Tortelli cremaschi is a traditional pasta dish originating from Crema. The dough for the tortelli is made from white flour, semolina flour, eggs, olive oil, and salt. Once prepared, it's rolled and filled with a combination of cocoa amaretti (amaretti Gallina), mostaccino biscuit with spices, raisins, Marsala or dry anise liquor, candied lemon, mint, and grated Grana Padano cheese.

The tortelli are pinched by hand and sealed, then boiled in water. They're usually served in a butter and sage sauce.