Direction

1. Heat a medium skillet over high heat. Cook the sausage links until fully cooked. Remove to a paper towel lined plate to drain. Slice the links into thin slices about 1/4 inch thick. Set aside.
2. Heat the butter in Dutch oven or large pot over medium-high heat. Add the garlic to soften, approximately 2-3 minutes. Add the cream cheese, Italian seasoning, dried onion and salt, stirring until the cream cheese starts to melt.
3. Pour in the petite diced tomatoes and condensed tomato soup. Fill the empty 10.75 ounce can of soup 3 times with water and pour into Dutch oven or large pot. Bring to a low simmer until reduced by a quarter, approximately 15-20 minutes.
4. Return the cooked sausage to the soup and heat for an additional 2 minutes. Add the frozen tortellini and spinach. Stir and continue to simmer for 5-7 minutes or until tortellini are cooked all the way through.
5. Ladle into bowls and garnish with the pecorino reggiano cheese.