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Creamy Butternut Squash Pasta with Sausage and Spinach

Creamy butternut squash pasta with sausage and spinach recipe

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This creamy butternut squash pasta with sausage and spinach is the ultimate one-pot wonder that comes together in just 30 minutes. Sweet squash creates a velvety sauce, savory sausage adds depth, and fresh spinach provides vibrant nutrition in this complete, comforting fall meal.

Ingredients

Scale
  • 1 pound Italian sausage, casings removed (mild or hot, based on your preference)
  • 1 tablespoon olive oil
  • 1 small yellow onion, diced
  • 3 cloves garlic, minced
  • 3 cups cubed butternut squash (about 1 small squash, or use pre-cubed for a shortcut)
  • 2 cups low-sodium chicken broth
  • 1 cup heavy cream or half-and-half for a lighter option
  • 1 teaspoon dried sage
  • ½ teaspoon freshly grated nutmeg
  • ½ teaspoon red pepper flakes (optional, for a little heat)
  • 8 ounces short pasta like penne, rigatoni, or fusilli
  • 4 cups fresh spinach
  • ½ cup grated Parmesan cheese, plus more for serving
  • Salt and freshly ground black pepper, to taste

Instructions

  1. Brown the Sausage: In a large, deep skillet or Dutch oven, heat the olive oil over medium-high heat. Add the Italian sausage, breaking it up with a spoon, and cook until it’s nicely browned and cooked through, about 5-7 minutes. Use a slotted spoon to remove the sausage from the skillet, leaving about a tablespoon of drippings behind.
  2. Sauté the Aromatics: Add the diced onion to the skillet and cook until softened and translucent, about 3-4 minutes. Stir in the minced garlic and cook for just 30 more seconds until fragrant. Be careful not to burn the garlic!
  3. Cook the Squash and Pasta: Add the cubed butternut squash, dried sage, nutmeg, and red pepper flakes to the skillet. Pour in the chicken broth and heavy cream. Bring the mixture to a simmer, then stir in the uncooked pasta. The liquid should just about cover the pasta and squash.
  4. Simmer to Perfection: Reduce the heat to medium-low, cover the skillet, and let it simmer for 12-15 minutes. Stir occasionally to prevent sticking. The pasta should become al dente, and the butternut squash should be tender enough to mash easily with a fork.
  5. Create the Creamy Sauce: Once the pasta and squash are cooked, use the back of your spoon or a potato masher to gently mash about half of the squash cubes right in the pan. This is the secret to the luxuriously thick, creamy sauce without any flour or roux!
  6. Finish the Dish: Return the cooked sausage to the skillet. Add the fresh spinach in handfuls, stirring until it wilts into the warm pasta, which will only take a minute or two. Turn off the heat and stir in the grated Parmesan cheese until it melts into the sauce. Season generously with salt and black pepper to your liking.

Notes

Smart Substitutions: Sausage: Use ground chicken, turkey, or plant-based sausage. Cream: For dairy-free, use full-fat coconut milk. Pasta: Any short pasta works; use gluten-free for GF option. Spinach: Kale or Swiss chard work well. Storage: Refrigerate in airtight container for up to 4 days. Freeze for up to 3 months. Reheat with splash of broth or cream to loosen sauce.

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