If you’re looking for a dish that’s both comforting and vibrant, this Creamy Butternut Squash Pasta with Sausage and Spinach Recipe is an absolute showstopper. Imagine tender roasted butternut squash blended into a luscious, velvety sauce that clings to perfectly cooked pasta, layered with savory Italian sausage and fresh, bright spinach. This combination not only bursts with flavor but also offers a delightful variety of textures, making every bite satisfying. It’s a perfect weeknight meal that feels indulgent yet wholesome, guaranteed to become a favorite in your kitchen.

Ingredients You’ll Need
The beauty of this Creamy Butternut Squash Pasta with Sausage and Spinach Recipe lies in its simple yet carefully chosen ingredients. Each one plays a vital role, whether it’s bringing out sweetness, adding a spicy kick, or balancing creaminess with freshness. Here’s what you need to gather before diving in:
- 1 medium butternut squash, peeled and chopped (about 4 cups): The star ingredient, roasted to bring out its natural sweetness and creamy texture.
- 2 tablespoons olive oil: Helps roast the squash and adds richness to the overall flavor.
- Salt and freshly ground black pepper, to taste: Essential seasoning to enhance every ingredient’s natural flavors.
- 12 ounces Italian sausage: Brings a savory, slightly spicy depth that pairs beautifully with the sweetness of the squash.
- 1 small onion, chopped: Adds a subtle sweetness and aroma when sautéed.
- 2 cloves garlic, minced: Gives a fragrant kick that complements the sausage and sauce.
- 1/2 teaspoon ground nutmeg: A pinch that amplifies the warmth and autumnal notes of the butternut squash.
- 1/4 teaspoon crushed red pepper flakes (optional): For a gentle heat that balances the creaminess perfectly.
- 1 cup chicken or vegetable broth: Creates the base of the sauce, adding depth and moisture.
- 1/2 cup heavy cream: Makes the sauce irresistibly smooth and rich.
- 12 ounces pasta (such as penne or fusilli): The ideal shape to catch and hold the luscious sauce.
- 3 cups fresh spinach leaves: Adds freshness, vibrant color, and a subtle earthiness.
- 1/2 cup grated Parmesan cheese: Delivers salty, nutty flavor and helps thicken the sauce.
- Fresh parsley, chopped, for garnish: A bright, herbal finish that brings everything together beautifully.
How to Make Creamy Butternut Squash Pasta with Sausage and Spinach Recipe
Step 1: Roast the Butternut Squash
Start by preheating your oven to 400°F (200°C). Toss your chopped butternut squash in olive oil and season it generously with salt and pepper. Spread it out on a baking sheet in one layer so it roasts evenly. As it cooks for 25 to 30 minutes, the squash will soften and its natural sugars will caramelize, providing that perfect sweet base for your sauce.
Step 2: Cook the Pasta
While the squash roasts, bring a large pot of salted water to a boil. Cook your chosen pasta—penne or fusilli works wonderfully—until it is al dente. This means it should still have a slight bite, allowing it to hold up well once combined with the creamy sauce. Drain the pasta and set it aside.
Step 3: Brown the Sausage
In a large skillet over medium heat, cook the Italian sausage, breaking it into small pieces so it browns evenly. This step renders the fat and intensifies the savory flavors that will elevate your pasta dish. Once fully cooked and nicely browned, transfer the sausage to a paper towel-lined plate to drain excess fat.
Step 4: Sauté Onion and Garlic
Using the same skillet, add the chopped onion and cook until it becomes translucent and fragrant. This takes about 4 minutes and builds a subtle sweetness. Then add minced garlic along with the ground nutmeg and crushed red pepper flakes if you like a bit of heat. Cooking these aromatic ingredients for an additional minute awakens their vibrant flavors and perfectly complements the sausage and squash.
Step 5: Blend the Sauce
Transfer the roasted butternut squash to a blender or food processor, along with the sautéed onion mixture, broth, and heavy cream. Blend everything until it becomes a smooth, creamy sauce with a luscious texture. This sauce is the heart of the Creamy Butternut Squash Pasta with Sausage and Spinach Recipe, combining the sweetness of squash with rich and savory undertones.
Step 6: Combine and Wilt Spinach
Return the blended sauce to the skillet and gently heat it over low. Stir in the cooked sausage and pasta, letting the sauce coat every piece. Finally, add the fresh spinach leaves and stir until they just wilt. This step adds freshness, vibrant color, and a lovely earthiness that balances the creaminess beautifully.
Step 7: Finish with Parmesan
Stir in the grated Parmesan cheese until it melts completely into the sauce, creating an extra layer of savory depth and silkiness. Taste your creation and adjust salt and pepper to your liking for the perfect balance.
Step 8: Serve and Garnish
Plate your pasta while it’s hot and garnish with a sprinkle of freshly chopped parsley and extra Parmesan if desired. The green parsley adds a pop of color and a fresh herbal note that completes this stunning dish.
How to Serve Creamy Butternut Squash Pasta with Sausage and Spinach Recipe

Garnishes
Simple garnishes elevate the dish wonderfully. Fresh chopped parsley adds brightness and contrast to the rich sauce. For an extra touch, a light dusting of freshly cracked black pepper or a sprinkle of toasted pine nuts can add a subtle crunch and nutty flavor that’s simply irresistible.
Side Dishes
This pasta is satisfying on its own but pairing it with a crisp green salad or roasted vegetables can make it an even heartier meal. Garlic bread or warm, crusty bread are fantastic for mopping up any leftover creamy sauce, making sure none of that deliciousness goes to waste.
Creative Ways to Present
For a special touch, try serving this pasta in individual shallow bowls, layered with a dollop of ricotta or a drizzle of balsamic glaze. You can also sprinkle crispy sage leaves on top to add texture and a fragrant herbaceous boost that complements the flavors superbly.
Make Ahead and Storage
Storing Leftovers
After enjoying your Creamy Butternut Squash Pasta with Sausage and Spinach Recipe, store any leftovers in airtight containers and refrigerate. It keeps well for up to 3 days and the flavors actually meld beautifully overnight, making for an even tastier meal the next day.
Freezing
Freezing this dish is possible but with some care. For best results, freeze the cooked pasta and sausage separately from the spinach and Parmesan cheese. When ready to eat, thaw overnight and reheat gently, then add fresh spinach and cheese to maintain their texture and freshness.
Reheating
Reheat leftovers over low heat on the stove or in the microwave, adding a splash of broth or cream to loosen the sauce if it thickens too much. Stir occasionally to warm evenly and restore that creamy consistency that makes this Creamy Butternut Squash Pasta with Sausage and Spinach Recipe so comforting.
FAQs
Can I use turkey sausage instead of Italian sausage?
Absolutely! Turkey sausage is a lighter alternative that will still provide plenty of flavor. Just choose a variety with seasoning you enjoy, and adjust spices if needed.
What type of pasta works best?
Penne and fusilli are excellent because their shapes hold the sauce beautifully, but feel free to use any pasta you love. Just make sure to cook it al dente.
Is it necessary to roast the butternut squash?
Roasting enhances the squash’s natural sweetness and depth of flavor, making the sauce richer. You can boil it as a shortcut, but roasting is definitely worth the extra effort.
Can this recipe be made vegetarian?
Yes! Skip the sausage and use vegetable broth, and consider adding sautéed mushrooms or crispy chickpeas for extra protein and texture.
How spicy is the dish with red pepper flakes?
The crushed red pepper flakes add a gentle, warming heat that balances the sweetness and creaminess beautifully. You can omit them if you want a milder dish.
Final Thoughts
Ready to make a dish that feels like a warm hug on a plate? The Creamy Butternut Squash Pasta with Sausage and Spinach Recipe is the perfect way to bring comfort and color to your dinner table. With its blend of sweet, savory, and fresh ingredients, it offers a soulful experience that you’ll come back to time and again. Give it a try and share the joy with someone special!
