
This one-pot creamy butternut squash and sage pasta is my answer to chilly nights and the craving for comfort food with minimal cleanup. The sweet nuttiness of roasted squash melts into a silky sauce, fresh sage infuses each bite with warmth, and every forkful feels like a hug. In just forty five minutes and with simple ingredients, you can bring this Italian inspired vegetarian main to the table and savor pure coziness.
I made this on a gray Sunday when I wanted something special but effortless. Everyone came back for seconds—now I always keep squash on hand just in case.
Ingredients
- Butternut squash: Choose one that feels heavy for its size and has firm deep orange flesh This brings natural sweetness and velvety texture
- Yellow onion: Pick a small onion that feels dense Adds savory base notes to the sauce
- Garlic: Use fresh cloves with tight skin for the best aroma Boosts flavor depth throughout the dish
- Short pasta: Penne or rigatoni hold the sauce beautifully Look for pasta with ridges for better clinging
- Heavy cream: Go for high quality cream with a short ingredient list Creates luscious mouthfeel
- Parmesan cheese: Buy a block and grate it fresh for the best flavor Melts smoothly into the sauce
- Unsalted butter: Choose European style if possible for best richness Blends with olive oil for the flavor base
- Vegetable broth: Opt for low sodium so you control saltiness Adds body to the sauce
- Water: Use filtered water for a pure taste Helps balance the consistency
- Fresh sage: Look for leaves with deep green color Finely chop to release oils Aromatic and earthy
- Ground nutmeg: Choose freshly grated if possible for warm spice notes
- Salt and freshly ground black pepper: Freshly cracked for max punch Season to taste
- Extra-virgin olive oil: Cold pressed for smooth taste Brings depth and heartiness
Instructions
- Heat the Flavor Base:
- In a large deep skillet or Dutch oven add the olive oil and butter Heat over medium until the butter melts and starts to foam This sets up a rich foundation for everything to come
- Sauté the Aromatics:
- Toss in the chopped onion and a pinch of salt Sauté gently over medium low stirring often for three to four minutes until the onion turns translucent and soft This is when flavor starts to build Fragrant onions mean a sweeter sauce
- Bloom the Garlic and Sage:
- Add minced garlic and chopped sage Stir constantly for one minute until your kitchen smells earthy and aromatic Be careful garlic burns easily so do not walk away
- Cook the Squash:
- Tip in the butternut squash cubes Stir well Coat each piece with the oil garlic and sage Cook for two to three minutes This helps the edges start to soften and builds sweetness
- Simmer the Broth and Water:
- Pour in the vegetable broth and water Stir to loosen up the bits on the bottom Raise the heat just enough to bring the mixture to a gentle simmer This is the liquid that will cook both the pasta and squash
- Add Pasta and Seasonings:
- Once simmering add the pasta nutmeg salt and pepper Stir so everything is submerged Cover and let cook for twelve to fifteen minutes stirring often to prevent sticking The pasta and squash will finish at the same time and much of the liquid will be absorbed
- Create the Creamy Sauce:
- Reduce the heat to low Stir in the heavy cream and grated Parmesan Keep mixing until the sauce thickens and coats the pasta Adjust salt and pepper to taste For more creaminess mash some of the squash with a spoon into the sauce
- Serve and Garnish:
- Dish up the pasta immediately Top with extra Parmesan and whole sage leaves For a fancy touch panfry whole sage leaves in butter until crispy Makes an aromatic garnish and a fun crunch

I have always loved the smell of sage frying in butter It reminds me of Sunday afternoons helping my grandmother in the kitchen She would press fresh sage from the garden to her nose and say That is what home smells like to me Now it is my favorite part of this pasta
Storage Tips
Leftovers keep well in an airtight container up to four days in the refrigerator Warm gently in a skillet adding a splash of broth or cream to loosen the sauce If freezing cool completely then portion into freezer safe containers Before serving defrost overnight in the fridge then reheat slowly so the sauce remains creamy
Ingredient Substitutions
For a vegan meal use oat or cashew cream and your favorite vegan Parmesan Short gluten free pasta works perfectly if you need to avoid wheat If fresh sage is hard to find try a small pinch of dried but sprinkle it in with the pasta so it rehydrates
Serving Suggestions
This creamy pasta stands alone as a comforting main Serve with crusty garlic bread for soaking up the sauce Add a crisp green salad with lemon vinaigrette on the side For a special occasion a glass of dry white wine pairs beautifully
Cultural Context
Butternut squash and sage is a classic Italian pairing especially in the cuisine of northern Italy The creamy one pot approach is a modern twist embracing the weeknight need for simpler prep while keeping Old World flavors alive
Seasonal Adaptations
Use delicata or acorn squash if you cannot find butternut In early spring toss in baby spinach or peas in the final minutes for freshness Swap Parmesan for Pecorino Romano if you like a sharper flavor
Success Stories
My nephew was a fussy eater until he tried this dish Now whenever squash appears in the house he asks if it is pasta night A friend also made it for her Thanksgiving potluck and came home without leftovers That is always a win
Freezer Meal Conversion
Make a double batch and let one cool completely before packing into freezer containers When ready to reheat transfer directly to a pan add a splash of vegetable broth or cream and warm gently over low heat The sauce will come back together with a bit of stirring

This pasta is pure, cozy comfort for any night of the week, and cleanup is a breeze. Enjoy the leftovers or freeze a batch for a busy day—the flavor only gets better.
Common Recipe Questions
- → Can I use a different type of pasta?
Yes, short pasta shapes like penne or rigatoni work best, but fusilli or shells are great alternatives.
- → How can I make this dish vegan?
Swap the cream and Parmesan for plant-based versions and use vegan butter for a delicious dairy-free option.
- → What proteins pair well with this pasta?
Grilled chicken, sautéed mushrooms, or toasted pine nuts can make lovely additions for extra protein and texture.
- → Can I prepare this ahead of time?
Absolutely. Prepare as instructed and reheat gently with a splash of broth or cream to restore creaminess.
- → What wine pairs with creamy butternut pasta?
A dry white wine, such as Pinot Grigio or light Chardonnay, beautifully complements the creamy sauce.