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Creamy Butternut Squash Pasta with Sausage and Spinach Recipe

4.7 from 140 reviews

This Butternut Squash Pasta with Sausage and Spinach is a comforting, creamy dish that beautifully balances the natural sweetness of roasted butternut squash with savory Italian sausage and fresh spinach. Featuring a luscious butternut squash sauce blended to perfection with chicken broth and cream, this recipe offers a hearty yet elegant meal perfect for fall and winter. Easy to prepare with versatile options for dietary preferences, this pasta dish is a crowd-pleaser that brings depth, warmth, and vibrant color to your table.

Ingredients

Scale

Vegetables and Produce

  • 1 medium butternut squash (about 23 cups cubed)
  • 4 cups fresh spinach (or frozen, drained)
  • 3 cloves garlic, minced
  • 1 small shallot, finely chopped (or ½ onion)

Meat

  • 8 oz Italian sausage (spicy or mild)

Pasta and Grains

  • 12 oz short pasta (penne, rigatoni, or fusilli recommended)

Dairy and Alternatives

  • ½ cup heavy cream (or half-and-half, or unsweetened almond/coconut milk)
  • ½ cup freshly grated Parmesan cheese (plus extra for sprinkling)

Liquids

  • 1 cup chicken broth (or vegetable broth for vegetarian)
  • 2 tbsp olive oil

Seasonings

  • Salt and pepper, to taste
  • Red pepper flakes (optional, for heat)
  • Pinch of nutmeg

Instructions

  1. Prepping the Butternut Squash: Peel, seed, and cube the butternut squash into 1-inch pieces for even cooking. For roasting, preheat the oven to 400°F (200°C). Toss the squash cubes with olive oil, salt, and pepper, spread on a baking sheet, and roast for 25-30 minutes until tender and slightly caramelized. Alternatively, steam the cubes in a steamer basket over boiling water for 10-12 minutes until fork-tender.
  2. Cooking the Pasta: While the squash cooks, bring a large pot of salted water to a boil. Cook the pasta according to package directions until al dente. Reserve one cup of pasta water before draining to help adjust sauce consistency later.
  3. Sautéing the Sausage: Heat 1 tablespoon of olive oil in a large skillet over medium heat. Remove casing from sausage if needed, crumble the sausage into the skillet, and cook for 8-10 minutes until browned and cooked through. Remove sausage from skillet and set aside.
  4. Sautéing Garlic and Shallots: In the same skillet, add the remaining 1 tablespoon olive oil. Add minced garlic and chopped shallots, and sauté for 2-3 minutes until fragrant and softened.
  5. Making the Butternut Squash Sauce: Transfer the cooked butternut squash to a blender or food processor. Add chicken broth, heavy cream, and a pinch of nutmeg. Blend until smooth and creamy. For a chunkier sauce, mash by hand instead. Adjust seasoning as desired.
  6. Combining Ingredients: Pour the squash sauce back into the skillet with garlic and shallots. Stir to combine, then add the browned sausage. Mix well.
  7. Incorporating Pasta: Add the drained pasta to the skillet. If the sauce is too thick, gradually add reserved pasta water until it reaches your preferred consistency. Stir to coat pasta evenly.
  8. Adding Spinach: Fold in the fresh spinach and cook for 2-3 minutes until wilted. Stir in the grated Parmesan cheese. Taste and adjust salt, pepper, and add red pepper flakes if using.
  9. Serving: Serve the pasta hot in bowls, topped with extra Parmesan cheese. Optional: drizzle with olive oil or add a squeeze of fresh lemon juice for brightness. Accompany with a green salad or garlic bread for a complete meal.

Notes

  • For a vegetarian version, omit the sausage and use vegetable broth instead of chicken broth.
  • For a dairy-free option, substitute heavy cream with coconut or almond milk and use nutritional yeast instead of Parmesan cheese.
  • Gluten-free pasta can be used to make this recipe gluten-free.
  • Add mushrooms or chickpeas for extra protein and texture when skipping the sausage.
  • Smoked paprika or balsamic glaze added to the sauce can deepen the flavor profile.
  • Using roasted squash instead of blended squash results in a chunkier, drier sauce and quicker preparation.

Keywords: butternut squash pasta, sausage pasta, creamy pasta, fall recipes, spinach pasta, Italian sausage recipe