Tomatoes: Diced Canned Tomatoes and tomato paste.If you hate any kind of leaves skip adding both Kale or Spinach. Chop the leaves roughly before adding them in the dish. Use the Kale leaves and discard the stems. Baby Spinach: Hate Spinach? Kale works as a great spinach substitute.You can sub the oregano with thyme or even the same amount of Italian seasoning. Seasonings: Oregano, Italian seasoning, red pepper flakes for a subtle kick, crushed black pepper & salt according to your own personal taste preference.Spicy or Normal or Sweet Italian Pork Sausage works as a great sub for Italian Turkey Sausage which is what I used to make the creamy tortellini soup. You can use use any Italian Pork Sausage as per your liking. Sausage: I used Spicy and sweet Italian Turkey Sausage.If you do not have access to fresh Tortellini just use frozen tortellini from the freezer section of your supermarket.