If using sausage links, remove the casings. In a large pot over medium-high heat, cook the sausage and onion together until the sausage is browned, about 8-10 minutes. Drain excess grease.
Add minced garlic and cook for another minute.
Sprinkle in the flour and stir well, cooking for an additional 1-2 minutes.
Add the basil, oregano, cayenne, hot sauce, mustard powder, pepper, and red pepper flakes. Stir to combine.
Pour in the chicken broth and stir to release any bits stuck to the bottom of the pot. Bring to a boil.
Reduce heat and let simmer for 10 minutes.
Add the heavy cream, kale, and tortellini. Cook for an additional 5-7 minutes until the tortellini is cooked through.
Taste and adjust seasoning with salt as needed.
Serve hot, garnished with additional cheese if desired.
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Notes
Store leftovers in an airtight container in the refrigerator for up to 3-4 days. Freeze for longer storage, up to 3 months.