Pumpkin Pasta with Sage and Spinach

A perfect fall dish, this pumpkin pasta is a great way to use pumpkin puree for a savory dish. Seasoned with sage and with added Italian sausage and spinach this quick and easy dish will become a household favorite.   

While I am a sucker for a pumpkin pie there are times that I want a savory pumpkin recipe. I love this recipe because the sauce is normally done by the time the pasta is done cooking. The way this dish came about was actually me making butternut squash soup and there was only a little bit left so I put it over pasta. After that I started playing around with the recipe until I got something I liked and pumpkin was a better option. 

In this recipe

There a quite a few ingredients in this recipe here are a few of the major players.

  • Pumpkin puree: I prefer to use roasted pumpkin puree but canned puree will work as well. 
  • Heavy cream: This will create a rich sauce however to help reduce the amount of fat you can switch to milk. 
  • White wine: You will want to make sure that it is a dry wine. However if you don’t want to cook with wine then chicken broth is a great alternative. 
  • Italian sausage: This can be either spicy or mild. You can use sliced Italian sausage depending on the pasta choice. Omit for a vegetarian option. 
  • Pasta: I use fettuccini however you can use any pasta that can hold sauce well. This can even be a shell or any pasta with a hole in it.  
Ingredients for pumpkin pasta on a wooden cutting board
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Sauté the sausage

One of the things that you will want to do is cook the sausage first. Normally when making a sauce you would cook the meat during the process. However since the pumpkin is already cooked it would take longer to properly heat the sausage thoroughly. Once the sausage has been cooked set it aside to cook the shallots and garlic in the drippings from the sausage and oil. By using the drippings you will keep all of the good flavors in the sauce. If you are not using the sausage you will want to add an additional tablespoon of olive oil. 

cooked Italian sausage in a pan
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Cooking garlic and shallots in a pan
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Pumpkin sauce in a pan
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Finished pumpkin sauce in a pan
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Making the pumpkin sauce

Once the garlic has softened you will add the butter, wine, cream, and pumpkin. You want to make sure that the sauce just comes to a boil for only a minute or so before removing it from the heat. You don’t want all of the liquid to evaporate as this will result in a sauce that won’t coat the pasta well. Once it has come to a boil and it has been removed from the heat the residual heat from the pan will wilt the spinach and melt the cheese. If you would like a more intense sage flavor then add it to the pan with the garlic and shallots.

A serving of pumpkin pasta next to a pan of the remaining pasta
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Pasta water is your friend

One of the best things about using dried pasta is the pasta water. Right before you drain the pasta you should take out at least a cup of water from pot and set it aside. This is a great trick for if you overcook the sauce. When dried pasta is cooked in the water it releases a lot of starch. This starch helps keep the texture of the sauce while thinning it out. This is a helpful trick for any sauce not just this one. You may not use the water when cooking but it is a great habit to get into when making pasta. That way if you need it you have it and you will be able to save your sauce. 

pumpkin pasta in a white bowl
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Looking for other fall recipes?

pumpkin pasta in a pan with tongs
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Pumpkin Pasta with Sage and Spinach

A hearty pasta in a pumpkin sauce with sage, rosemary, and Italian sausage.
5 from 14 votes
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Course Main Course
Cuisine American
Servings 4 servings
Calories 515 kcal


  • Large saucepan or pot
  • Skillet


  • ½ pound pasta
  • ½ pound Italian sausage ground
  • 2 tablespoons olive oil extra virgin
  • 2 tablespoons butter unsalted
  • 2 cloves garlic fresh, minced
  • ¼ cup shallots finely chopped
  • 1 cup pure pumpkin puree
  • ½ cup heavy cream
  • ½ cup white wine or chicken broth
  • 2 tablespoons fresh sage chopped
  • cups spinach heaping, chopped
  • ¼ cup parmesan cheese shredded, additional for finishing if desired
  • ½ tablespoon ground black pepper
  • 1 teaspoon salt


  • Heat a large saucepan or pot of water to bring to a boil. Once the water is boiling cook the pasta according to directions. Drain and keep warm if the pasta cooks before the sauce is done.
  • While the water is heating in a large skillet over medium high heat cook the Italian sausage. Once it has cooked remove it from the pan with the slotted spoon and place in a bowl and set aside.
  • Reduce the heat to medium and add the olive oil, shallots, and garlic. Cook until the shallots turn translucent. Add the wine, or chicken broth, cream, butter, and pumpkin puree. Bring to a boil an add the spinach, salt, pepper and sage. Once the spinach has wilted remove from the heat stir in the Italian sausage and parmesan cheese.
  • Add the pasta and gently toss to coat the pasta and top with any additional parmesan cheese.


Serving: 1servingCalories: 515kcalCarbohydrates: 15gProtein: 14gFat: 43gSaturated Fat: 19gPolyunsaturated Fat: 4gMonounsaturated Fat: 18gTrans Fat: 0.2gCholesterol: 96mgSodium: 1120mgPotassium: 636mgFiber: 4gSugar: 6gVitamin A: 11499IUVitamin C: 13mgCalcium: 174mgIron: 3mg
Nutrition Disclaimer*
Keyword 30 min meals, Italian Sausage, Pumpkin
Tried this recipe?Let us know how it was!
pumpkin pasta pinterest pin
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13 thoughts on “Pumpkin Pasta with Sage and Spinach”

  1. 5 stars
    I love your pumpkin pasta recipe. So flavorful and easy to make. We will put this meal in our bi-weekly rotation this fall, it is so good. Thanks for sharing!

  2. 5 stars
    Pumpkin and fresh sage has been my favorite fall flavor combo for years but I’ve never tried it with pasta! Loved this dish, all the flavors went really well with the Italian sausage.

  3. 5 stars
    I had some leftover sausage I needed to use up and this was the perfect recipe! And the sage was delicious with the pumpkin. Thanks so much!

  4. 5 stars
    This pumpkin pasta has all of my favorite flavors, especially as we head into fall. The sage and spinach really added an earthy, yet floral quality to the dish that was addictive.

  5. 5 stars
    I have not tried a pumpkin pasta before, but this sounds like a great fall recipe! Excited to give it a try! Thanks for the recipe share!

  6. 5 stars
    Wow! Another great pasta dish that everyone will gonna love and enjoy eating! Plus this really looks so delicious! We can never go wrong with pasta! Loved it!

5 from 14 votes (2 ratings without comment)

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