Creamy Pumpkin Sage Fettuccine
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This creamy pumpkin sage fettuccine is a perfect dish to bring fall flavors to your dinner table. Using fresh pumpkin puree combined with fragrant sage creates a rich, velvety sauce that beautifully coats tender fettuccine noodles.

Itโ€™s easy to prepare and ready in about 30 minutes, making it ideal for a cozy weeknight meal or special autumn gathering.

Why Youโ€™ll Love This Recipe

  • Fresh pumpkin puree adds natural sweetness and a smooth texture to the sauce without overwhelming it.
  • Sage infuses an earthy aroma that complements the subtle sweetness of pumpkin and the richness of cream.
  • Fettuccine noodles provide a generous surface area for the creamy sauce to cling to, ensuring each bite is flavorful.

Creamy Pumpkin Sage Fettuccine

Enjoy a cozy fall-inspired pasta with creamy pumpkin puree and fragrant fresh sage in this delicious fettuccine recipe.

Prep time
10 minutes
Cook time
20 minutes
Servings
4
Yield
4 servings

Ingredients

  • 12 ounces fettuccine pasta (about 340 grams)
  • 2 tablespoons unsalted butter
  • 1 small shallot, finely minced
  • 2 cloves garlic, minced
  • 1 cup fresh pumpkin puree (not canned)
  • 1 cup heavy cream
  • 1/2 cup grated Parmesan cheese, plus more for serving
  • 10 fresh sage leaves, roughly chopped
  • Salt and freshly ground black pepper, to taste
  • Pinch of ground nutmeg (optional)
  • Olive oil, for drizzling

Instructions

  1. Cook the Pasta Bring a large pot of salted water to a boil. Add the fettuccine and cook according to package instructions until al dente, about 10 to 12 minutes. Drain, reserving 1/2 cup of the pasta cooking water.
  2. Prepare the Pumpkin Sage Sauce While the pasta cooks, melt the butter in a large skillet over medium heat. Add the minced shallot and cook until softened, about 2 minutes. Stir in the garlic and cook for 30 seconds until fragrant.
  3. Make the Creamy Sauce Add the fresh pumpkin puree to the skillet and cook for 2 minutes, stirring frequently. Pour in the heavy cream and stir to combine. Add the chopped sage leaves, and season with salt, pepper, and a pinch of nutmeg if using. Simmer the sauce for 5 minutes, allowing the flavors to meld.
  4. Combine Pasta and Sauce Add the drained fettuccine to the skillet with the sauce. Toss to coat evenly, adding reserved pasta water a little at a time if the sauce is too thick. Stir in the grated Parmesan cheese until melted and smooth.
  5. Serve Divide the pasta among plates, drizzle lightly with olive oil, and sprinkle extra Parmesan cheese on top. Serve immediately.

Helpful Tips

  • Use fresh pumpkin puree made by roasting pumpkin chunks and blending them for the best flavor and texture.
  • If you prefer, substitute heavy cream with half-and-half for a lighter sauce, though richness will be reduced.
  • Fresh sage is key for flavor; if unavailable, a small amount of dried sage can be used but add sparingly.
  • Make sure to salt your pasta water generouslyโ€”it seasons the pasta from the inside out.

Storage and Make-Ahead

Store leftovers in an airtight container in the refrigerator for up to 3 days.

Reheat gently in a skillet over low heat, adding a splash of cream or water to loosen the sauce if needed.

Do not freeze this dish, as the cream sauce may separate upon thawing.

Frequently Asked Questions

Can I use canned pumpkin puree instead of fresh?

While canned pumpkin puree can be used in a pinch, fresh pumpkin puree offers a brighter, fresher flavor and better texture for this recipe.

How do I make fresh pumpkin puree?

Cut a small pumpkin into chunks, remove seeds, roast at 375ยฐF (190ยฐC) for 45 minutes until tender, then puree in a food processor until smooth.

Is this recipe vegetarian?

Yes, this pumpkin sage fettuccine is vegetarian, but it contains dairy products like heavy cream and Parmesan cheese.

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