Bring a large pot of salted water to a boil. Add tortellini and cook according to package instructions, about 3-5 minutes. Drain and set aside.

In a large skillet, heat olive oil over medium heat. Add ground beef and Italian sausage, breaking apart with a spatula. Cook until fully browned, about 5-7 minutes. Drain excess fat.

Add pepperoni and pizza sauce to the skillet, stirring well. Cook for 2-3 minutes until heated through.

Gently fold in the tortellini, ensuring they are fully coated in the sauce. Cook for about 2 minutes.

Sprinkle mozzarella cheese evenly over the mixture. Cover and cook on low heat for about 5 minutes until cheese is melted.

Remove from heat and let cool for a minute before serving hot, paired with salad or garlic bread.