Brown and drain the sausage.Add the browned sausage to the crock-pot.Add all the other ingredients except the tortellini, cream cheese, and spinach.Last Hour of cooking mix the cream cheese and one cup of the hot broth from the slow cooker to the cream cheese.Mix the broth and cream cheese until smooth and add it to the crock pot.Add the tortellini and spinach.Cook an additional hour on high.Cook about 3 & ½ hours on highs total.