FAQs or Troubleshooting

Can I make this dairy-free?
Yes. Substitute coconut milk for cream and nutritional yeast for Parmesan.

Why did my soup curdle?
Avoid boiling after adding cream. Keep it at a gentle simmer.

Can I use ground turkey or chicken instead of sausage?
Absolutely. Just increase the seasoning slightly for extra flavor.

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