
This hearty Meat Lovers Pizza Tortellini combines two family favorites into one irresistible dish. The pillowy cheese-filled pasta mingles with all your favorite pizza toppings in a saucy, cheesy skillet meal that satisfies even the most devoted pizza enthusiasts.
I created this recipe during a particularly busy sports season when my family needed something substantial but I had minimal time to cook. Now it's requested at least twice a month, especially before big games.
Ingredients
- 12 ounces tortellini pasta: choose cheese filled for authentic pizza flavor
- 1/2 pound Italian ground sausage: adds that classic pizza parlor taste
- 1/2 medium yellow onion: diced for sweet aromatic foundation
- 1 pound ground beef: provides hearty texture and protein
- 1 tablespoon olive oil: helps develop flavor when sautéing
- 2 cups mozzarella cheese: use freshly shredded for best melting
- 1/2 cup cooked chopped bacon: adds smoky depth
- 1 tablespoon minced garlic: fresh provides the best flavor
- 1 teaspoon Italian seasoning: creates that authentic pizza profile
- Sliced pepperoni as desired: the quintessential pizza topping
- 24 ounces pizza sauce: look for one with minimal added sugar
Step-by-Step Instructions
- Cook the Tortellini:
- Boil tortellini according to package directions until just tender. Be careful not to overcook as they'll continue cooking in the sauce later. Drain thoroughly and set aside, tossing with a tiny splash of olive oil if they're sticking together.
- Prepare the Meat Mixture:
- In a large skillet over medium high heat, warm olive oil until shimmering. Add diced onions and cook for 3 to 4 minutes until they begin to soften and become translucent. Add ground beef and Italian sausage, breaking up the meat with a wooden spoon as it cooks. Continue cooking for about 7 minutes until meat is fully browned and crumbled. Stir in minced garlic and Italian seasoning, cooking for an additional 30 seconds until fragrant. Carefully drain excess grease from the pan and return the mixture to the skillet. Stir in the cooked bacon.
- Create the Sauce Base:
- Pour pizza sauce into the meat mixture and stir to combine thoroughly. Gently fold in the cooked tortellini, being careful not to break the pasta. Allow everything to simmer together for about 2 minutes, letting the flavors meld while ensuring the tortellini is well coated with sauce.
- Add the Cheese Topping:
- Evenly sprinkle mozzarella cheese over the entire mixture, then arrange sliced pepperoni on top to mimic a traditional pizza. Cover the skillet with a lid and turn off the heat. Let stand for about 2 minutes until cheese is completely melted and gooey.

The Italian sausage is truly the secret ingredient in this recipe. My grandfather was from Sicily and always insisted that quality sausage with the right blend of fennel and spices was what separated a good Italian dish from a great one. Whenever I make this, I'm reminded of Sunday dinners at his house where food always brought everyone together.
Make Ahead Options
This dish is perfect for busy weeknights because you can prepare components ahead of time. Brown the meat mixture up to two days before, storing it in the refrigerator. When ready to serve, reheat the meat mixture in your skillet, add the freshly cooked tortellini and sauce, then top with cheese and pepperoni. This cuts your active cooking time in half.
Customization Ideas
Think of this recipe as a canvas for your favorite pizza toppings. For vegetable lovers, add sautéed mushrooms, bell peppers, or black olives. Spice enthusiasts might enjoy adding red pepper flakes or hot Italian sausage instead of the regular variety. For a white pizza version, replace the pizza sauce with a garlic alfredo sauce and add spinach. The possibilities are endless.
Serving Suggestions
While this dish is certainly satisfying on its own, a simple green salad with Italian dressing makes the perfect accompaniment. For a complete pizzeria experience, serve with garlic bread or breadsticks for dipping into any extra sauce. A sprinkle of freshly grated Parmesan and chopped fresh basil just before serving elevates the presentation and adds a final layer of flavor.

Storage Guidelines
The tortellini will continue to absorb sauce as it sits, making leftovers even more flavorful. Store in an airtight container in the refrigerator for up to 3 days. When reheating, add a splash of water or extra pizza sauce to loosen the mixture as needed. For longer storage, freeze in portion sized containers for up to 2 months, thawing completely in the refrigerator before reheating.
Recipe FAQs
- → Can I use different types of tortellini for this dish?
Absolutely! While cheese tortellini works wonderfully, you can experiment with other varieties like spinach, mushroom, or even meat-filled tortellini. Each will add a different flavor dimension to the final dish.
- → How can I make this dish less heavy?
For a lighter version, use lean ground beef (90/10 or leaner), turkey Italian sausage instead of pork, and reduced-fat mozzarella. You can also increase the ratio of pasta to meat and add some vegetables like bell peppers or mushrooms.
- → What sides pair well with this tortellini dish?
A simple green salad with Italian vinaigrette makes a perfect contrast to the rich flavors. Garlic bread, roasted vegetables, or a light Caesar salad would also complement this hearty main course nicely.
- → Can I make this dish vegetarian?
Yes! Substitute the meats with plant-based alternatives or hearty vegetables like mushrooms, zucchini, eggplant, and bell peppers. You'll still get a delicious meal with all the Italian pizza flavors.
- → How should I reheat leftovers?
For best results, reheat in a covered skillet over medium-low heat with a splash of water to prevent drying. Alternatively, microwave in a covered container at 70% power, stirring halfway through. If reheating from frozen, thaw overnight in the refrigerator first.
- → Can I use homemade pizza sauce instead of store-bought?
Definitely! Homemade pizza sauce can elevate this dish even further. A simple sauce made from crushed tomatoes, garlic, Italian herbs, and a pinch of sugar works beautifully and allows you to control the flavor profile.