Butternut Squash Pasta with Sausage

Section: Wholesome Meals for Every Day

This hearty pasta dish combines the sweet, nutty flavors of roasted butternut squash with savory sausage and fresh spinach. The velvety Parmesan cream sauce ties everything together, creating a balanced, comforting meal perfect for cooler weather.

The preparation involves roasting cubed butternut squash until caramelized, browning crumbled sausage, and creating a luscious sauce with garlic, spinach, heavy cream and Parmesan. Toss with al dente farfalle and you've got a restaurant-quality dish that serves four generously.

With 759 calories per serving, this indulgent meal offers a wonderful balance of carbohydrates, protein, and vegetables in every bite.

woman cooking.
Created By Lena
Updated on Fri, 24 Oct 2025 14:41:41 GMT
A bowl of pasta with meat and vegetables. Save
A bowl of pasta with meat and vegetables. | recipesbylena.com

This creamy roasted butternut squash pasta has become my ultimate fall comfort dish that perfectly balances rich flavors with wholesome ingredients. The sweet roasted squash pairs beautifully with savory sausage and fresh spinach in a silky Parmesan cream sauce that coats every bite of pasta.

I created this recipe during a chilly October evening when I needed something special yet doable for a small dinner party. The combination of colors and textures immediately won over even my squash skeptical friends who now request it regularly.

Ingredients

  • Butternut squash: Offers natural sweetness and velvety texture when roasted properly; choose firm squash with unblemished skin
  • Italian sausage: Provides savory depth and protein; select good quality sausage with visible herbs and spices
  • Fresh spinach: Adds color, nutrition, and slight bitterness to balance the rich sauce; opt for baby spinach for milder flavor
  • Heavy cream: Creates the luxurious base for the sauce; room temperature cream incorporates better
  • Parmesan cheese: Adds nutty saltiness; freshly grated melts more smoothly than pre-packaged options
  • Bow tie pasta: Catches the sauce in its crevices; any short pasta works but farfalle is particularly pretty with this dish
  • Garlic: Infuses the sauce with aromatic flavor; fresh cloves provide significantly more flavor than jarred options

Step-by-Step Instructions

Roast the Butternut Squash:
Toss cubed squash with olive oil, salt, and pepper ensuring each piece is lightly coated. Arrange in a single layer on a parchment-lined baking sheet giving each piece space to caramelize properly. Roast at 400°F for 30 minutes until the edges develop a golden brown color and the interior becomes tender when pierced with a fork.
Brown the Sausage:
Heat olive oil in a skillet until shimmering then add the crumbled sausage. Break it into small uniform pieces with a wooden spoon as it cooks allowing even browning on all sides. Cook until no pink remains and the edges become crispy which takes about 10 minutes of occasional stirring.
Create the Creamy Base:
Sauté garlic and spinach in olive oil until the spinach wilts and releases its moisture about 5 to 7 minutes. Pour in room temperature heavy cream and bring to a gentle simmer not a rolling boil which could cause the cream to separate. Add Parmesan gradually while stirring continuously until completely melted into a smooth velvety sauce.
Combine and Finish:
Toss al dente pasta directly into the sauce allowing it to absorb some of the creaminess. Fold in the cooked sausage distributing it evenly throughout. Finally add the roasted butternut squash either stirring it gently into the mixture or arranging it decoratively on top for visual impact and textural contrast.
A bowl of pasta with meat and vegetables.
A bowl of pasta with meat and vegetables. | recipesbylena.com

My absolute favorite part of this recipe is the moment when the hot pasta hits the cream sauce creating that perfect silky texture. My grandmother taught me to always reserve some pasta water just in case the sauce needs thinning but with this recipe the proportions are usually spot on without adjustments.

Make Ahead Options

This pasta dish offers several make ahead possibilities that save time without sacrificing quality. The butternut squash can be roasted up to two days in advance and stored in an airtight container in the refrigerator. Simply warm it slightly before adding to the final dish. The sausage can also be cooked a day ahead making the final assembly much quicker for busy weeknights. Just store it separately from other components to maintain optimal texture.

Dietary Modifications

This versatile recipe adapts beautifully to various dietary needs. For a vegetarian version simply omit the sausage and add an extra cup of roasted vegetables like mushrooms or bell peppers for substance. Those avoiding dairy can substitute coconut cream for the heavy cream and nutritional yeast for the Parmesan though the flavor profile will shift slightly. Gluten free pasta works perfectly in this recipe just be sure to follow package instructions as cooking times may vary.

Seasonal Variations

While butternut squash makes this dish perfect for fall winter months other seasonal produce can transform it throughout the year. Summer brings opportunities to substitute with roasted zucchini and yellow squash for a lighter version. Spring calls for additions like fresh peas and asparagus pieces that bring brightness to the dish. The cream sauce serves as an excellent canvas for whatever vegetables are at their peak creating an ever-changing yet consistently delicious meal.

Recipe FAQs

→ Can I use different pasta shapes for this dish?

Yes, you can substitute the farfalle with other medium-sized pasta shapes like penne, fusilli, or orecchiette. Short pasta shapes with ridges or curves work best to hold the creamy sauce.

→ What type of sausage works best?

Italian sausage (either sweet or spicy) works wonderfully in this dish. However, you could also use chicken sausage for a lighter option or even a plant-based sausage alternative for a vegetarian version.

→ Can I make this dish ahead of time?

Yes, you can prepare components separately up to 2 days ahead. Roast the squash, cook the sausage, and refrigerate. When ready to serve, make the cream sauce, cook fresh pasta, and combine everything. The assembled dish is best enjoyed fresh but will keep refrigerated for 2-3 days.

→ How can I make this dish lighter?

To create a lighter version, substitute half-and-half or whole milk for the heavy cream (though the sauce won't be as thick), use chicken sausage instead of pork, and increase the ratio of vegetables to pasta. You could also use whole wheat pasta for additional fiber.

→ What can I serve with this pasta dish?

This hearty pasta pairs beautifully with a simple arugula salad dressed with lemon vinaigrette to balance the richness. Garlic bread or a crusty baguette works well for soaking up extra sauce. For wine pairing, try a medium-bodied white like Chardonnay or a light red like Pinot Noir.

→ Can I freeze leftovers of this pasta dish?

While you can freeze this dish, cream-based sauces sometimes separate when thawed. For best results, freeze in airtight containers for up to 1 month. Thaw overnight in the refrigerator and reheat gently on the stovetop with a splash of cream to bring the sauce back together.

Creamy Butternut Squash Pasta

Al dente farfalle tossed with roasted squash, savory sausage and wilted spinach in a velvety Parmesan cream sauce.

Preparation Time
30 minutes
Time to Cook
40 minutes
Overall Time
70 minutes
Created By: Lena

Recipe Category: Lunch & Dinner

Difficulty Level: Medium Difficulty

Cuisine Style: Italian

Serving Size: 4 Portions

Dietary Categories: ~

Ingredients List

→ Roasted Butternut Squash

01 2 cups butternut squash, peeled, seeded, cubed
02 1 tablespoon olive oil
03 Salt and pepper to taste

→ Sausage

04 1 tablespoon olive oil
05 ½ pound sausage, crumbled, without casings

→ Creamy Pasta Sauce

06 1 tablespoon olive oil
07 4 garlic cloves, minced
08 6 ounces spinach
09 1 cup heavy cream
10 ⅓ cup Parmesan cheese, shredded
11 ¼ teaspoon salt (optional)

→ Pasta

12 8 ounces farfalle (bow tie pasta)

How to Make It

Step 01

Preheat oven to 400°F. In a large bowl, toss cubed butternut squash with olive oil, salt, and pepper. Spread the squash on a parchment-lined baking sheet in one layer, avoiding overcrowding. Roast in the preheated oven for 30 minutes and set aside.

Step 02

In a medium skillet, heat 1 tablespoon of olive oil over medium heat. Add crumbled sausage and cook, stirring regularly, for about 10 minutes or until thoroughly cooked. Remove from heat and set aside.

Step 03

In a large skillet, heat 1 tablespoon of olive oil over medium heat. Add minced garlic and spinach, cooking for 5–7 minutes or until spinach wilts. Stir in heavy cream and bring to a gentle boil, then reduce to a simmer. Add shredded Parmesan cheese and stir until fully melted. Remove from heat and season with salt as needed, depending on the saltiness of the sausage.

Step 04

Cook farfalle pasta al dente according to package instructions, typically boiling for 7–11 minutes. Drain the pasta and add it to the skillet with creamy spinach sauce. Combine with cooked sausage, then season with salt and pepper if necessary. Top with roasted butternut squash, stirring it in or leaving it as a garnish.

Extra Tips

  1. Season the creamy sauce carefully as the sausage may already be salty.
  2. Prepare the sausage while the butternut squash roasts for efficient time management.

Essential Tools

  • Large mixing bowl
  • Parchment paper-lined baking sheet
  • Medium skillet
  • Large skillet
  • Pot for boiling pasta
  • Colander for draining pasta

Allergen Warnings

Double-check all ingredients for allergens and consult your doctor if you’re unsure.
  • Contains dairy (heavy cream, Parmesan cheese).
  • Contains gluten (farfalle pasta).

Nutritional Information (Per Serving)

This info is offered for general knowledge and isn’t meant as medical advice.
  • Calories Info: 759
  • Total Fat: 51 grams
  • Total Carbs: 55 grams
  • Proteins Content: 22 grams