Keto Creamy Grana Padano Tortellini

Prep: 10 minCook: 15 min4 servingsmediumItalian-American
Creamy Grana Padano Tortellini with Tomatoes and Spinach

A rich pasta dish featuring cheese-filled tortellini enveloped in a creamy Grana Padano sauce with diced tomatoes, wilted spinach, and tender artichoke hearts. The half-and-half base creates a luxurious coating while the Italian cheese adds nutty depth. Perfect for weeknight dinners when you want restaurant-quality comfort food, this recipe transforms simple ingredients into an indulgent meal that satisfies both adults and children.

Ingredients

4 servings
  • 1 14.5 ounce can diced tomatoes with basil, garlic and oregano
  • 1 19 ounce bag cheese tortellini, cooked per package instructions
    meat tortellini1:1non-vegetariandairy-free

    adds protein variety

    Full guide →
  • 4 cups spinach, loosely packed
    baby kale1:1nutrient-dense

    slightly more bitter

    Full guide →
  • 1 10-12 ounce jar artichoke hearts, drained and rinsed
  • 1 ½ cups half and half
    heavy cream1:1richer

    creates thicker sauce

    Full guide →
  • 1 ½ cups Grana Padano cheese, grated, divided
    Parmesan cheese1:1vegetarianadds dairy

    similar nutty flavor

    Full guide →
  • 1 large shallot, minced
  • 2 tablespoons olive oil
  • 1 teaspoon salt
  • 1 teaspoons pepper
  • 1 pinch red pepper flakes(optional)

Instructions

  1. 1

    Heat olive oil in large skillet over medium heat until shimmering

  2. 2

    Add minced shallots and sauté until translucent

  3. 3

    Add diced tomatoes and spinach, cook until spinach begins to wilt

  4. 4

    Cut artichoke hearts in half or quarters if large

  5. 5

    Add artichoke hearts to skillet and stir gently to combine, cook briefly

  6. 6

    Season with salt, pepper, and red pepper flakes if using

  7. 7

    Pour in half and half and stir

  8. 8

    When mixture bubbles around edges, add first portion of cheese and stir until melted

  9. 9

    Add second portion of cheese and stir until incorporated

  10. 10

    Add cooked tortellini and gently combine

  11. 11

    Reduce heat to medium low and allow sauce to thicken slightly

  12. 12

    Stir in remaining cheese, taste and adjust seasonings, serve immediately

Tips

Tip 1

Cook tortellini just until al dente since they'll continue cooking in the sauce, preventing mushiness.

Tip 2

Add cheese gradually and stir constantly to prevent clumping and ensure smooth sauce consistency.

Tip 3

Keep heat at medium-low once tortellini is added to prevent sauce from breaking or becoming grainy.

Good to Know

Storage

Refrigerate leftovers for up to 3 days in airtight container

Make Ahead

Can prep vegetables and cook tortellini up to 1 day ahead, combine and heat gently before serving

Serve With

Serve immediately while sauce is creamy and hot, garnish with extra cheese and black pepper

See pairing guide →

Common Mistakes

Watch

Keep heat moderate when adding cheese to avoid sauce breaking and becoming grainy

Watch

Don't overcook tortellini initially since they continue cooking in the sauce

Substitutions

Dairy-Free Swaps

cheese tortellini
meat tortellini1:1non-vegetariandairy-free

adds protein variety

Full guide →

General Alternatives

Grana Padano
Parmesan cheese1:1vegetarianadds dairy

similar nutty flavor

Full guide →
half and half
heavy cream1:1richer

creates thicker sauce

Full guide →
spinach
baby kale1:1nutrient-dense

slightly more bitter

Full guide →
Find more substitutions →

FAQ

Can I use frozen spinach instead of fresh?

Yes, use about 1 cup frozen spinach, thawed and drained well. Add it with the artichokes since it's already wilted.

What if I can't find Grana Padano cheese?

Parmesan cheese works perfectly as a substitute with the same nutty flavor profile and melting properties.

How long will leftovers keep in the refrigerator?

Store covered for up to 3 days. Reheat gently with a splash of half-and-half to restore creaminess.