Pumpkin & Sausage Alfredo

In need of a quick and easy weekday dinner that's just a bit different? This Pumpkin & Sausage Alfredo combines everything you love about alfredo with all things fall and comforting!
Course Main Course
Cuisine American
Prep Time 5 minutes
Cook Time 20 minutes
Total Time 25 minutes
Servings 4
Calories 835kcal
Author Erica


  • 12 ounces fettucine pasta
  • 1 pound Italian sausage crumbled
  • 2 tablespoons unsalted butter
  • 4 cloves garlic minced
  • 3 sage leaves
  • 1 cup pumpkin puree
  • 2 1/2 cups half & half
  • 1/2 cup grated Parmesan cheese plus more for topping
  • Sea salt to taste


  • Cook the pasta according to package directions, reserving 1 cup of the pasta water.
  • In a skillet over medium heat, brown the sausage until thoroughly cooked. Remove from skillet into bowl and set aside.
  • Return skillet to stove top and heat the butter over medium heat. Add the garlic and sage leaves, and saute 1-2 minutes until fragrant. Stir in the pumpkin puree and cream, and simmer until slightly thickened, 6-8 minutes. Return the sausage to the skillet and add the cheese and salt to taste; stir to combine.
  • Stir the pasta into the skillet, thinning as needed using the reserved pasta water. Top with Parmesan and chopped sage, seasoning with more salt to taste if desired. Enjoy!


Adapted from Pinch of Yum.


Calories: 835kcal | Carbohydrates: 35g | Protein: 30g | Fat: 64g | Saturated Fat: 29g | Cholesterol: 192mg | Sodium: 1090mg | Potassium: 669mg | Fiber: 2g | Sugar: 2g | Vitamin A: 10370IU | Vitamin C: 7.2mg | Calcium: 349mg | Iron: 3mg