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    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms

    By Julia | Updated: Feb 15, 2024 | Published: Feb 15, 2024 | 49 Comments

    11.9K shares
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    This post may contain affiliate links. Read my disclosure policy.

    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms is a quick and easy 30-minute ONE-PAN comfort food! This delicious restaurant-quality meal features flavorful, creamy herb sauce made from scratch with fresh thyme and garlic. Try this recipe; it might become a new family favorite recipe for how to prepare pork tenderloin!

    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms - in a cast iron skillet.

    Creamy Pork Tenderloin Medallions - the perfect ONE-PAN dinner!

    The meat is first seared to a perfect golden-brown crust, sealing the moisture and resulting in a tender and juicy pork meat texture. No dry pork in this recipe! Then, you will cook the veggies, orzo, and creamy sauce ingredients in the same pan. Pan-seared pork tenderloins are then combined with a luscious creamy and saucy orzo made with garlic and fresh herbs (thyme). The cleanup is minimal! Only one pan to clean. And, the whole recipe takes just 30 minutes from start to finish. This makes it a perfect choice for a busy weeknight dinner when you run short on time.

    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms - on a white plate.

    Why you'll love this recipe

    • Simple meal. The recipe features basic ingredients found in most grocery stores, including pork tenderloin, orzo, heavy cream, spinach, and mushrooms. Everything is made from scratch, including the creamy sauce with fresh herbs.
    • 30-Minute, One-Pan Meal. I love minimalistic recipes that require minimal cleanup. After you're done cooking and enjoying this delicious meal, there is only one pan to clean, and the whole recipe takes only 30 minutes!
    • Super flavorful. Tender and juicy pork tenderloin medallions are smothered in a garlic and herb cream sauce together with orzo and veggies (spinach and mushrooms). The seasonings are paprika, Italian seasoning, fresh thyme, salt and pepper. This pork recipe is packed with flavor, the meat is juicy and tender, nothing is boring about it!
    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms - in a cast iron skillet.

    Main ingredients

    • Pork tenderloin is a long, thin cut of pork that is perfect for slicing into medallions. I used 1 lb, and sliced it into 1-inch rounds.
    • Orzo. Orzo is a small, rice-shaped pasta. Gluten-free orzo is available as well.
    • Half-and-half provides the desired creaminess. You can also use ¼ cup of milk + ¼ cup of heavy cream instead of ½ cup of half-and-half.
    • Fresh spinach. It's wilted right in the sauce.  You can also use frozen spinach - thawed and drained of any liquid. Kale or arugula works, too.
    • Mushrooms. I used fresh baby Bella mushrooms, but you can also use portobello, cremini, or shiitake mushrooms.
    • Olive oil is used for pan-searing the pork tenderloin medallions and sauteeing mushrooms.
    • Chicken broth is used to cook the orzo. You can also use vegetable or beef broth (or stock). Or, even water if don't have chicken stock available.
    • Italian seasoning adds a ton of flavor to this dish.
    • Paprika adds color and so much flavor.
    • Garlic. I used fresh minced garlic. It adds aroma and pungency to any dish.
    • Salt and pepper. Use those to taste. I recommend using freshly ground or coarse black pepper.
    • Red pepper flakes will add heat. Use these sparingly to taste so that they don't overwhelm the dish.
    • Fresh thyme adds a ton of flavor and pairs well with the pork tenderloin. I highly recommend not skipping it.

    Cooking tips

    • Use a cast-iron skillet. I've pan-seared pork in a stainless steel pan and a cast-iron skillet, and the results are definitely better if you cook it in a cast-iron skillet. A cast-iron skillet is great for searing meats.
    • How do you know when pork is cooked? Pork chops are cooked when they register an internal temperature of 145 F using a food thermometer.
    • Dairy-free option. To make this dairy-free, use unsweetened coconut milk or coconut cream. Oat, cashew, and almond milk work, too.
    • Stir orzo often when you cook it in a chicken broth; otherwise, it might stick to the bottom of the cooking pan.
    • The sauce will thicken as the creamy orzo cools. In this case, add a splash of extra half-and-half, milk, or chicken broth to thin it out before serving.
    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms - in a cast iron skillet.

    How to make it gluten-free

    Gluten-free orzo is available online or in some grocery stores. Just make sure to check the label. You can also use jasmine or basmati rice. All other ingredients are naturally gluten-free.

    How to make it dairy-free

    Use unsweetened coconut milk, oat, cashew, or almond milk instead of half-and-half.

    Variations, substitutions, and add-ins

    • Veggies. My favorites are arugula, kale, asparagus, broccoli, bell peppers (in addition to spinach and mushrooms).
    • Heavy cream or half-and-half - either works fine.
    • Sprinkle with freshly grated cheese: Parmesan, Asiago, Gruyere, or Pecorino Romano.
    • You can add other toppings, such as fresh herbs (basil, thyme, or oregano), chopped green onions, or chopped chives.
    • Make it spicy. Red pepper flakes will add heat and flavor! Use these sparingly to taste so that they don't overwhelm the dish.

    Storage and reheating tips

    • Fridge. Store the leftovers in an airtight container for up to 3 days.
    • Freezer. I do not recommend freezing this dish because that will alter the texture of the sauce and will dry out the pork.
    • Reheat on the stovetop. It's best to reheat creamy pork tenderloin medallions on low heat in the skillet on the stovetop to prevent the sauce from separating. When reheating, add extra half-and-half to thin out the sauce. After being refrigerated, the creamy orzo sauce will thicken. Reheat it slowly, over low-medium heat in a high-sided skillet on the stovetop. Do not overheat - or the sauce will separate and turn greasy. When reheating, add a small amount of half-and-half, milk, or broth to thin out the sauce.
    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms - on a white plate.

    What side dishes to serve with creamy pork tenderloin medallions

    • Potatoes are a perfect side dish for pork recipes. I recommend my Parmesan mashed potatoes with roasted garlic or these easy scalloped potatoes.
    • Roasted veggies are another great option. Try this oven-roasted asparagus with cheese and bacon or light and refreshing Parmesan green beans with pine nuts.

    Serve a side salad

    Make a fresh salad to cut the richness of the creamy pork tenderloin medallions. Here are my top recommendations:

    • Apple Spinach Salad
    • Tomato Cucumber Avocado Salad
    • Strawberry Spinach Salad with Pecans and Balsamic Dressing

    Other pork recipes you might like

    • Bacon and Mushroom Smothered Pork Chops
    • Honey-Lime Pork Chops
    • Creamy Mushroom Pork Chops
    • Pork Chops with Caramelized Apples
    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms - in a cast iron skillet.
    4.40 from 122 votes

    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms

    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms is a quick and easy 30-minute ONE-PAN comfort food! This delicious restaurant-quality meal features flavorful, creamy herb sauce made from scratch with fresh thyme and garlic. Try this recipe; it might become a new family favorite recipe for how to cook pork tenderloin!
    Print Recipe Pin Recipe Save RecipeSaved!
    Prep Time 10 minutes mins
    Cook Time 20 minutes mins
    Total Time 30 minutes mins
    Course Main Course
    Cuisine American
    Servings 4
    Calories per serving 474 kcal
    Author: Julia

    Ingredients

    Pork

    • 1 lb pork tenderloin
    • 3 tablespoons olive oil separated
    • salt and freshly ground black pepper

    Mushrooms

    • 1 tablespoon olive oil
    • 8 oz baby bella mushrooms or crimini
    • salt and pepper

    Creamy orzo

    • 1 cup orzo uncooked
    • 2 cups chicken broth
    • 5 cloves garlic minced
    • ½ teaspoon Italian seasoning or Herbs from Provence
    • 1 teaspoon fresh thyme no sprigs, just leaves
    • ½ teaspoon paprika or more
    • ¼ teaspoon salt to taste
    • 5 oz fresh spinach
    • ½ cup half-and-half
    • ¼ teaspoon red pepper flakes to taste
    • fresh thyme
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    Instructions 

    Cook pork tenderloin

    • Heat a large cast iron skillet on medium-high heat. Slice pork tenderloin into 1-inch rounds (medallions). Coat the medallions with 1 tablespoon of olive oil and season generously with salt and freshly ground black pepper.
    • Add 2 tablespoons of olive oil to the hot skillet. Add seasoned pork tenderloin medallions. Cook the pork for about 4 minutes per side. Remove from the skillet.

    Cook mushrooms

    • Add 1 tablespoon of olive oil and sliced mushrooms to the same, now empty, skillet. Cook sliced mushrooms, generously seasoned with salt and pepper, on medium-high heat for about 1 or 2 minutes until lightly browned and softened. Remove half of the cooked mushrooms from the skillet to a plate.

    Make creamy orzo

    • To the same skillet with half of the cooked mushrooms, add uncooked orzo, chicken broth, minced garlic, Italian seasoning, fresh thyme, paprika, and ¼ teaspoon salt.
    • Bring to a boil, then reduce to a simmer (medium-low) and cook for about 5 or 10 minutes, occasionally stirring to prevent the orzo from sticking to the bottom of the pan, until the orzo is cooked through.
    • Add fresh spinach during the last 5 minutes of cooking the orzo.
    • Add ½ cup of half-and-half. Stir everything on low-medium heat.
    • Season with salt and more paprika, if desired.

    Assembly

    • Stir in the remaining half of the cooked mushrooms. Add pork tenderloin medallions to the orzo and cook them on medium heat for about 4 minutes until they are cooked through but not overcooked (a fine line!).
    • When serving, sprinkle a small amount of red pepper flakes over the pork and orzo, and top with fresh thyme.

    Notes

    • What is half-and-half? Use ¼ cup of milk + ¼ cup of heavy cream instead of ½ cup of half-and-half.
    • Make it DAIRY-FREE. You can use unsweetened coconut milk, oat, cashew, or almond milk instead of half-and-half.
    • Make it GLUTEN-FREE. Use GF orzo or cooked rice (jasmine or basmati).

    Nutrition

    Nutrition Information
    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms
    Amount per Serving
    Calories
    474
    % Daily Value*
    Fat
     
    23
    g
    35
    %
    Saturated Fat
     
    6
    g
    38
    %
    Trans Fat
     
    0.04
    g
    Polyunsaturated Fat
     
    3
    g
    Monounsaturated Fat
     
    13
    g
    Cholesterol
     
    87
    mg
    29
    %
    Sodium
     
    696
    mg
    30
    %
    Potassium
     
    1072
    mg
    31
    %
    Carbohydrates
     
    35
    g
    12
    %
    Fiber
     
    3
    g
    13
    %
    Sugar
     
    4
    g
    4
    %
    Protein
     
    33
    g
    66
    %
    Vitamin A
     
    3623
    IU
    72
    %
    Vitamin C
     
    12
    mg
    15
    %
    Calcium
     
    111
    mg
    11
    %
    Iron
     
    3
    mg
    17
    %
    * Percent Daily Values are based on a 2000 calorie diet.

    Nutrition Disclaimer:

    The nutritional information on this website is only an estimate and is provided for convenience and as a courtesy only. The accuracy of the nutritional information for any recipe on this site is not guaranteed. It should not be used as a substitute for a professional nutritionist's advice.

    Keyword how to cook pork tenderloin, pork tenderloin, pork tenderloin medallions
    Creamy Pork Tenderloin Medallions with Orzo, Spinach, and Mushrooms - in a cast iron skillet.
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      Recipe Rating




    1. Tom

      March 03, 2025 at 11:01 pm

      OMG -- what a great recipe!

      1. I had two pounds of tenderloin, but didn't want to double the rest of the recipe. Now that it's over, the orzo was SOOO good I wish I had twice as much.
      2. There is a thing as too much meat when you have orzo THAT good.
      3. I added some parmesan cheese -- great stuff
      4. I used whipping cream -- half-and-half is for kids
      5. Without a skillet the pan got hot, so too much of the broth evaporated. I supplemented with beer and white wine -- whatever I was holding at the time.
      6. It took me a little longer than 30 minutes. I think 40-45 minutes is plenty of time. Luckily, we like eating later so I didn't start until 6:30PM.
      6. Did I mention how terrific it was? My wife and son both thought it was good enough for company.

      Reply
    2. Delta

      January 29, 2025 at 10:58 pm

      Bad website. Site crashes too much. Recipe good.

      Reply
    3. Susie

      January 19, 2025 at 8:01 pm

      I made this recipe for dinner tonight. My husband and I both enjoyed it.... but I couldn't help but wonder, in the ingredient list Paprika was mentioned and that's what I used. But later in the instructions it says to add more "Smoked Paprika," to taste. Was it supposed to be Smoked Paprika in the recipe?
      I would make this again, but I sure would appreciate a clarification on the Paprika. Thanks.

      Reply
      • Linda

        February 21, 2026 at 7:22 pm

        I have the same question but don't see the response.

        Reply
        • Julia

          February 28, 2026 at 7:01 pm

          Hi Linda! I used regular paprika, but smoked paprika would also be good!!

          Reply
    4. P Stacy

      January 03, 2025 at 9:21 pm

      Delicious and easy to make! I only made one addition, I deglazed the pan with white wine after cooking the pork, before adding the mushrooms.

      Reply
    5. Gail Miles

      November 11, 2024 at 4:59 am

      Hi - would this work with natural yoghurt (we don't have half in half in UK), or would single cream be better?

      Reply
      • Julia

        November 11, 2024 at 6:51 pm

        Hi Gail! Single cream would be better and would work great here!

        Reply
    6. Denise Wiggins

      November 10, 2024 at 6:30 am

      I have tried other recipes of yours and everything has been DELICIOUS!! I want to try this but the hubby doesn't like rice. Would pasta, bowtie, angel hair be a good substitute? What are your suggestions?

      Reply
      • Julia

        November 10, 2024 at 7:54 pm

        Hi Denise! This recipe actually uses pasta - orzo is pasta! It's just shaped as rice but it's ot rice. You can also use other short-cut pasta like penne or bow-tie.

        Reply
    7. Ginny

      May 31, 2024 at 5:20 am

      Mine was not as pretty as the picture...but it was a great weeknight meal! Thank you.

      Reply
      • Julia

        June 01, 2024 at 8:55 pm

        Ginny, I am so glad you enjoyed it! Thank you for your review! 🙂

        Reply
    8. Ben M

      May 20, 2024 at 7:17 am

      This is the fifth or sixth recipe I’ve tried since joining your mailing list, and I think it is my favorite. Followed the recipe exactly and it came out practically perfect. Pork was tender and juicy and once simmered and thickened, the sauce/gravy was creamy and delicious.

      Reply
      • Julia

        May 21, 2024 at 5:23 pm

        Thank you, Ben, for such a wonderful review! Glad you're finding many recipes you like on my site. 🙂

        Reply
    9. Margery Pearl Gurnett

      May 19, 2024 at 7:37 pm

      HI- I cooked this tonight and it took me 40 minutes including the mise en place. I found it good, but I felt like it was missing something. I am not sure what it was. Maybe more paprika... It was just a bit bland.

      Reply
      • Julia

        May 21, 2024 at 5:30 pm

        Thanks for your feedback, Margery! Yes, you could add more paprika next time, or smoked paprika, or non-spicy chili powder, or garlic powder for more flavor.

        Reply
    10. Sandy C

      May 14, 2024 at 11:46 am

      I made it exactly per the recipe. It’s so easy; I love one-pan meals! It was super delicious and a new way to prepare pork loin for me. We loved it, and it will definitely be in the meal rotation from now on. We paired it with a nice Sancerre, which complemented the meal perfectly.

      Reply
      • Julia

        May 15, 2024 at 6:24 pm

        Sandy, I am so glad you tried and enjoyed this recipe! 🙂 Thank you for taking the time to share your review.

        Reply
    11. Lisa

      April 29, 2024 at 3:33 pm

      I live in Mexico, in a small town. I made the recipe without the orzo as it is unavailable here.
      I used mash potatoes as a base, cooked separately of course. And just made the rest of the recipe with the sauce and without the orzo.
      Can you suggest an orzo substitute?
      Lisa

      Reply
      • Julia

        May 04, 2024 at 12:24 pm

        Hi Lisa! The best orzo substitute would be long-grain rice, such as jasmine or basmati. Or, abrorio rice.

        Reply
    12. Penelope

      April 20, 2024 at 5:59 pm

      I didn't have pork tenderloin on hand so I used polish sausage and peas...very good!

      Reply
      • Julia

        April 20, 2024 at 11:32 pm

        This is a great recipe to make with sausage, I agree!

        Reply
    13. Suzanne Kaminski

      March 31, 2024 at 2:22 pm

      This was really delicious.

      Reply
      • Julia

        April 02, 2024 at 2:39 pm

        So glad! 🙂

        Reply
    14. Joseph

      March 17, 2024 at 8:36 pm

      hello from TEXAS. goin in with barese swiss chard Italian chard , spinach like leaf with a white stem will pick tomorrow. I think this will turn out good will post results you post good recipes Creative as well. Ive been cooking for 72 years knew James Beard in early 70s. bet ya didn't know he Hated the smell of garlic on he's hands , thank you for being you Chef. Joseph !!

      Reply
      • Julia

        March 18, 2024 at 3:14 pm

        Hello, Chef Joseph! I hope you did try this recipe and that it turned out well! 🙂

        Reply
    15. Margit Kvinesdal

      February 18, 2024 at 1:49 pm

      Hi Julia!
      We live in Denmark and have tried a lot of your receipes!
      We love them - because it is easy to make a delicius meal in no time!
      Love Margit

      Reply
      • Julia

        February 18, 2024 at 3:42 pm

        Margit, so glad I have a follower in Denmark. ❤️ Thank you for stopping by and sharing this encouraging comment! ❤️❤️

        Reply
    Newer Comments »

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    Julia is the author of JuliasAlbum.com (a food blog focused on easy dinner recipes, pasta dishes, salads made with seasonal ingredients). In this photo, Julia is pictured wearing a yellow sweater against an Autumn background.

    Hi, I'm Julia!

    I am a full-time food blogger living in beautiful Colorado. I focus primarily on savory recipes (protein-based & fiber-rich main dishes, pasta, salads) using fresh & seasonal ingredients. A food blogger since 2012, I help home cooks create well-balanced and visually appealing dinners (many of which are 30-minute ONE-PAN meals). Find out more about me and my cooking philosophy. 

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