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In a skillet over medium heat, cook the ground beef or Italian sausage until it's browned and no longer pink. Drain any excess fat.
In your slow cooker, add the cooked meat, marinara sauce, and diced tomatoes. Stir to combine.
Add the cheese tortellini to the slow cooker and stir gently to coat the tortellini with the sauce mixture.
Sprinkle the garlic powder, onion powder, salt, and pepper over the top, then pour in the heavy cream. Mix everything gently.
Cover and cook on low for 4 hours.
About 30 minutes before serving, sprinkle the shredded mozzarella and Parmesan cheese over the top. Cover again and let the cheese melt into gooey perfection.
Once everything is hot and bubbly, give it a final stir. Serve warm, garnished with fresh basil or parsley if desired.