Heat a large heavy bottom pot over medium high heat and add the turkey sausage, breaking it into small pieces as it cooks until fully browned

Transfer the cooked sausage to a plate and set aside while keeping the rendered fat in the pot

Add the chopped carrots and onion to the pot and sauté until softened and fragrant

Stir in the minced garlic and Italian seasoning and cook briefly until aromatic

Sprinkle the flour over the vegetables and return the sausage to the pot, stirring well to coat everything evenly

Slowly pour in the chicken broth while stirring to create a smooth base

Add the tomato paste and mix until fully incorporated into the broth

Reduce heat slightly and stir in the heavy cream to create a rich and creamy texture

Add the cheese tortellini and allow the soup to gently simmer until the pasta is tender

Fold in the chopped kale and let it wilt in the hot soup

Season with salt and black pepper to taste and serve hot