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1. In a 4- to 5-quart slow cooker combine tomatoes, the water, green beans, soup, and sausage.
2. Cover and cook on low-heat setting for 8 to 10 hours or on high-heat setting for 4 to 5 hours.
3. If using low-heat setting, turn to high-heat setting. Stir in cabbage and tortellini. Cover and cook for 15 minutes more. If desired, top each serving with Parmesan cheese.