Loaded Cajun Alfredo Tortellini

As seen in: Evening Meals to Gather Around

This skillet combines tender cheese tortellini with smoky sausage and sweet bell peppers, all enveloped in a rich, creamy Cajun Alfredo sauce. The dish balances bold heat with buttery smoothness, creating a comforting, one-pan meal perfect for busy nights. With simple steps—from boiling the pasta to simmering the sauce—this hearty skillet is easy to prepare and full of vibrant Southern-inspired flavors. Leftovers reheat well, making it great for meal prep or feeding a crowd.

A woman named Sophie is smiling and holding a plate of food.
Created By Sophie
Last updated on Mon, 29 Dec 2025 14:08:57 GMT
A skillet full of pasta with sausage and cheese. Save Pin
A skillet full of pasta with sausage and cheese. | sophietable.com

Creamy, spicy, and loaded with bold Southern flavors, this Loaded Cajun Alfredo Tortellini Skillet combines everything you love about comfort food into one satisfying dish. Juicy smoked sausage, tender cheese tortellini, and sweet fire-roasted bell peppers are all smothered in a rich Cajun Alfredo sauce that will warm you up on any weeknight. This recipe is deceptively simple but feels indulgent enough for company or a cozy family meal.

I first made this on a busy weeknight and was amazed at how creamy and flavorful it turned out with minimal effort. It has become a go-to whenever we want something indulgent without resorting to takeout.

Ingredients

  • Cheese tortellini: soaks up the sauce and adds chewy, cheesy goodness, fresh or refrigerated varieties work best
  • Smoked sausage: adds smoky, meaty depth and balances the creamy elements, look for good quality sausage with a natural casing if possible
  • Heavy cream: creates the luscious Alfredo base, whole cream ensures richness and silkiness
  • Parmesan cheese: provides sharp, salty umami that melts into the sauce for a cheesy finish, freshly grated always tastes better
  • Bell peppers: both red and yellow contribute sweetness, crunch, and vibrant color, choose firm peppers without wrinkles
  • Cajun seasoning: makes this dish sing with spice and smoky heat, pick a blend that suits your palate or make your own
  • Minced garlic: deepens the savory flavor and complements the Cajun spices, use fresh for best aroma
  • Butter: used to sauté the garlic and sausage adds richness and helps build the sauce base
  • Olive oil: helps brown the sausage and peppers without burning butter, opt for extra virgin for taste
  • Salt and black pepper: season the dish perfectly, adjust carefully to avoid over-salting

Step-by-Step Instructions

Boil the Tortellini:
Bring a large pot of salted water to a rolling boil. Add the tortellini and cook according to the package directions until just tender but still slightly firm to the bite. Drain in a colander and set aside to prevent it from overcooking later.
Sauté the Sausage and Peppers:
Heat olive oil and butter in a deep skillet over medium heat. Add the sliced smoked sausage and cook until nicely browned and slightly crisp on the edges, this brings out smoky flavor and texture. Toss in the diced red and yellow bell peppers along with the minced garlic. Cook until the peppers soften and become fragrant, about five minutes, stirring often to prevent sticking.
Build the Alfredo Sauce:
Lower the heat to medium-low and pour in the heavy cream. Stir to combine with the sausage and peppers. Sprinkle in the Cajun seasoning followed by salt and freshly cracked black pepper to taste. Let the sauce gently simmer for a few minutes until it thickens enough to coat the back of a spoon but not so much it becomes heavy.
Add the Cheese and Pasta:
Gradually stir in freshly grated Parmesan cheese until completely melted and smooth into the sauce. Return the cooked tortellini to the skillet and fold gently, making sure each pasta pocket is thoroughly coated with the creamy Cajun Alfredo sauce.
Let It Simmer and Serve:
Allow the skillet to simmer together for two to three minutes to let the flavors meld and the sauce cling to the tortellini and sausage. Finish with a sprinkle of extra Parmesan or freshly chopped parsley if desired. Serve hot and enjoy the melty, spicy indulgence.
A bowl of pasta with tomatoes and cheese. Save Pin
A bowl of pasta with tomatoes and cheese. | sophietable.com

Storage Tips

Store leftovers in an airtight container in the refrigerator for up to four days. Reheat gently in a skillet over low heat, adding a splash of milk or cream to refresh the sauce. This keeps the texture creamy and prevents separation. You can also freeze portions in freezer-safe containers. Thaw overnight in the fridge and rewarm carefully on the stove.

Ingredient Substitutions

Use grilled or shredded chicken instead of sausage for a lighter protein option, just be sure it is seasoned well before adding to the sauce. Spinach or mushroom tortellini are excellent alternatives that add earthiness. For a dairy-free version use plant-based cream and vegan Parmesan, though expect a slight difference in richness.

Serving Suggestions

Pair this skillet meal with crusty garlic bread or a simple green salad to balance the rich creaminess. A side of roasted vegetables can also complement the bold flavors nicely. Garnish with fresh parsley or extra Parmesan for a restaurant-quality touch.

Cultural Context

Cajun cuisine brings bold spice and smokiness rooted in Louisiana’s rich food traditions. When combined with classic Italian Alfredo elements, this recipe beautifully marries the comfort of Northern Italian pasta with the hearty soul of Southern cooking, making for a distinctive and satisfying fusion.

Pro Tips

  • Toast your Cajun seasoning lightly in the pan first to amplify its aroma before adding liquids.
  • Do not overcook the tortellini to keep its pillowy texture intact after simmering in the sauce.
  • Add the Parmesan gradually and stir thoroughly so the sauce remains silky without clumping.

Commonly Asked Questions

→ How spicy is the Cajun Alfredo sauce?

The spice level depends on the Cajun seasoning used. Start with a small amount and adjust to taste; it should add warmth without overpowering the creamy sauce.

→ Can I use chicken instead of sausage?

Yes, grilled or shredded chicken works well and can be seasoned to complement the creamy Cajun Alfredo sauce for a lighter protein option.

→ What kind of tortellini works best?

Cheese tortellini provides a soft, creamy bite, but spinach or mushroom varieties also pair beautifully with the rich sauce.

→ Can this dish be prepared ahead of time?

Components like tortellini and sauce can be prepped in advance and combined just before serving to maintain freshness and creaminess.

→ What’s the best way to reheat leftovers?

Warm gently in a skillet over low heat with a splash of cream or milk to refresh the sauce, stirring until heated through to avoid separation.

Loaded Cajun Alfredo Tortellini

Creamy tortellini with spicy Cajun sauce, sausage, and sweet peppers come together in one hearty skillet dish.

Preparation Time
15 Minutes
Cooking Duration
20 Minutes
Overall Time
35 Minutes
Created By: Sophie

Recipe Type: Dinner

Skill Level: Medium

Cuisine Type: Southern American

Portion Size: 4 Number of Servings (4 servings)

Diet Preferences: ~

What You'll Need

→ Pasta

01 250 g cheese tortellini

→ Protein

02 200 g smoked sausage, sliced

→ Dairy

03 240 ml heavy cream
04 50 g grated Parmesan cheese
05 15 g unsalted butter

→ Vegetables

06 100 g bell peppers (red and yellow), sliced
07 2 cloves garlic, minced

→ Oils & Seasoning

08 15 ml olive oil
09 10 g Cajun seasoning
10 Salt, to taste
11 Black pepper, to taste

Step-by-Step Directions

Step 01

Bring a large pot of salted water to a boil. Add cheese tortellini and cook until al dente according to package instructions. Drain and set aside.

Step 02

Heat olive oil and butter in a large skillet over medium heat. Add sliced smoked sausage and cook until browned. Incorporate bell peppers and minced garlic, sautéing until tender and aromatic.

Step 03

Reduce heat to low; pour in heavy cream. Stir in Cajun seasoning, salt, and black pepper. Simmer gently until slightly thickened, about 3 minutes.

Step 04

Add grated Parmesan cheese to the sauce, stirring until fully melted and smooth. Fold cooked tortellini into the skillet, ensuring each piece is evenly coated with sauce.

Step 05

Allow the mixture to simmer together for 2 to 3 minutes to meld flavors. Garnish with additional Parmesan or parsley if desired. Serve immediately while hot.

Helpful Notes

  1. For best results, use fresh or refrigerated tortellini to ensure optimal texture.
  2. Adding a splash of cream or milk when reheating preserves sauce creaminess.

Recommended Tools

  • Large skillet or sauté pan
  • Wooden spoon or silicone spatula
  • Chef's knife and cutting board
  • Measuring cups and spoons
  • Colander

Allergen Information

Always review ingredients for any allergens and consult a healthcare provider with any concerns.
  • Contains dairy and gluten

Nutritional Information (Per Serving)

These details are estimates and shouldn't be considered professional health advice.
  • Calories: 580
  • Fat Content: 32 grams
  • Carbohydrate Content: 45 grams
  • Protein Content: 22 grams