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In large Dutch oven, heat oil over medium heat. Add sausage, break apart and cook until browned, about 5 minutes.
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Add garlic, onion and Italian seasoning. Cook about 3 minutes until onions are translucent; season with salt and pepper.
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Whisk in flour until lightly browned, about 1 minute.
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Gradually whisk in chicken stock and tomato sauce.
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Bring mixture to boil for 3 minutes. Reduce heat and simmer, stirring occasionally, until reduced and slightly thickened, about 15 minutes.
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Stir in tortellini; cover and cook until tender, about 5-7 minutes.
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Stir in kale until wilted, about 2 minutes.
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Stir in coconut milk and basil until heated through. Serve immediately.