
This hearty Meat Lovers Pizza Tortellini combines two comfort food favorites into one irresistible dish. The cheesy tortellini swimming in savory pizza sauce with all your favorite meat toppings creates a meal that satisfies even the most devoted pizza enthusiasts while delivering the comforting appeal of pasta.
I created this recipe when my teenagers were complaining about having to choose between pizza and pasta for dinner. This compromise became an instant household favorite that everyone requests at least twice a month.
Ingredients
- Cheese tortellini: for that extra layer of rich creaminess that regular pasta just cannot provide
- Italian ground sausage: adds traditional pizza flavor with perfect seasoning already incorporated
- Ground beef: creates hearty texture and satisfying protein base
- Yellow onion: provides essential savory foundation when caramelized properly
- Pizza sauce: ties everything together with classic Italian tomato flavor
- Mozzarella cheese: creates that stretchy pizza experience we all crave
- Bacon pieces: add smoky depth and irresistible crunch
- Fresh minced garlic: infuses aromatic flavor throughout the dish
- Italian seasoning blend: ensures authentic pizza parlor taste
- Pepperoni slices: deliver that classic pizza topping flavor and appearance
Step-by-Step Instructions
- Boil the Tortellini:
- Fill a large pot with water, add a generous pinch of salt, and bring to a rolling boil. Add tortellini and cook according to package directions, usually 7 to 9 minutes until they float to the top and are tender but still slightly firm. Drain thoroughly but do not rinse to preserve the starchy exterior that helps sauce adhere.
- Prepare the Meat Mixture:
- Heat olive oil in a large deep skillet over medium heat until shimmering. Add diced onions and cook for 4 to 5 minutes until they become translucent and begin to caramelize at the edges. Add the ground beef and Italian sausage, breaking it apart with a wooden spoon into small crumbles. Cook for 8 to 10 minutes until completely browned with no pink remaining. Stir in minced garlic and Italian seasoning and cook for 30 seconds until fragrant. Carefully drain excess grease using a colander or by tilting the pan and removing with a spoon. Return the meat mixture to the skillet and stir in the cooked bacon pieces.
- Combine and Simmer:
- Pour the pizza sauce over the meat mixture and stir to combine thoroughly. Reduce heat to medium low and allow the sauce to simmer for 2 to 3 minutes to meld flavors. Gently fold in the cooked tortellini, being careful not to break the pasta. Stir until each tortellini is well coated with sauce. Allow the mixture to simmer for another 2 minutes to ensure everything is heated through.
- Top and Melt:
- Sprinkle the mozzarella cheese evenly over the entire surface of the dish. Arrange pepperoni slices decoratively on top of the cheese. Cover the skillet with a lid and turn off the heat. Let stand for 2 to 3 minutes until the cheese has fully melted and become gooey. The residual heat will melt the cheese perfectly without overcooking the pasta.
- Serve:
- Use a large spoon to portion the tortellini mixture into bowls or plates while still hot. The cheese should be stretchy and the sauce bubbling around the edges. If desired, sprinkle with a little fresh chopped parsley or basil for color and freshness.

The Italian sausage is truly the secret ingredient in this recipe. I discovered this when I once tried to make it with just ground beef and the flavor profile was completely different. The blend of spices in quality Italian sausage creates that authentic pizza shop taste that makes everyone come back for seconds.
Make Ahead Options
This dish works wonderfully as a make ahead meal. Prepare everything through the combining and simmering stage, then cool completely before refrigerating. When ready to serve, reheat in a covered skillet over medium-low heat, then add the cheese and pepperoni for the final melting stage. The flavors actually develop further overnight, making it taste even better the next day.
Creative Variations
While this recipe focuses on the classic meat lovers combination, you can easily adapt it to other favorite pizza styles. Try a Hawaiian version with diced ham and pineapple, or a veggie lover's option with bell peppers, mushrooms, and black olives. For spice enthusiasts, add red pepper flakes or sliced jalapeños. The pizza sauce and cheese base works beautifully with countless topping combinations.
Serving Suggestions
This hearty dish stands perfectly on its own, but pairs wonderfully with a simple green salad dressed with Italian vinaigrette to cut through the richness. Garlic bread makes an excellent accompaniment for soaking up any extra sauce. For an extra special touch, serve in wide bowls with a sprinkle of grated Parmesan and fresh basil on top.

Freezer Friendly Meal Prep
This recipe freezes exceptionally well for future meals. Portion cooled leftovers into individual freezer safe containers without the melted cheese topping. When ready to enjoy, thaw overnight in the refrigerator, then reheat in the microwave or stovetop. Add fresh cheese and pepperoni before the final heating for best results. Frozen portions will keep well for up to three months.
Frequently Asked Questions
- → Can I use any type of tortellini for this dish?
Yes, you can use cheese, spinach, or meat-filled tortellini based on your preference. Cheese tortellini is a popular choice for this dish.
- → Can I make this dish ahead of time?
Absolutely. Prepare the dish, let it cool, and store it in the refrigerator. Reheat with cheese and pepperoni added just before serving.
- → Can I substitute the ground beef and sausage?
Yes, you can substitute these with ground turkey, chicken, or plant-based alternatives for a variation.
- → What other cheeses can I use?
Besides mozzarella, you can use provolone, Parmesan, or a blend of Italian cheeses for added flavor.
- → How do I store leftovers?
Store leftovers in an airtight container in the refrigerator for up to 3 days. Reheat thoroughly before serving.
- → Can I freeze this dish?
Yes, let the dish cool completely before transferring it to a freezer-safe container. Reheat thoroughly and add cheese and pepperoni during reheating.