Creamy Butternut Squash Gnocchi Sausage

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Pillowy gnocchi bathed in velvety butternut squash cream and accented by savory Italian sausage offer the perfect comfort meal. Finished with fresh sage and Parmesan, every bite balances richness from cream and butter, sweetness from squash, and warmth from nutmeg. Ideal for a cozy evening, this satisfying main is ready in under an hour and can be adapted for different diets by omitting sausage or swapping in mushrooms. Serve hot with extra herbs and cheese for a crowd-pleasing Italian-inspired delight.

A woman with long hair and a white sweater smiles.
Created by Mia Harper
Last updated on Fri, 12 Sep 2025 18:13:58 GMT
A plate of creamy butternut squash gnocchi with Italian sausage. Save
A plate of creamy butternut squash gnocchi with Italian sausage. | krispyrecipes.com

Creamy butternut squash gnocchi with Italian sausage is the kind of cozy comfort food that feels like a hug from the inside out. Each bite brings pillowy gnocchi coated in a silky squash sauce alongside the flavor punch of seared Italian sausage. This is a dish I keep coming back to for chilly autumn dinners or when I want something special and filling that will win over even picky eaters.

The first time this landed on my table it was a snowy November Sunday and now it is a highly requested dinner no matter the season in my house

Ingredients

  • Potato gnocchi: Brings that signature pillowy texture Buy shelf-stable fresh or even homemade to suit your schedule Look for ones that use real potatoes for best flavor
  • Italian sausage: Creates deep savory flavor and protein Use mild for a gentle heat or spicy for more kick Opt for sausage with minimal fillers for purest taste
  • Butternut squash: The star ingredient provides golden color and natural sweetness Look for squash that feels heavy for its size with a matte skin
  • Yellow onion: Adds sweetness and a flavor base When picking onions look for firm bulbs with dry papery skins
  • Garlic: Packs flavor depth fresh cloves make a difference
  • Chicken or vegetable broth: Lends body to the sauce and helps squash cook evenly Choose low sodium for better control over seasoning
  • Heavy cream: Makes the sauce luscious and rich Go for full-fat for the silkiest finish
  • Olive oil: Used for sautéing and richness High quality extra virgin brings out the best in vegetables
  • Ground nutmeg: Lifts flavors with its warm spice A little goes a long way—freshly ground if possible
  • Salt and freshly ground black pepper: Adjusts and balances all the flavors
  • Parmesan cheese: Finishes the dish with nuttiness and depth Always grate fresh right before serving for maximum aroma
  • Fresh sage or parsley: Sage brings aromatic fall notes parsley adds freshness Pick vibrant green leaves only
  • Unsalted butter: Melds into the sauce for a luxurious texture Go for European-style for richer flavor

Instructions

Bring the Water to a Boil:
Fill a large pot with water and a generous pinch of salt then bring it to a rolling boil so your gnocchi cooks perfectly and does not stick together
Brown the Sausage:
In a large skillet heat a tablespoon of olive oil over medium heat and add Italian sausage Break it up with a wooden spoon and cook until browned and cooked through about six minutes This builds that irresistible sausage fond which gets picked up by the sauce later
Sauté Onion and Garlic:
Remove sausage to a plate and in the same skillet add the last bit of olive oil Toss in diced yellow onion cooking three minutes until translucent and sweet Stir in the garlic and cook one more minute until fragrant
Simmer the Squash:
Add diced butternut squash ground nutmeg salt and pepper to the skillet Stir everything together then pour in your broth Bring to a gentle simmer cover with a lid and cook twelve to fifteen minutes until the squash is meltingly soft and easily pierced with a fork
Purée the Sauce:
Transfer everything from the skillet to a blender or use an immersion blender Blend until silky smooth Use caution with hot liquids and return the purée to the skillet over low heat
Finish the Cream Sauce:
Fold in the heavy cream and butter letting them melt into the squash purée Toss in parmesan stirring until cheese melts through Taste and adjust salt and pepper as needed
Cook the Gnocchi:
Drop your gnocchi into the boiling water Gnocchi cook fast—usually two to three minutes and they are ready when they float to the surface Use a slotted spoon or colander to drain well
Combine and Finish:
Add drained gnocchi straight into the pan of sauce followed by cooked sausage and fresh sage or parsley Toss everything gently to let the sauce cling to every piece
Serve and Garnish:
Spoon into wide bowls while hot generously shower with more parmesan and fresh herbs Serve immediately for the best creamy texture
A bowl of creamy butternut squash gnocchi with Italian sausage.
A bowl of creamy butternut squash gnocchi with Italian sausage. | krispyrecipes.com

I adore how freshly grated nutmeg transforms the sauce each time and it is always the ingredient my friends try to guess after their first bite My family laughs at my obsession with perfecting this dish but every holiday it disappears faster than anything else I serve

Storage Tips

Store leftovers in an airtight container in the refrigerator for up to three days Reheat gently with a splash of broth or cream to loosen the sauce If freezing portion into single servings so it thaws more quickly and evenly

Ingredient Substitutions

You can swap sweet potato for squash for a sweeter deeper color Use turkey or plant-based sausage for different dietary needs If you have no cream stir in a little full-fat milk with a splash of olive oil for a lighter finish

Serving Suggestions

Pile this gnocchi high in shallow bowls and finish with extra parmesan Serve alongside a crisp green salad to balance the rich sauce This makes an excellent dinner party main set out with garlic bread on the side

Cultural and Historical Context

While gnocchi hails from Italy and butternut squash is a New World crop fusing them with sausage and cream creates a dish that feels both classic and contemporary The use of nutmeg and sage nod to northern Italian flavors that shine in cool weather months

Seasonal Adaptations

Try roasted delicata or kabocha squash in place of butternut for subtle changes in flavor and color In spring swap in spinach and peas for a lighter twist For a summery touch sprinkle with fresh basil and chives at the end

Success Stories

Many readers have told me this dish helped them discover a love for gnocchi in their home Even picky eaters have gone for seconds and friends say it has become their new fall tradition

Freezer Meal Conversion

Freeze the sauce and sausage mixture separately from the cooked gnocchi Package in meal-size portions Defrost overnight and heat both in a skillet before combining for a nearly instant dinner

A white bowl filled with creamy butternut squash gnocchi and Italian sausage.
A white bowl filled with creamy butternut squash gnocchi and Italian sausage. | krispyrecipes.com

Let this creamy gnocchi become one of your favorite comfort meals Enjoy it on chilly nights or whenever you crave a truly special dinner

Common Recipe Questions

→ Can I use store-bought gnocchi?

Yes, store-bought gnocchi works well and saves time. Cook according to the package instructions.

→ What can replace Italian sausage for a vegetarian version?

Try plant-based sausage or sautéed mushrooms for a hearty vegetarian alternative.

→ Is it possible to prepare the butternut squash sauce in advance?

Absolutely, the sauce can be made ahead and stored in the fridge for up to 2 days. Reheat gently before mixing with gnocchi.

→ Does this dish pair well with specific wines?

A crisp Pinot Grigio or a light Italian red makes an excellent pairing with the creamy squash and savory sausage.

→ Are there gluten-free options?

Simply use gluten-free gnocchi to make this dish suitable for gluten-free diets.

→ Can I substitute sweet potato for butternut squash?

Yes, sweet potato is a suitable alternative and will add a slightly different flavor profile.

Creamy Butternut Squash Gnocchi Sausage

Gnocchi tossed in smooth butternut squash cream sauces with sausage, sage, and parmesan for a lush, hearty meal.

Prep Duration
20 minutes
Cooking Duration
30 minutes
Overall Time
50 minutes
Created by: Mia Harper

Recipe Type: Midday Momentum

Skill Level: Moderate Challenge

Cuisine Type: Italian-Inspired

Total Portions: 4 Serving Size (4 servings)

Dietary Considerations: ~

What You’ll Need

→ Gnocchi & Sausage

01 1 pound potato gnocchi, store-bought or homemade
02 10 ounces Italian sausage, mild or spicy, casings removed

→ Butternut Squash Sauce

03 2 cups butternut squash, peeled and diced
04 1 small yellow onion, diced
05 2 cloves garlic, minced
06 1 cup chicken broth or vegetable broth
07 1/2 cup heavy cream
08 2 tablespoons olive oil
09 1/4 teaspoon ground nutmeg
10 Salt and freshly ground black pepper, to taste

→ To Finish

11 1/3 cup grated Parmesan cheese, plus extra for serving
12 2 tablespoons fresh sage leaves, chopped, or parsley
13 1 tablespoon unsalted butter

How to Make It

Step 01

Bring a large pot of salted water to a boil.

Step 02

Heat 1 tablespoon olive oil in a large skillet over medium heat. Add Italian sausage and cook, breaking apart with a spoon, until browned and cooked through, about 6 minutes. Transfer to a plate and set aside.

Step 03

In the same skillet, add the remaining olive oil. Sauté diced onion for 3 minutes until softened, then add minced garlic and cook for 1 minute more.

Step 04

Add diced butternut squash, ground nutmeg, salt, and black pepper. Pour in broth, bring to a simmer, cover, and cook for 12 to 15 minutes until squash is very tender.

Step 05

Transfer squash mixture to a blender or use an immersion blender to purée until completely smooth. Return the sauce to the skillet over low heat.

Step 06

Stir in heavy cream and unsalted butter. Add grated Parmesan and mix until fully incorporated. Taste and adjust seasoning as desired.

Step 07

Cook gnocchi in the prepared boiling water according to package instructions, typically 2 to 3 minutes, until they float to the surface. Drain well and add directly to the sauce.

Step 08

Add the cooked sausage and chopped sage to the skillet. Toss gently to coat the gnocchi evenly with sauce.

Step 09

Serve hot, garnished with extra Parmesan cheese and fresh herbs as desired.

Additional Tips

  1. For a vegetarian adaptation, omit sausage or use plant-based sausage or mushrooms.
  2. Sweet potato may be used instead of butternut squash if preferred.
  3. Complements well with a crisp Pinot Grigio or light Italian red.

Tools You’ll Need

  • Large pot
  • Large skillet
  • Blender or immersion blender
  • Colander
  • Wooden spoon

Possible Allergens

Double-check each ingredient for allergens and consult an expert if you're unsure.
  • Contains dairy: cream, butter, Parmesan
  • Contains gluten: gnocchi, unless gluten-free option is selected
  • Contains pork: if using pork sausage
  • Always review product packaging for potential hidden allergens.

Nutritional Information (per serving)

This data is for informational purposes and shouldn't replace professional advice.
  • Calorie Count: 540
  • Total Fat: 28 grams
  • Total Carbohydrates: 52 grams
  • Protein Content: 19 grams