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Bring a large pot of salted water to a rolling boil. Add the pasta and cook according to package directions until al dente. Reserve 1 cup of pasta water before draining the pasta.

While the pasta cooks, heat the olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it apart with a spoon, and cook until browned and cooked through, about 5-7 minutes. Drain any excess grease.

Reduce the heat to medium. Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-4 minutes. Stir in the minced garlic, dried sage, dried thyme, nutmeg, and red pepper flakes, cooking for another minute until fragrant.

Stir in the pumpkin puree and chicken broth, scraping up any browned bits from the bottom of the pan. Bring the mixture to a gentle simmer, then reduce heat to low and stir in the heavy cream. Season with salt and black pepper to taste.

Add the cooked and drained pasta to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

Serve immediately, garnished with freshly grated Parmesan cheese and chopped fresh parsley.


Bring a large pot of salted water to a rolling boil. Add the pasta and cook according to package directions until al dente. Reserve 1 cup of pasta water before draining the pasta.

While the pasta cooks, heat the olive oil in a large skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it apart with a spoon, and cook until browned and cooked through, about 5-7 minutes. Drain any excess grease.

Reduce the heat to medium. Add the diced yellow onion to the skillet with the sausage and cook until softened, about 3-4 minutes. Stir in the minced garlic, dried sage, dried thyme, nutmeg, and red pepper flakes, cooking for another minute until fragrant.

Stir in the pumpkin puree and chicken broth, scraping up any browned bits from the bottom of the pan. Bring the mixture to a gentle simmer, then reduce heat to low and stir in the heavy cream. Season with salt and black pepper to taste.

Add the cooked and drained pasta to the skillet with the sauce. Toss to coat the pasta evenly. If the sauce is too thick, add a splash or two of the reserved pasta water until it reaches your desired consistency.

Serve immediately, garnished with freshly grated Parmesan cheese and chopped fresh parsley.
