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In a Dutch oven, cook the sausage, mushrooms, green pepper, onion and garlic over medium heat until sausage is no longer pink; drain.
Stir in the pasta sauce, water, red pepper and Italian seasoning. Bring to a boil; reduce heat and simmer for 25 minutes, stirring occasionally.
Stir in Parmesan cheese until melted. Divide soup among serving bowls; sprinkle with mozzarella cheese and croutons if desired.
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