If you’re searching for a dish that perfectly marries comfort and sophistication, the Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe is an absolute treasure. This hearty, warmly spiced pasta sauce harmonizes the sweetness of pumpkin puree with the savory depth of Italian sausage and the earthy aroma of fresh sage. Luxuriously creamy and just a touch nutmeg-kissed, it transforms simple pasta into a feast that feels both indulgent and nourishing. Whether you’re craving a cozy weeknight supper or inviting friends over for a seasonal celebration, this recipe shines with irresistible flavor and satisfying textures.

Ingredients You’ll Need
Putting together this wonderful Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe is straightforward with everyday ingredients that each bring their own magic to the dish. Every item plays a role in crafting that perfect balance of richness, spice, and freshness that makes this sauce shine.
- Medium-shaped pasta (1 pound): Choose shapes like penne or rigatoni to hold the luscious sauce well.
- Bulk Italian sausage, mild or hot (1 pound): Provides the hearty, savory backbone and a bit of spice if you like heat.
- Minced garlic (4 cloves): Adds fragrant warmth and depth to the sauce base.
- Chopped medium onion (1): Offers sweetness and texture, softening as it cooks.
- Dried bay leaf (1): Infuses subtle herbal notes that elevate the sauce complexity.
- Chopped fresh sage (¼ cup): Imparts earthy, woodsy flavor that pairs beautifully with pumpkin and sausage.
- Dry white wine (1 cup): Helps deglaze the pan while adding brightness and acidity to balance richness.
- Chicken stock (1 cup): Builds a savory, umami foundation for the sauce.
- Pumpkin puree (1 cup): Brings creaminess, a hint of sweetness, and that unmistakable seasonal charm.
- Heavy cream (½ cup): Creates the rich, velvety texture that makes this sauce truly indulgent.
- Ground nutmeg (½ teaspoon): Adds a warm, subtle spice that complements the pumpkin beautifully.
- Salt and pepper: Essential for seasoning and enhancing all the flavors.
- Parmesan cheese (for garnish): A salty, nutty topping that finishes the dish perfectly.
How to Make Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe
Step 1: Cook the Pasta
Start by cooking your pasta according to the package instructions until it’s al dente—tender but with a little bite. This step ensures that your noodles will hold up beautifully when tossed with the luscious sauce later. Drain the pasta and set it aside, keeping it warm to absorb all the flavors.
Step 2: Brown the Sausage and Sauté Aromatics
In a large pot over medium heat, brown the bulk Italian sausage. This gives your dish that fabulous savory foundation and crispy edges full of flavor. Once the sausage is beautifully browned, add the minced garlic and chopped onion. Cook them together for about 3 minutes until fragrant and translucent, creating a soft, flavorful base for the sauce.
Step 3: Add Herbs and Wine, Then Reduce
Next, toss in the dried bay leaf and fresh sage, stirring them through so their aromas bloom. Pour in the dry white wine, then let it simmer and reduce by half—this concentrates the wine’s brightness and helps meld the flavors together over roughly 10 minutes. It’s this step that gives the sauce a beautiful balance between the rich and the bright.
Step 4: Stir in Stock, Pumpkin, and Cream
Now the sauce starts to come alive as you stir in chicken stock, pumpkin puree, and heavy cream until completely combined. Season with the ground nutmeg, salt, and pepper to taste. Allow the sauce to simmer gently for 5 to 10 minutes, thickening slightly and deepening flavors, so every bite is so comforting and complex.
Step 5: Combine Pasta and Sauce
Finally, add the cooked pasta directly into the pot with the sauce, tossing everything together to coat each piece in that creamy, spiced goodness. Heat it all through for a couple of minutes, then remove the bay leaf—you want fragrance, but not an overwhelming herbal bite. It’s now time to plate up this rich, flavorful wonder.
How to Serve Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe
Garnishes
Sprinkle freshly grated Parmesan cheese over the top to add a sharp, salty contrast that perfectly balances the creamy sauce. You can also add a few extra leaves of fresh sage for a pop of color and comforting aroma. A little cracked black pepper on top brings a final flourish.
Side Dishes
Serve this pasta with a simple green salad dressed lightly with lemon vinaigrette to cut through the richness. Garlic bread or a warm crusty loaf is always a winner for sopping up every last bit of sauce. Roasted Brussels sprouts or sautéed kale also complement the hearty flavors beautifully.
Creative Ways to Present
For a festive touch, plate the pasta in shallow bowls and drizzle a bit more cream or a touch of browned butter on top. You could even sprinkle toasted pepitas or walnuts for an unexpected crunch and earthy note. This Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe shines beautifully with little twists that make it your own.
Make Ahead and Storage
Storing Leftovers
Transfer any leftover pasta and sauce to an airtight container and refrigerate for up to 3 days. The flavors may even deepen overnight, making it a delicious next-day meal. To keep pasta from absorbing too much sauce, store the sauce separately if possible.
Freezing
This Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe freezes well if you want to prepare in advance. Freeze the sauce alone in airtight containers or freezer bags for up to 2 months. Pasta can become mushy when frozen, so it’s better to freeze separately or cook fresh pasta upon reheating.
Reheating
When ready to enjoy leftovers, gently reheat the sauce on low heat to prevent curdling and add a splash of chicken stock or cream if it seems thick. If combining with pasta, warm the noodles separately before tossing to maintain perfect texture and flavor.
FAQs
Can I use turkey sausage instead of Italian sausage?
Absolutely! Turkey sausage will give a leaner option and a slightly different flavor profile but will still work wonderfully with the pumpkin and sage.
Is it possible to make this recipe vegetarian?
You can skip the sausage and add mushrooms or plant-based sausage alternatives for that savory element, keeping the dish deliciously hearty and satisfying.
What pasta shapes work best with this sauce?
Medium to large shapes like penne, rigatoni, or farfalle are ideal because they catch the creamy sauce well, making every bite flavorful.
Can I substitute coconut milk for heavy cream?
You can try coconut milk for a dairy-free twist, but it will change the flavor slightly, adding a hint of sweetness that pairs nicely if you enjoy a more tropical note.
How spicy is this dish if I use hot Italian sausage?
Using hot Italian sausage adds a mild to moderate heat level that enhances the dish without overpowering the cozy pumpkin and sage flavors. Adjust according to your spice preference.
Final Thoughts
There’s something truly heartwarming about the Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe that makes it a go-to whenever you want to impress or simply treat yourself to something special. It’s rich, comforting, and bursting with flavors that welcome the changing seasons. Trust me, once you try this, it’ll find a permanent spot in your recipe collection!
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Creamy Pumpkin Pasta Sauce with Sausage & Sage Recipe
- Prep Time: 10 minutes
- Cook Time: 30 minutes
- Total Time: 40 minutes
- Yield: 6 servings
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian-American
Description
This creamy pumpkin pasta sauce with sausage and sage is a comforting and flavorful dish perfect for fall and winter meals. Combining savory Italian sausage, fragrant sage, and a rich pumpkin puree sauce, this recipe creates a hearty pasta dish that is both creamy and satisfying. Finished with Parmesan cheese, it’s ideal for a cozy family dinner or entertaining guests.
Ingredients
Pasta
- 1 pound medium-shaped pasta
Sauce
- 1 pound bulk Italian sausage (mild or hot)
- 4 cloves garlic, minced
- 1 medium onion, chopped
- 1 bay leaf, dried
- ¼ cup chopped fresh sage
- 1 cup dry white wine
- 1 cup chicken stock
- 1 cup pumpkin puree
- ½ cup heavy cream
- ½ teaspoon ground nutmeg
- Salt and pepper, to taste
Garnish
- Parmesan cheese, for garnish
Instructions
- Cook Pasta: Cook the pasta according to the package directions until al dente. Once cooked, drain and set aside to be combined with the sauce later.
- Brown Sausage and Sauté Vegetables: In a large pot over medium heat, brown the Italian sausage until fully cooked and browned. Add minced garlic and chopped onion, cooking for an additional 3 minutes until fragrant and softened.
- Add Aromatics and Wine: Stir in the dried bay leaf, chopped fresh sage, and pour in the dry white wine. Allow the wine to reduce by half, which should take about 10 minutes. This concentrates the flavors and deglazes the pot.
- Make the Sauce: Mix in the chicken stock, pumpkin puree, and heavy cream. Stir thoroughly until all ingredients are combined into a smooth creamy sauce. Season with ground nutmeg, salt, and pepper to taste. Let the sauce simmer gently for 5-10 minutes to develop flavor.
- Combine Pasta and Sauce: Add the drained pasta into the sausage pumpkin sauce in the pot and stir to heat through and coat the pasta evenly. Remove the bay leaf from the sauce before serving.
- Garnish and Serve: Plate the creamy pumpkin pasta and top generously with freshly grated Parmesan cheese. Serve warm for the best flavor and texture.
Notes
- For a spicier dish, use hot Italian sausage instead of mild.
- If you prefer a vegetarian version, substitute sausage with sautéed mushrooms or plant-based sausage alternatives and use vegetable stock instead of chicken stock.
- Fresh sage is preferable for best flavor, but dried sage can be used at a lesser quantity (start with 1 teaspoon).
- Use good quality pumpkin puree or make your own for a fresher taste.
- This dish pairs well with a crisp green salad or roasted vegetables.
