Creamy Butternut Squash Pasta with Sausage and Spinach – A Cozy, Comforting Fall Dinner Recipe 2025

Creamy Butternut Squash Pasta

There’s something magical about a bowl of creamy pasta on a chilly evening — the way the steam rises, the sauce clings to every piece, and the aroma of herbs fills your kitchen. Among all comfort dishes, Creamy Butternut Squash Pasta with Sausage and Spinach stands out as the perfect harmony of flavor, texture, and nutrition.

This dish is more than just a meal; it’s a moment of warmth. The naturally sweet and velvety butternut squash sauce wraps around the pasta like silk, balanced perfectly by the savory depth of Italian sausage and the earthy freshness of spinach. It’s wholesome, indulgent, and surprisingly easy to prepare — ideal for busy weeknights or elegant dinner gatherings.

Whether you’re a pasta enthusiast, a lover of fall-inspired meals, or simply someone who enjoys real comfort food, this recipe brings everything together beautifully. It captures that home-cooked satisfaction with a restaurant-level presentation that will impress anyone at your table.


🍂 Why You’ll Love This Recipe

  • Balanced flavors: The mild sweetness of roasted butternut squash blends with the richness of sausage and the freshness of spinach.
  • Comfort with nutrition: Packed with fiber, vitamins A and C, and protein, this dish feels indulgent but nourishes your body too.
  • Easy to make: A one-pan sauce, minimal prep time, and simple ingredients make it an approachable recipe for any skill level.
  • Family-friendly: Even picky eaters will love the creamy texture and subtle flavors.
  • Perfect for all occasions: Whether you’re meal-prepping for the week or hosting guests, this pasta feels special without requiring extra effort.

🧄 Ingredients You’ll Need

Let’s break down each component of this rich, flavorful meal. You’ll likely find most of these ingredients in your kitchen already.

For the Pasta Base:

  • 12 oz (340g) pasta – Penne, rigatoni, or fusilli hold sauce well, but any short pasta works.
  • Salt for boiling water – Enhances the pasta flavor and balances the sauce.

For the Creamy Butternut Sauce:

  • 3 cups (450g) butternut squash, cubed – The star of the dish; its natural sweetness forms the base of the sauce.
  • 1 small onion, diced – Adds subtle depth and a touch of savoriness.
  • 3 cloves garlic, minced – Provides aromatic richness.
  • 2 cups (480ml) chicken or vegetable broth – Helps cook and soften the squash while creating the perfect consistency.
  • ½ cup (120ml) heavy cream – Gives the sauce its signature velvety texture.
  • ½ cup (50g) grated Parmesan cheese – Adds umami and creaminess.
  • ½ tsp ground nutmeg – A warm spice that pairs beautifully with squash.
  • Salt and pepper to taste – To balance flavors.
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For the Savory Protein and Greens:

  • 1 lb (450g) Italian sausage (mild or spicy) – Provides heartiness and a burst of flavor.
  • 2 cups (60g) fresh spinach leaves – Brings freshness, color, and added nutrition.
  • 2 tbsp olive oil – Used for sautéing and enhancing the sauce’s flavor.
  • Fresh parsley for garnish (optional) – Adds a pop of color and light herbal note.

🔪 Equipment You’ll Need

  • Large pot for boiling pasta
  • Large skillet for cooking sausage and sauce
  • Blender or immersion blender for pureeing the squash
  • Measuring cups and spoons
  • Wooden spoon or silicone spatula

🍳 Step-by-Step Instructions

Step 1: Cook the Pasta

Bring a large pot of salted water to a rolling boil. Add your pasta and cook according to package directions until al dente. Reserve about one cup of the pasta water before draining. This will be used later to adjust the sauce’s consistency. Set the pasta aside.

Step 2: Brown the Sausage

In a large skillet, heat the olive oil over medium heat. Add the Italian sausage, breaking it up with a wooden spoon as it cooks. Continue sautéing until the sausage is browned and slightly crispy on the edges. Remove the sausage with a slotted spoon and set aside, leaving some drippings in the pan — they’ll add incredible flavor to the sauce.

Step 3: Prepare the Butternut Squash Mixture

In the same skillet, add the diced onion and minced garlic. Sauté for about 2–3 minutes until fragrant. Add the cubed butternut squash and stir well. Pour in the chicken or vegetable broth, bringing the mixture to a simmer. Cook for 10–12 minutes until the squash is tender and easily pierced with a fork.

Step 4: Blend Until Smooth

Transfer the cooked squash mixture to a blender, or use an immersion blender directly in the skillet. Blend until smooth and creamy. If the sauce seems too thick, add a splash of the reserved pasta water or extra broth.

Step 5: Add Cream and Cheese

Return the sauce to the skillet and set the heat to low. Stir in the heavy cream, grated Parmesan, nutmeg, and half of the reserved pasta water. Stir gently until everything is fully incorporated and silky.

Step 6: Combine Everything Together

Add the cooked sausage and fresh spinach to the sauce. Stir until the spinach wilts, then toss in the cooked pasta. Mix thoroughly to coat every piece with the creamy butternut sauce. Adjust seasoning with salt and pepper as needed.

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Step 7: Serve and Garnish

Spoon the pasta into warm bowls. Sprinkle with extra Parmesan cheese and fresh parsley for garnish. Serve immediately for the best flavor and texture.


🕒 Preparation Summary

StepTaskTime
Prep IngredientsCutting, dicing, and measuring15 minutes
CookingSausage, sauce, and pasta25 minutes
TotalReady to serve40 minutes

🥣 Expert Cooking Tips

  1. Roast the squash for deeper flavor:
    Instead of simmering, roast the squash in the oven at 400°F (200°C) for 25 minutes. It intensifies the sweetness and adds a caramelized touch.
  2. Adjust the sauce consistency:
    Add the reserved pasta water slowly to achieve the perfect creamy balance — not too thick, not too runny.
  3. Lighten it up:
    Swap heavy cream with half-and-half or Greek yogurt for a lighter yet still creamy result.
  4. Add texture:
    Toasted breadcrumbs or crushed walnuts sprinkled on top create a satisfying crunch.
  5. Make it vegetarian:
    Skip the sausage or use a plant-based substitute and vegetable broth for a fully vegetarian meal.
  6. Use different greens:
    If you’re out of spinach, try kale, arugula, or Swiss chard — they blend wonderfully with this sauce.

🌾 Nutrition Overview (Per Serving)

  • Calories: 520
  • Protein: 22g
  • Carbohydrates: 48g
  • Fat: 26g
  • Fiber: 5g
  • Vitamin A: High
  • Calcium & Iron: Excellent sources

💡 This dish offers balanced nutrition — high in vitamins and protein while providing a satisfying amount of healthy carbohydrates.


🥬 Substitutions and Variations

  • Gluten-Free Option: Use gluten-free pasta varieties made from rice, chickpeas, or lentils.
  • Dairy-Free Version: Replace cream with coconut milk and Parmesan with nutritional yeast or vegan cheese.
  • Extra Protein: Add grilled chicken or chickpeas for a heartier meal.
  • Add spice: Mix in crushed red pepper flakes or a drizzle of chili oil for a spicy twist.
  • Fresh herbs: Thyme, sage, or rosemary enhance the autumn aroma beautifully.

❄️ Storage and Reheating

  • Refrigeration: Store leftovers in an airtight container for up to 3 days.
  • Freezing: Freeze the sauce separately (not the pasta) for up to 3 months.
  • Reheating: Warm gently over low heat on the stove or in the microwave, adding a splash of cream or water to refresh the sauce.

❓ FAQs

1. Can I use pre-cut or frozen butternut squash?

Absolutely! Pre-cut or frozen squash works perfectly. Just adjust the cooking time slightly — frozen squash may take a few extra minutes to soften.

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2. What pasta shape works best?

Short pasta like penne, rigatoni, or rotini hold the sauce beautifully, but spaghetti or fettuccine work well for a more elegant presentation.

3. Can I make this ahead of time?

Yes. Cook the sauce and pasta separately, then combine them when reheating. This prevents the pasta from absorbing too much sauce.

4. How can I make it vegan?

Use plant-based sausage, coconut or almond cream, and vegan Parmesan cheese. The result remains creamy and flavorful.

5. What goes well with this pasta?

Serve it with garlic bread, a crisp green salad, or roasted vegetables for a complete, satisfying meal.


🍽️ Serving Ideas

  • As a main course: Serve with a glass of white wine for a cozy dinner.
  • For family dinners: Pair with garlic knots or warm crusty bread.
  • As leftovers: Turn the sauce into a dip for breadsticks or a topping for baked potatoes.

🌟 Recipe Benefits

  • High in antioxidants and vitamins from butternut squash and spinach.
  • Excellent source of lean protein when made with sausage or chicken.
  • Can be customized for gluten-free, dairy-free, or vegan diets.
  • Comforting yet light enough for weekday dinners.

🍁 Seasonal Touches

For a true autumnal twist, sprinkle roasted pumpkin seeds on top or drizzle with a touch of maple syrup before serving. These small additions elevate the dish’s presentation and flavor — turning a simple dinner into something gourmet.


🧠 Chef’s Insight

When blending the sauce, patience is key. The smoother your purée, the silkier your final dish will be. Always taste the sauce before adding pasta — balance the salt, adjust the texture, and let your palate guide you. The secret to great pasta lies in the emulsion between the starch from pasta water and the fat from cream and cheese — that’s where the magic happens.


📌 Save This Recipe

Love this dish? Don’t forget to save it to your Pinterest board so you can make it again anytime. It’s the kind of meal that only gets better with every craving.

“Creamy Butternut Squash Pasta with Sausage and Spinach – where comfort meets flavor in every bite!”


💬 Final Thoughts

Creamy Butternut Squash Pasta with Sausage and Spinach isn’t just a recipe — it’s an experience of cozy flavors and satisfying textures that bring everyone together. It captures the essence of comfort food without being heavy or complicated. From the first sauté to the final sprinkle of Parmesan, every step offers warmth, aroma, and pure enjoyment.

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