Creamy Butternut Squash Pasta Recipe with Sausage

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Let me tell you, the moment the creamy roasted butternut squash sauce hits the hot pasta, it’s pure magic. The sweet earthiness of the squash mingles perfectly with savory sausage, creating a dish that’s cozy, hearty, and just downright irresistible. The first time I made this recipe, it was one of those chilly fall evenings when the leaves were crunching underfoot, and all I wanted was something warm and comforting. One bite in, and I knew this pasta was going to be a regular on my table.

This isn’t just a recipe—it’s a bowl of comfort with a touch of elegance. My family couldn’t stop raving about it. The kids loved the sweetness of the squash, and my partner kept talking about how the sausage added the perfect savory kick. Honestly, it’s the kind of meal that makes you feel like you’re wrapped in a blanket of flavor. And you know what? It’s deceptively simple to make, too! If you’re looking for something to brighten up your weeknight dinners or impress guests at a casual gathering, this creamy butternut squash pasta is your answer.

After testing it a few times (all in the name of research, of course), I’ve nailed the balance of flavors. It’s wholesome yet indulgent, and I dare say it feels like a warm hug in every single bite. You’re going to want to bookmark this one—it’s perfect for cozy nights in or even a festive fall dinner spread.

Why You’ll Love This Recipe

  • Quick & Easy: This recipe comes together in just about 40 minutes, making it ideal for busy evenings.
  • Simple Ingredients: You likely already have most of these ingredients in your kitchen, with a few special touches to make it unforgettable.
  • Perfect for Any Occasion: Whether it’s a comforting dinner or a dish to impress at a potluck, this recipe fits the bill.
  • Crowd-Pleaser: Kids and adults alike love the creamy, slightly sweet sauce paired with hearty sausage.
  • Unbelievably Delicious: The flavor combination feels like a hug in a bowl—sweet, savory, and satisfying.

What sets this dish apart is the roasted butternut squash sauce. Roasting the squash brings out its natural sweetness and adds depth you just can’t get from boiling. Combined with the creamy texture and the savory sausage, it’s a flavor profile that’s comforting yet refined. Plus, the recipe is easy to adapt for dietary preferences, so you can make it your own. After the first bite, you’ll see why this creamy butternut squash pasta recipe with sausage is so special.

What Ingredients You Will Need

This recipe uses simple, wholesome ingredients to deliver bold flavor without fuss. Let’s break it down:

  • For the roasted squash:
    • 1 medium butternut squash, peeled, seeded, and cubed
    • 2 tablespoons olive oil
    • 1 teaspoon salt
    • ½ teaspoon black pepper
  • For the sauce:
    • 2 tablespoons unsalted butter
    • 2 cloves garlic, minced
    • 1 cup heavy cream
    • ½ cup grated Parmesan cheese (plus extra for serving)
    • ½ teaspoon ground nutmeg
  • For the pasta and sausage:
    • 12 ounces pasta (penne, rigatoni, or your favorite shape)
    • 8 ounces Italian sausage, crumbled (mild or spicy based on preference)
    • Fresh parsley, chopped (optional, for garnish)

If you’re looking for substitutions, you can swap heavy cream with a dairy-free alternative like coconut cream, or use plant-based sausage for a vegetarian option. Feel free to experiment with gluten-free pasta if needed!

Equipment Needed

  • Baking sheet: For roasting the butternut squash.
  • Large pot: To boil the pasta.
  • Large skillet: For cooking the sausage and making the sauce.
  • Blender or food processor: To blend the roasted squash into a creamy sauce.
  • Sharp knife and cutting board: For prepping the squash and garlic.
  • Wooden spoon or spatula: For stirring the sauce and sausage.

Don’t have a blender? No problem. A potato masher can work in a pinch, though the sauce may be slightly chunkier.

Preparation Method

creamy butternut squash pasta preparation steps

Follow these simple steps to create your creamy butternut squash pasta with sausage:

  1. Preheat the oven: Set your oven to 400°F (200°C).
  2. Roast the squash: Toss the cubed butternut squash with olive oil, salt, and pepper. Spread evenly on a baking sheet and roast for 25-30 minutes until tender and caramelized.
  3. Cook the pasta: While the squash is roasting, bring a large pot of salted water to a boil. Cook the pasta according to package instructions until al dente. Reserve ½ cup of pasta water before draining.
  4. Cook the sausage: In a large skillet, cook the crumbled sausage over medium heat until browned and cooked through. Remove from the skillet and set aside.
  5. Make the sauce: Melt butter in the same skillet, then sauté the garlic for 1-2 minutes until fragrant. Add the roasted squash, heavy cream, Parmesan cheese, and nutmeg. Blend the mixture until smooth using a blender or food processor, adding reserved pasta water as needed to achieve desired consistency.
  6. Combine everything: Return the sauce to the skillet and stir in the cooked sausage. Toss the drained pasta in the sauce until well coated.
  7. Serve: Garnish with fresh parsley and extra Parmesan cheese. Serve warm and enjoy!

Cooking Tips & Techniques

  • Roasting the squash is key—don’t skip this step! It enhances the flavor and makes the sauce extra rich.
  • If your sauce seems too thick, thin it out with a bit of reserved pasta water.
  • Use freshly grated Parmesan for the best flavor—it melts beautifully into the sauce.
  • For a spicier kick, opt for hot Italian sausage or add a pinch of red pepper flakes.
  • Make sure to taste and adjust seasoning before serving. A pinch more salt can make all the difference!

Variations & Adaptations

  • Vegetarian version: Swap the sausage for sautéed mushrooms or plant-based protein crumbles.
  • Gluten-free option: Use your favorite gluten-free pasta.
  • Seasonal swaps: Substitute butternut squash with pumpkin or sweet potato for a slightly different flavor profile.
  • Lower calorie option: Replace heavy cream with Greek yogurt or a splash of almond milk.
  • Customizable protein: Try adding grilled chicken or shrimp instead of sausage.

I once made a version with smoked paprika in the sauce—it added a smoky depth that was absolutely delicious!

Serving & Storage Suggestions

Serve this pasta warm, topped with extra Parmesan and fresh parsley. Pair it with a crisp green salad and a glass of white wine for a complete meal.

Leftovers can be stored in an airtight container in the refrigerator for up to 3 days. To reheat, add a splash of milk or cream to loosen the sauce before warming on the stove or microwave. The flavors deepen over time, making leftovers just as delicious!

Nutritional Information & Benefits

This recipe is packed with nutrients from the butternut squash, which is rich in vitamins A and C, fiber, and antioxidants. The creamy sauce satisfies cravings while providing calcium from the dairy, and the sausage adds protein to keep you full.

If you’re watching your diet, feel free to adjust the cream or use lighter alternatives. Just be mindful that sausage typically contains sodium, so balance accordingly.

Conclusion

This creamy roasted butternut squash pasta with sausage is everything you could want in a comforting meal—easy, flavorful, and endlessly versatile. Whether you’re cooking for your family or hosting friends, it’s sure to be a hit. Plus, you can make it your own with simple swaps and tweaks!

I love this recipe because it feels like fall in a bowl, and every time I make it, it brings back warm memories. I hope you’ll love it as much as I do. If you try it, let me know how it turned out in the comments below—your feedback always makes my day!

Now grab those ingredients, fire up your oven, and let’s make some magic happen in the kitchen!

FAQs

Can I use frozen butternut squash?

Yes, you can use frozen butternut squash. Just roast it straight from frozen and adjust the cooking time slightly.

What type of pasta works best for this recipe?

Short pasta shapes like rigatoni, penne, or fusilli work best, as they hold the sauce beautifully.

Can I make this recipe ahead of time?

Absolutely! Prepare the sauce and sausage ahead, then toss with freshly cooked pasta when ready to serve.

What can I use instead of heavy cream?

Greek yogurt, coconut cream, or even whole milk can be used as substitutes for heavy cream.

Is this recipe freezer-friendly?

The sauce freezes well for up to 2 months. Freeze it separately, then thaw and combine with freshly cooked pasta and sausage.

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Creamy Butternut Squash Pasta Recipe with Sausage

A cozy and hearty pasta dish featuring creamy roasted butternut squash sauce and savory sausage, perfect for chilly evenings or festive fall dinners.

  • Author: Amanda
  • Prep Time: 10 minutes
  • Cook Time: 30 minutes
  • Total Time: 40 minutes
  • Yield: 4 servings 1x
  • Category: Main Course
  • Cuisine: Italian

Ingredients

Scale
  • 1 medium butternut squash, peeled, seeded, and cubed
  • 2 tablespoons olive oil
  • 1 teaspoon salt
  • ½ teaspoon black pepper
  • 2 tablespoons unsalted butter
  • 2 cloves garlic, minced
  • 1 cup heavy cream
  • ½ cup grated Parmesan cheese (plus extra for serving)
  • ½ teaspoon ground nutmeg
  • 12 ounces pasta (penne, rigatoni, or your favorite shape)
  • 8 ounces Italian sausage, crumbled (mild or spicy based on preference)
  • Fresh parsley, chopped (optional, for garnish)

Instructions

  1. Preheat the oven to 400°F (200°C).
  2. Toss the cubed butternut squash with olive oil, salt, and pepper. Spread evenly on a baking sheet and roast for 25-30 minutes until tender and caramelized.
  3. While the squash is roasting, bring a large pot of salted water to a boil. Cook the pasta according to package instructions until al dente. Reserve ½ cup of pasta water before draining.
  4. In a large skillet, cook the crumbled sausage over medium heat until browned and cooked through. Remove from the skillet and set aside.
  5. Melt butter in the same skillet, then sauté the garlic for 1-2 minutes until fragrant. Add the roasted squash, heavy cream, Parmesan cheese, and nutmeg. Blend the mixture until smooth using a blender or food processor, adding reserved pasta water as needed to achieve desired consistency.
  6. Return the sauce to the skillet and stir in the cooked sausage. Toss the drained pasta in the sauce until well coated.
  7. Garnish with fresh parsley and extra Parmesan cheese. Serve warm and enjoy!

Notes

[‘Roasting the squash enhances its flavor and makes the sauce extra rich.’, ‘Thin the sauce with reserved pasta water if it seems too thick.’, ‘Use freshly grated Parmesan for the best flavor.’, ‘For a spicier kick, opt for hot Italian sausage or add red pepper flakes.’, ‘Taste and adjust seasoning before serving.’]

Nutrition

  • Serving Size: 1 bowl
  • Calories: 550
  • Sugar: 6
  • Sodium: 800
  • Fat: 25
  • Saturated Fat: 12
  • Carbohydrates: 60
  • Fiber: 5
  • Protein: 20

Keywords: butternut squash pasta, creamy pasta, sausage pasta, fall recipe, comfort food, easy dinner, roasted squash, pasta recipe

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