Ground up the pound of Italian Sausage in a medium skillet until no longer pink

In a slow cooker add cooked Italian Sausage, peppers and onions, fresh spinach, frozen tortellini, chicken broth, and heavy whipping cream.

Stir all ingredients together well until all is covered with liquid.

Add all seasonings, diced tomatoes and tomato paste then stir again until well combined.

Once combined, you will cover on slow cooker on low heat and cook for 4 hours

Lift lid and stir well and serve in a bowl with Parmesan cheese.