Prep the Turkey: Sprinkle baking soda over ground turkey (optional) and mix in. In a skillet, sauté onion, then garlic. Add turkey and cook until browned. Stir in Italian seasoning and red pepper flakes.
Build the Soup Base: Transfer browned mixture to slow cooker. Add stewed tomatoes, cream cheese, and chicken broth. Stir to combine.
Cook: Cook on low for 4-8 hours, stirring occasionally if possible to help the cream cheese melt fully.
Add Spinach & Tortellini: About 15 minutes before serving, blend spinach (if desired) and stir into soup. Add fresh tortellini. *If using frozen or dried tortellini: add 25–30 minutes before serving.
Finish & Serve: Stir gently, let everything heat through, and serve warm with sourdough bread.