Hand crush the tomatoes with sauce in a mixing bowl and prep all the other ingredients ready to be added to the pot. (the work is over)
Heat a large pot or Dutch oven over medium-high heat. Add the sausage, breaking it up into crumbles using a wooden spatula and cook through (about 5-6 minutes)
Turn the heat to medium and add the onion and cook until translucent and sausage lightly browned. Then add the garlic, basil, oregano, salt and pepper to the sausage and rendered fat and cook until fragrant, stirring frequently for about 1 minute.
Add the hand crushed tomatoes with sauce, chicken broth and parmesan rind (if using) to the pot and stir. Bring to a gentle boil, then turn the heat to low and simmer uncovered for about 10 minutes.
Add the tortellini to the simmering broth until the tortellini floats on the surface and cook al dente.
Remove the pot from the heat and stir in the heavy cream and grated parmesan until smoothly integrated and velvety.
Taste the broth and adjust any seasonings to taste.
Serve in a soup bowl and top with some shredded parmesan and a pinch of oregano or black pepper. Serve.