Butternut Squash and Sausage Pasta Recipe (2024)

Butternut Squash and Sausage Pasta Recipe (1)

Fall flavors fill this super-easy and delicious pasta dish. Butternut squash, sweet Italian sausage, sage and pasta go together like, well like butternut squash and sage. Everything is cooked in the same pan (except for the pasta), so clean-up is easy.

A low-carb option for this is to make noodles out of the butternut squash. You can check out my Butternut Squash Noodlesfrom a few years ago.

Butternut Squash and Sausage Pasta Recipe (2)
Butternut Squash and Sausage Pasta Recipe (3)

When we heat the butter and it starts to brown (caramelize), it adds a ton of flavor. We're really "pan roasting" the butternut squash for this dish, instead of cooking it in the oven. It will cook a lot faster and helps keep down on the dishes.

The sage fries with the butter and gets nice and crispy, creating a delicious savory aroma around the kitchen.

Sweet Italian Sausage is just the best, isn't it? I feel like it can be added to just about anything to add so much wonderful flavor. My favorite place to buy sausage is at Sprouts Market butcher counter. They make the sausage in-house; it is so delicious and is often on sale.

Butternut Squash and Sausage Pasta Recipe (4)

The cream picks up the flavor of the squash and the sausage to help coat the pasta noodles to make every bite delicious. A little vinegar at the end adds some brightness and a great contrast with the richness of the flavors.

Butternut Squash and Sausage Pasta Recipe (5)

Butternut Squash and Sausage Pasta

Fall flavors fill this super easy and delicious pasta dish.Butternut squash, sweet italian sausage, sage, a little cream are a delicious and savory combination.

4.89 from 9 votes

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Course: Main

Cuisine: Italian

Servings: 4

Author: Justin McChesney-Wachs

Ingredients

  • 3 cups Butternut Squash, cut into ¼" dice
  • 3 tablespoon Unsalted Butter, divided
  • ½ lb Sweet Italian Pork Sausage
  • 8 Fresh Sage Leaves
  • 8 oz Pasta, cooked al dente
  • ¾ cup Heavy Cream
  • 1 tablespoon Sherry Vinegar
  • ¼ cup Grated Parmesan Cheese

Instructions

  • Heat 2 tablespoons butter in a large skillet over medium-high heat until hot and the butter starts to brown.

  • Add the diced butternut squash and 4 sage leaves.

  • Cook for about 10 to 12 minutes until brown and tender, stirring frequently. Season with kosher salt & freshly ground pepper.

  • Remove the squash from the skillet and set aside.

  • Remove the sausage from its casing and add to the skillet with a little oil, breaking it up into bite size pieces with the back of a spoon or spatula. Brown and cook through.

  • Add the squash back to the skillet along with 4 more sage leaves and 1 tablespoon butter.

  • Cook for another 2 minutes to crisp sage leaves.

  • Reduce the heat to low and add heavy cream, cooking for about 2 minutes until the sauce thickens.

  • Add the cooked pasta, vinegar and grated parmesan cheese.

  • Gently stir to combine and remove from heat. If the sauce is too thick, add a little reserved pasta water.

  • Serve immediately with more grated parmesan.

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  1. Daisy says

    Amazing! So tasty!!

    Reply

    • justin says

      Happy to hear it, Daisy!

      Reply

  2. Tori says

    Lovely easy to follow recipe, very tasty. I added leek as well!

    Reply

    • justin says

      Leeks are such an underutilized ingredient. They make everything better. So glad you enjoyed the pasta!

      Reply

  3. Janet says

    I think i will use coconut milk instead of the heavy cream! Having this tonight!

    Reply

  4. Deborah says

    Yummy meal! I don't have any vinegar. I added some nutmeg..yum!

    Reply

    • justin says

      Hi Deborah - Thanks so much for trying the recipe and letting me know. It's perfect for this time of year 🙂

      Reply

  5. Carlos At Spoonabilities says

    What a beautiful and delicious pasta meal. I never tried to cook the squash in the pan, but I definitely will try your recipe. I love butternut squash and the pleasant aroma and taste of the sage.

    Reply

    • justin says

      Thanks so much, Carlos! Yeah, cooking the squash in the pan can be really great. And for soups, it eliminates the extra step of roasting. 🙂

      Reply

Butternut Squash and Sausage Pasta Recipe (2024)

FAQs

What are 3 ways you can eat butternut squash? ›

7 ways to cook with butternut squash
  • Butternut squash soup. ...
  • Spicy squash and spinach soup. ...
  • Roasted butternut squash. ...
  • Butternut squash laksa. ...
  • Moroccan-spiced tomato sauce with roast vegetables and chickpeas. ...
  • Beef and butternut squash moussaka. ...
  • Chilled toffee apple creams.

What pairs well with butternut? ›

What to Serve with Roasted Butternut Squash
  • Pork. These Crock Pot Pork Chops would be excellent paired with roasted butternut squash.
  • Chicken. ...
  • Pasta. ...
  • Roasted butternut squash is also delicious with any holiday main: roast chicken, roast turkey, ham, prime rib; whatever your family loves!

What wine goes with butternut squash pasta? ›

There are a few wines which pair equally well with this pasta dish. Pinot Noir really is the ultimate match for butternut squash anything. It has the red fruit notes to contrast the nutty flavors of the squash and herbal aromatics.

Can you eat too much butternut squash? ›

When taken by mouth: Butternut is POSSIBLY SAFE for most people, but it can cause diarrhea and irritation of the stomach and intestines. Pregnancy and breast-feeding: It's LIKELY UNSAFE to use butternut in large amounts if you are pregnant or breast-feeding. It might stimulate the bowels too much.

Is butternut squash good for your stomach? ›

Butternut squash, or winter squash, is harvested in the fall but it keeps well for several months. It is a good source of fiber, potassium, and several other key nutrients. The nutritional content of squash makes it beneficial for digestion, blood pressure, and for healthy skin and hair, among others.

What is the best season for butternut squash? ›

When is butternut squash in season? Butternut squash are harvested in late summer and autumn, but because they keep so well, they can be found all year round.

Is butternut a healthy vegetable? ›

Butternut squash is a plant food packed with fiber, vitamins, minerals, and antioxidants. As a result, it may help prevent against chronic disease. So, consuming butternut squash and other nutrient-dense foods is a great way to manage chronic disease risk.

What do you drink with butternut squash ravioli? ›

For red wine lovers, Pinot Noir wines offer a crisp, fruity mouthfeel, ideal for accompanying cucurbit-based dishes such as squash, pumpkin and butternut squash. Alsace red wines from the Pinot Noir grape variety will be delicious with your squash ravioli.

Does butternut squash taste like spaghetti squash? ›

The Flavor Factor

If you substitute butternut for spaghetti squash, the nutty flavor could overwhelm the sauce flavors, whereas substituting spaghetti squash for butternut could leave your dishes tasting bland.

Does white or red wine go with butternut squash? ›

Skin-contact white wines have nutty notes and honeyed spice that marries well with butternut. They match in color, too.

Is it necessary to peel butternut squash before cooking? ›

You can eat the skin, so there's no need to peel it. Simply halve it, scoop out the seeds and chop it into chunks, then roast it and add it to a warm winter salad or throw it into curries, stews or soups. You can also roast the seeds and eat them as a snack or sprinkled over a finished dish.

Do you cook butternut squash cut side up or down? ›

After your squash is cut in half, scoop and discard the seeds, then roast the butternut squash with the skin on, until fork tender. You can roast the butternut squash cut side down or cut side up, you will get a more caramelized squash when roasted cut side down.

Can you eat butternut squash raw? ›

That's right, you can eat butternut squash raw (yep, we said it). Raw butternut squash is carrot-like and holds up well in crunchy salads and slaws. If opting for raw squash over cooked squash, start by peeling away the tough outer skin (FYI, you can eat the skin when it's cooked.

How is butternut eaten? ›

Raw butternut squash is carrot-like and holds up well in crunchy salads and slaws. If opting for raw squash over cooked squash, start by peeling away the tough outer skin (FYI, you can eat the skin when it's cooked. It's full of fiber and completely edible when softened up a bit).

Is butternut squash better cooked or raw? ›

First of all, neither one is typically eaten raw. Cooking makes the nutrients easier to absorb and the squash easier to chew and swallow. The principal difference is that a butternut is starchier than an acorn. This makes it smoother in texture, which gives it more versatility in how it is cooked or served.

How do you eat squash without cooking it? ›

If you'd like to try it raw, here are a few ideas for that. I recommend peeling away the tough outer skin. (The skin is edible and packed with fiber, but I personally find it a little to difficult to chew when raw) For salads and slaws, you can shave it into ribbons, or use a spiralizer to create noodles.

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