This Italian Sausage Soup recipe makes a comforting meal on those chilly fall and winter evenings.

It is a hearty and delicious soup that is made with fried sausage which is then cooked in a creamy broth. Simple spinach or any other vegetable add-ins add a splash of healthy color and flavor. A dash of red pepper flakes gives a spicy kick to this keto soup.

Italian Sausage Soup in a bowl

Italian Sausage Soup

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Easy Hearty Soup Recipe

  • Sometimes sausage just needs a few extra ingredients to perk it up. A sausage soup is just the answer.
  • This sausage soup is made with heavy cream, giving the soup a delicious, smooth texture.
  • With no sugar and low carbs, this is a great keto soup.

top view of Italian Sausage Soup in a bowl

Fresh & Delicious Ingredients

SAUSAGE: This recipe calls for a cooked Italian sausage. Choose a spicy or sweet sausage, depending on how spicy of a soup is desired and slice it into bite-sized pieces.

BROTH: Use a good store-bought chicken broth. Any homemade broth would also work with this soup simply adjust the salt content accordingly.

VEGETABLES: The only vegetable that is added to this soup is spinach (and onion and garlic). However, kale zucchini or cabbage can be used as a substitute for spinach.

process of adding ingredients to pan

How to Make Italian Sausage Soup

This one-pot meal is a simple fix:

  1. Melt the butter in a pan.
  2. Add sausage & the onions until cooked. Stir in garlic.
  3. Add chicken broth & pepper flakes.
  4. Toss in the spinach. Cook.
  5. Add the cream.
  6. Serve and enjoy!

Time-Saving Tips

Make Italian Sausage Soup in advance, it will keep in an airtight container in the refrigerator for at least 3-4 days. Reheat on the stovetop or the microwave for a quick meal.

This soup will freeze well and will keep in the freezer for 3 months. To thaw, remove from the freezer and let thaw in the refrigerator. It can be reheated on the stove.

Italian Sausage Soup in a pot

Other Low Carb Italian Inspired Recipes!

Italian Sausage Soup in a bowl
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Italian Sausage Soup

This easy to make low carb Italian Sausage Soup is creamy and delicious, with a spicy kick.
Prep Time 15 minutes
Cook Time 15 minutes
Total Time 30 minutes
Servings 6 servings
Author Holly



  • 2 Tablespoons butter
  • 12 oz fully cooked Italian-style sausage sliced
  • 1 medium onion diced
  • 4 cloves garlic minced
  • 3 ½ cups chicken broth
  • ¼ teaspoon red pepper flakes
  • 6 cups baby spinach
  • ½ cup heavy cream
  • salt and pepper to taste


  • Heat the butter in a large saucepan over medium heat.
  • Add sausage and onion, cook for 7 minutes or until the onion is soft and the sausage is browned. Add garlic and cook until fragrant about 30 seconds.
  • Add chicken broth and red pepper flakes then bring to a boil. Cover saucepan, turn it down to a simmer and cook for 5 minutes.
  • Stir in the spinach and cook until it is wilted - about 1-2 minutes. Remove from heat, stir in the cream and season with salt and pepper.
5 from 6 votes↑ Click stars to rate now!
Or to leave a comment, click here!

Nutrition Information

Calories: 338kcal | Carbohydrates: 6g | Protein: 12g | Fat: 30g | Saturated Fat: 14g | Polyunsaturated Fat: 3g | Monounsaturated Fat: 12g | Trans Fat: 1g | Cholesterol: 80mg | Sodium: 523mg | Potassium: 482mg | Fiber: 1g | Sugar: 1g | Vitamin A: 3247IU | Vitamin C: 12mg | Calcium: 68mg | Iron: 2mg

Nutrition information provided is an estimate and will vary based on cooking methods and brands of ingredients used.

Course Main Course, Soup
Cuisine Italian

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About the author

At Easy Low Carb® we believe that every meal should be full of big bold flavor! From amazing main dishes and simple sides to the best party snacks, reducing carbs doesn’t mean giving up your favorites!
See more posts by Holly

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