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Creamy Butternut Squash Pasta Shells Stuffed with Sausage, Spinach, and Tomatoes, and topped with Pepper Jack Cheese

Creamy butternut squash pasta shells stuffed with spicy Italian sausage, fresh spinach, and cherry tomatoes, topped with pepper jack cheese and baked until bubbly. This cozy fall comfort food features a rich butternut squash and heavy cream sauce.

Ingredients

Scale
  • 10 oz jumbo pasta shells
  • 15 oz spicy Italian sausage, crumbled
  • ½ teaspoon Italian seasoning
  • ¼ teaspoon red pepper flakes
  • 5 oz fresh spinach
  • 8 oz cherry tomatoes, sliced in half
  • 1.5 cups butternut squash puree (or pumpkin puree)
  • 1 cup heavy cream
  • Fresh thyme
  • ⅓ cup pepper jack cheese, shredded
  • 1 tablespoon olive oil
  • Salt and black pepper to taste

Instructions

  1. Cook 10 oz jumbo pasta shells according to package instructions until al dente; drain and set aside. Meanwhile, heat 1 tablespoon olive oil in a large oven-safe skillet over medium heat. Add 15 oz crumbled spicy Italian sausage and cook for 5 minutes until browned; drain excess fat.
  2. To the skillet with sausage, add ½ teaspoon Italian seasoning, ¼ teaspoon red pepper flakes, 5 oz fresh spinach, and 8 oz halved cherry tomatoes (reserve some tomatoes). Cook 4-5 minutes until spinach wilts. Remove mixture to a bowl.
  3. In the same skillet, combine 1.5 cups butternut squash puree and 1 cup heavy cream; season with fresh thyme, salt, and pepper. Preheat oven to 400°F. Stuff cooked pasta shells with sausage mixture and arrange in a circular pattern over the sauce in the skillet. Top with reserved tomatoes and ⅓ cup shredded pepper jack cheese.
  4. Bake for 15-20 minutes until cheese is melted and bubbly. Let rest 5 minutes before serving.

Notes

For a dairy-free version, substitute coconut milk for heavy cream, but pepper jack cheese may need a dairy-free alternative. Use pumpkin puree if butternut squash is unavailable. Make ahead by preparing filling and sauce separately; assemble and bake when ready.

Nutrition

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