01 - Lightly grease the slow cooker insert with nonstick spray or butter to prevent sticking.
02 - Arrange the cubed chicken breasts evenly across the bottom of the slow cooker. Sprinkle with salt, black pepper, and Italian seasoning, tossing gently to coat all pieces.
03 - Scatter the minced garlic over the seasoned chicken. Distribute the cubed cream cheese in small dollops across the top so it melts evenly during cooking.
04 - Pour the heavy cream and basil pesto sauce over the chicken mixture. Stir gently to combine all ingredients without breaking up the chicken pieces.
05 - Cover the slow cooker and cook on the LOW setting for 3 hours, allowing the chicken to become tender and the flavors to meld together.
06 - After 3 hours, carefully add the refrigerated cheese tortellini, halved cherry tomatoes, and chopped baby spinach. Fold gently into the sauce to distribute evenly without tearing the pasta.
07 - Sprinkle the shredded mozzarella and grated Parmesan cheese in an even layer across the top of the casserole.
08 - Cover and continue cooking on LOW for an additional 30 to 45 minutes, or until the tortellini is tender and cooked through and the cheese is fully melted and bubbly.
09 - Stir the casserole thoroughly to combine all ingredients before serving. Taste and adjust salt and pepper as needed.