Name: The Best Loaded Cajun Alfredo Tortellini Skillet Recipe
Prep time: 10 min
Cook time: 20 min
Total time: 30 min
Cuisine: American
Ingredients: 1 pound cheese tortellini; 1/2 pound ground sausage or smoked sausage, sliced; 1/2 red bell pepper, diced; 1/2 yellow bell pepper, diced; 2 cloves garlic, minced; 2 teaspoons Cajun seasoning; 1 cup heavy cream; 4 ounces cream cheese; 1 cup shredded cheddar cheese; 1 tablespoon chopped parsley (optional)

Indulgent, bold, and downright crave-worthy, this Loaded Cajun Alfredo Tortellini Skillet is a rich one-pan dinner that checks every box for comfort food lovers. Juicy chunks of Cajun-seasoned sausage and tender cheese-stuffed tortellini are drenched in a creamy Alfredo sauce that gets a fiery upgrade from Creole-inspired spices. With sweet bell peppers and melted cheddar to seal the deal, this skillet dinner is as easy to make as it is to devour.

Whether you’re throwing together a quick weeknight meal or entertaining guests with a hearty Southern flair, this dish is the kind of showstopper that turns heads at the table. Best of all, it comes together in under 30 minutes and is made entirely in one pan, making cleanup a breeze.

Why You’ll Love This Loaded Cajun Alfredo Tortellini Skillet

One-pan meal: Everything cooks in the same skillet for easy cleanup.
Flavor-packed: The Cajun seasoning adds heat and depth to every bite.
Ultra creamy: Alfredo meets melted cheddar for a sauce that’s rich and irresistible.
Family-friendly: Kids love the cheesy tortellini while adults appreciate the spice.
Quick to prepare: On the table in 30 minutes or less.

What Kind of Tortellini Should I Use?

Refrigerated cheese tortellini works beautifully in this recipe for its quick cooking time and rich filling. Look for packages in the refrigerated pasta section rather than dried or frozen options. Spinach and cheese or three-cheese blends both work great. Avoid frozen unless fully thawed first to prevent excess moisture in your sauce.

Ingredients for the Loaded Cajun Alfredo Tortellini Skillet

Each ingredient in this dish brings texture and flavor that elevate the skillet to a comforting Southern-style meal.

Cheese tortellini: The cheesy pasta serves as a hearty base and soaks up the creamy sauce.
Ground sausage or smoked sausage: Adds protein and that satisfying Cajun bite.
Bell peppers (red and yellow): Provide a sweet crunch and vibrant color.
Garlic: Brings warm, aromatic depth to the Alfredo base.
Cajun seasoning: The star of the show—adds bold, spicy flavor.
Heavy cream: Forms the base of the Alfredo sauce, keeping it rich and velvety.
Cream cheese: Adds body and a slight tang to the sauce.
Shredded cheddar cheese: Melts into the sauce for a creamy, cheesy finish.
Parsley (optional): A fresh garnish to brighten up the richness.

How To Make the Loaded Cajun Alfredo Tortellini Skillet

Step 1: Brown the Sausage

In a large skillet over medium-high heat, cook the sausage until browned and cooked through. If using ground sausage, break it into crumbles. Drain excess grease if needed.

Step 2: Sauté the Veggies

Add chopped bell peppers and garlic to the skillet. Cook until the peppers soften slightly and the garlic becomes fragrant (about 3 minutes).

Step 3: Build the Sauce

Pour in the heavy cream and stir in the cream cheese until fully melted and combined. Add the Cajun seasoning and simmer for a few minutes to thicken.

Step 4: Add the Tortellini

Stir in the cheese tortellini (uncooked if using fresh). Let it simmer in the sauce, covered, for 5–7 minutes until tender.

Step 5: Finish with Cheese

Sprinkle shredded cheddar over the top. Stir gently until melted. Taste and adjust seasoning if needed. Garnish with parsley and serve warm.

Serving and Storing Your Loaded Cajun Alfredo Tortellini Skillet

This dish generously serves 4 to 6 people as a main course. Serve straight from the skillet while hot for the ultimate comfort experience. If you have leftovers, store them in an airtight container in the fridge for up to 3 days. Reheat gently on the stovetop or microwave, adding a splash of cream or milk to loosen the sauce.

Avoid freezing, as the cream-based sauce may separate when thawed.

What to Serve With Loaded Cajun Alfredo Tortellini Skillet?

Garlic Bread

A crusty slice of garlic bread is perfect for mopping up that luscious Cajun Alfredo sauce.

Southern-Style Green Beans

The smoky flavor of green beans with bacon pairs beautifully with the spicy creaminess of this dish.

Caesar Salad

Crisp romaine, tangy Caesar dressing, and crunchy croutons add contrast and freshness.

Roasted Broccoli

A simple roasted veggie adds balance and color to your plate.

Fried Okra

For a truly Southern twist, serve this skillet with crispy fried okra on the side.

Cornbread Muffins

Mild and buttery cornbread muffins tone down the spice and round out the meal.

Want More Pasta Skillet Ideas?

If this Loaded Cajun Alfredo Tortellini Skillet has you craving more creamy, comforting pasta dinners, here are more ideas you’ll love:

Try the Cheesesteak Tortellini in Rich Provolone Sauce for a Philly-inspired twist.
Cozy up with Creamy Beef and Shells that’s perfect for cold nights.
Make weeknights easier with Stovetop Creamy Ground Beef Pasta.
For another Cajun kick, don’t miss the Cajun Shrimp with Garlic Butter Sauce.
Or turn to Beef Pasta in a Creamy Garlic Sauce when you want garlic-heavy goodness.

Save This Pin For Later

📌 Save this recipe to your Pinterest comfort food board so you can find it anytime you need a satisfying dinner.

Let me know in the comments if you added mushrooms or used spicy sausage. Did you go extra on the cheese? I love hearing how others twist this dish into something uniquely theirs.

Explore beautifully curated comfort meals on Nora Nosh Recipes and discover your next dinnertime hero.