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Creamy Butternut Squash Pasta with Sausage and Spinach

Did you know that nearly 70% of home cooks feel they don’t have the time to make a truly satisfying, from-scratch meal on a busy weeknight?

I used to be firmly in that camp, convinced that a creamy, decadent pasta dish required hours of simmering and stirring. That was before this magical, one-pan wonder of a recipe danced into my life and completely changed my dinner game. It’s the kind of meal that feels like a warm hug in a bowl, a secret weapon that proves you can have incredible, soul-soothing flavor without sacrificing your entire evening. It all comes together to create the most luscious, velvety sauce for this incredible creamy butternut squash pasta.

I first stumbled upon the concept on a blustery autumn afternoon. The wind was howling, the leaves were swirling in a frenzy of gold and crimson, and all I craved was something deeply comforting. I had a lonely butternut squash sitting on my counter, a half-empty bag of pasta in the pantry, and a determined spirit. What emerged from my kitchen that night was nothing short of alchemy. The sweet, nutty squash melted into a silken sauce, the savory sausage provided a hearty, spiced backbone, and the fresh spinach wilted in at the last second, offering a pop of color and vitality. It was a perfect, harmonious bite.

This isn’t just another pasta recipe. It’s a testament to the power of simple, seasonal ingredients coming together to create something far greater than the sum of its parts. It’s a celebration of cozy evenings, of gathered-around-the-table moments, and of proving to yourself that a spectacular, creamy butternut squash pasta with sausage and spinach is absolutely within reach, any night of the week.

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Creamy Butternut Squash Pasta with Sausage and Spinach


  • Author: Dorothy Miler
  • Total Time: 45 minutes
  • Yield: 4 1x

Description

A comforting and creamy pasta dish featuring roasted butternut squash, savory sausage, and fresh spinach in a rich sauce.


Ingredients

Scale
  • 1 lb Italian sausage, casings removed
  • 1 lb butternut squash, peeled and cubed
  • 8 oz pasta (penne or rigatoni)
  • 2 cups fresh spinach
  • 1 cup heavy cream
  • 1/2 cup grated Parmesan cheese
  • 3 cloves garlic, minced
  • 1 small onion, diced
  • 2 tbsp olive oil
  • 1 tsp dried sage
  • Salt and pepper to taste

Instructions

  1. Preheat oven to 400°F. Toss butternut squash with 1 tbsp olive oil, salt, and pepper. Roast for 20-25 minutes until tender.
  2. Cook pasta according to package directions until al dente. Reserve 1/2 cup pasta water.
  3. In a large skillet, brown sausage over medium heat, breaking it up. Remove and set aside.
  4. In the same skillet, sauté onion and garlic until softened. Add roasted squash, cream, and sage. Simmer for 5 minutes.
  5. Mash squash slightly with a spoon. Stir in Parmesan until melted. Add cooked pasta, sausage, and spinach. Toss to combine, adding pasta water as needed for consistency.

Notes

You can customize the seasonings to taste.

  • Prep Time: 15 minutes
  • Cook Time: 30 minutes
  • Method: Main
  • Cuisine: American

Nutrition

  • Serving Size: 1/4 of recipe
  • Calories: 650
  • Sugar: 8g
  • Fat: 38g
  • Carbohydrates: 55g
  • Protein: 25g

The Coziest Autumn Bowl You’ll Ever Meet

There’s a certain kind of quiet magic that happens in my kitchen when the air turns crisp. It’s the season for pulling out my favorite heavy-bottomed pot, for letting onions sizzle until they’re practically singing, and for roasting squash until its edges caramelize into little pockets of sweetness. This pasta is the very embodiment of that feeling. It’s a big, warm, comforting hug in a bowl, and it’s exactly what I crave when the leaves start to turn.

Gathering Your Autumn
Bounty

Before we begin our cozy kitchen dance, let’s gather our cast of characters. There’s something so therapeutic about lining everything up, don’t you think?

  • 1 medium butternut squash: About 2-2.5 pounds. Look for one that feels heavy for its size with a firm, matte skin. Don’t be intimidated by prepping it! A sharp peeler and a sturdy knife are your best friends here.
  • 1 lb Italian sausage: I use mild sausage for a gentle warmth, but if your heart desires a bit more kick, hot Italian sausage is a wonderful choice. You can also use chicken or turkey sausage to lighten things up a touch.
  • 1 large yellow
    onion
    : Diced. This is the humble beginning of so much flavor.
  • 3 cloves garlic: Minced. Because is any cozy pasta complete without it?
  • ½ tsp dried sage & a pinch of nutmeg: These are the secret whispers of autumn in this dish. The sage is earthy, and the nutmeg just makes the squash taste more like itself.
  • 2 cups low-sod
    ium chicken broth
    : This will form the base of our luxuriously creamy sauce.
  • ½ cup heavy cream: For that undeniable richness. For a lighter version, half-and-half will work in a pinch, though the sauce will be a tad thinner.
  • 4 big handfuls of fresh spinach: It will look like a mountain when you start, but it wilts down into the most beautiful green flecks.
  • 1 lb short pas
    ta
    : Rigatoni, penne, or fusilli are perfect for cradling all that creamy goodness.
  • Good olive oil, salt, and black pepper: The holy trinity of any good meal.
  • Parmesan cheese: For serving. And I mean a generous showering on top.

Let’s Get
Cooking

Now, put on some soft music, maybe light a cinnamon-scented candle, and let’s create some magic together.

Step 1: Roast the Squash

First, preheat your oven to 400°F (200°C). Peel your butternut squash, slice it in half, and scoop out the seeds. Then, chop the flesh into generous 1-inch cubes. Toss them on a baking sheet with a good glug of olive oil, a generous sprinkle of salt, and a few cracks of black pepper. Roast for 25-30 minutes, giving the pan a shake halfway through, until the cubes are tender and have those beautiful browned edges. This step is non-negotiable—roasting concentrates the squash’s sweetness and gives our sauce an incredible depth of flavor.

Step 2: Brown t

he Sausage

While the squash is roasting, bring a large pot of salted water to a boil for your pasta. Then, in a large, deep skillet or Dutch oven, heat a tiny bit of olive oil over medium heat. If your sausage is in links, squeeze it out of the casings right into the pan. Use your spoon to break it up into bite-sized crumbles. Let it cook, without stirring too much at first, to get a really good, brown crust on some pieces. This equals big flavor! Once cooked through, use a slotted spoon to transfer the sausage to a plate, leaving the rendered fat behind. That’s liquid gold!

Step 3: The Aromatics

In that same glorious s

ausage fat, add your diced onion. Cook, stirring occasionally, until it becomes soft and translucent, about 5-7 minutes. Add the minced garlic and cook for just one more minute until fragrant—you’ll know it’s ready when the smell makes your stomach growl. Now, stir in the dried sage and that little pinch of nutmeg.

Step 4: The Creamy Dreamy Sauce Base

By now, your squash should be out of the oven and beautifully roasted. Carefully add about three-quarters of it to the skillet with the onions. Pour in the chicken broth and use your spoon or a potato masher to gently mash the squash into the broth. It won’t be perfectly smooth, and that’s perfectly wonderful! You want a rustic, textured sauce. Let this simmer gently for about 5 minutes to let the flavors get to know each other.

(The rest of

the recipe, where we combine everything into a glorious, creamy pasta, is coming right up!)

Now that we’ve got that gorgeous sauce simmering and the pasta water boiling, let’s talk about making this dish truly your own. This recipe is wonderfully forgiving and a perfect canvas for whatever you have in your pantry.

Pro Tips, Variations,
and Substitutions

Don’t be afraid to play with your food! Here are some ways to customize this cozy bowl of goodness:

  • Vegetarian? No problem! Simply omit the sausage. For a similar savory depth, sauté a cup of sliced mushrooms until golden brown and stir them in at the end. A sprinkle of smoked paprika over the finished dish works wonders, too.
  • Protein Swaps: Not a fan of sausage? Shredded rotisserie chicken, cooked ground turkey, or even a can of rinsed chickpeas are fantastic alternatives.
  • Greens Galore:
    While we love how spinach wilts right in, kale or Swiss chard are sturdy and delicious options. Just remove the tough stems and give them a few extra minutes to cook down.
  • Cheese Please: If you don’t have Parmesan, a sharp Pecorino Romano or even a creamy goat cheese would be delightful stirred into the sauce.
  • Creamier Dreamier: For an even richer sauce, stir in a splash of heavy cream or a couple of tablespoons of cream cheese along with the pasta water.

The Perfect Pair
ings: What to Serve It With

This pasta is a hearty meal all on its own, but a little something on the side never hurts. For a complete, comforting dinner, I love to serve it with:

  • A simple garlic bread or crusty baguette for mopping up every last bit of that creamy sauce.
  • A bright, crisp green salad with a lemony vinaigrette to cut through the richness. Arugula with a lemon squeeze is my go-to.
  • A glass of Cha
    rdonnay
    or a light-bodied Pinot Noir that complements the savory sausage and sweet squash beautifully.

More Than Just Delicious: The Benefits

This isn’t just comfort food; it’s secretly packed with goodness! That beautiful orange butternut squash is loaded with Vitamin A, which is great for your immune system and eye health. The spinach sneaks in a powerful punch of iron and folate, and using the whole-wheat pasta option adds fiber to keep you feeling full and satisfied. It’s a meal that truly nourishes you from the inside out.

Real-Life Tips from My Kitchen to Yours

Here’s the stuff you won’t always find in a formal recipe:

  • Embrace t
    he Shortcuts:
    Pre-cubed butternut squash from the grocery store is a total timesaver and worth every penny on a busy weeknight.
  • Pasta Water is Liquid Gold: Don’t forget to reserve that starchy water before you drain your pasta! It’s the magic key to making your sauce silky and helping it cling to every noodle.
  • Leftovers are King: This pasta reheats like a dream. The sauce may thicken in the fridge, so just add a tiny splash of milk or broth when you reheat it to bring it back to life.
  • Toast Your Top
    ping:
    For an extra layer of flavor, toast your pine nuts or breadcrumbs in a dry skillet for a minute or two until golden before sprinkling them over the top.

I hope this becomes a new favorite in your home, a recipe you tweak and make your own. There’s nothing quite like gathering around the table with a big, steaming bowl of something made with love. Enjoy, my friends!

Conclusion

And

there you have it! A bowl of pure comfort that comes together in about the time it takes to boil water. This creamy butternut squash pasta is the perfect weeknight hero, combining sweet, savory, and creamy elements with hearty sausage and fresh spinach. It’s a complete meal in one dish that’s sure to become a regular in your dinner rotation.

I truly hope this recipe brings as much warmth and joy to your table as it does to mine. If you give it a try, I’d be absolutely delighted to hear how it turned out for you! Leave a comment below with your thoughts, any clever twists you added, or snap a photo and tag me on social media. For more cozy, feel-good recipes just like this one, be sure to explore the rest of the blog. Happy cooking!

FAQs

Can I make this recipe vegetarian?

Absolutely! You can easily make a delicious vegetarian version. Simply omit the sausage and add in some extra veggies like sautéed mushrooms or sun-dried tomatoes for a savory, meaty flavor. A can of drained and rinsed white beans would also be a fantastic addition for some plant-based protein.

My sauce seems too thi
ck. How can I thin it out?

No problem at all! The sauce can thicken as it sits. The easiest fix is to simply stir in a little more of the reserved pasta water, a tablespoon or two at a time, until it reaches your desired creamy consistency.

What’s the best way to store and reheat leftovers?

Store any leftovers in an airtight container in the refrigerator for up to 3 days. The pasta will continue to absorb the sauce, so when reheating, add a splash of broth, milk, or water to a skillet along with the pasta. Warm it over medium-low heat, stirring gently, until heated through.

Can I use a different type of squash?

You sure can! While butternut squash is our star for its sweetness and creamy texture, acorn squash or sweet potato would be wonderful substitutes. Just make sure to roast them until they are completely tender and easily mashable.

Is there a way to make
this dish less heavy?

For a lighter version, you can use half-and-half or even whole milk instead of heavy cream—just be gentle when heating it so it doesn’t curdle. Using a leaner protein like chicken sausage or even ground turkey is also a great option.

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Dorothy Miler

Pro Chef & Blogger
Welcome to Receipster! 
I’m thrilled to share my
culinary journey with you.

Dorothy Miler

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