Heat a large pot on medium heat and cook the sausage until half browned.
Add the onion and garlic and cook for 5 minutes.
Add the chicken stock, crushed tomatoes, and tomato paste - whisk together.
Season with salt.
Bring to a boil and let simmer for 15 minutes.
Pour in the coconut milk, tortellini, and kale.
Let simmer for 3 more minutes until the kale is wilted and tortellini is cooked.
Season with salt, pepper, red pepper and enjoy!
