As the chilly winds of autumn sweep in, I find myself craving warming dishes that wrap me in comfort. This Creamy Butternut Squash Italian Sausage Pasta is just the ticket, blending hearty flavors and inviting aromas that’ll make your kitchen feel like a cozy retreat. With its rich butternut squash sauce, spicy Italian sausage, and tender spinach, this comforting meal satisfies both the hunger for deliciousness and the need for warmth on those colder nights. Plus, it’s a fantastic dairy-free option that doesn’t skimp on flavor—making it a perfect choice for sharing with loved ones. Are you ready to savor a delightful blend of seasonal goodness? Let’s dive into this easy-to-make recipe that might just become your new favorite!

Why is Autumn Sausage Pasta So Enjoyable?
Comforting warmth: This recipe combines rich butternut squash with savory Italian sausage, creating an inviting dish perfect for cold nights.
Dairy-free delight: Enjoy a creamy pasta without dairy, using coconut milk to satisfy your cravings without the hassle.
Quick & simple: Whip this up in under 30 minutes, making it ideal for weeknight dinners or unexpected guests.
Versatile options: Substitute ingredients easily—try turkey sausage or add seasonal veggies like roasted pumpkin for a fresh twist.
Crowd-pleaser: Its vibrant flavors and satisfying textures make it a family favorite that will have everyone coming back for seconds! Enjoy as a standalone dish or pair it with a side salad for a hearty meal, just like my Tortellini Pasta Salad for the ultimate cozy experience.
Delicious Autumn Sausage Pasta Squash Ingredients
For the Pasta
- Pasta – 12 oz of bow-tie or farfalle create the perfect base for this Delicious Autumn Sausage Pasta Squash. Use gluten-free pasta for a gluten-free option.
For the Sauce
- Italian sausage – 16 oz of crumbled or casing-removed Italian sausage adds a delicious savory depth and spiciness to this comforting dish. Substitute with turkey sausage or vegan sausage for lighter or plant-based options.
- Olive oil – 1 tablespoon is used for sautéing sausage and enhancing flavors. You can substitute with vegetable oil or avocado oil.
- Butternut squash puree – 1 cup creates the creamy sauce and adds a touch of sweetness and nutrition. Feel free to use store-bought or homemade puree.
- Unsweetened coconut milk – 1 cup provides the rich creaminess without dairy, keeping it dairy-free. Alternatives like cashew milk can offer a thicker texture, or half-and-half for a non-dairy option.
- Garlic – 4 cloves, minced, are essential for adding aromatic flavor to the dish.
- Nutmeg – ¼ teaspoon adds warmth and depth to the sauce, ideally using freshly grated nutmeg.
- Red pepper flakes – ¼ teaspoon introduces a mild heat; adjust to your spice level preference.
- Fresh thyme – 2 tablespoons, leaves only, provide a fragrant herbal note to the overall dish.
- Fresh spinach – 6 oz adds color, nutrition, and mild earthiness. You can substitute it with kale or Swiss chard if desired.
Step‑by‑Step Instructions for Delicious Autumn Sausage Pasta Squash
Step 1: Make Butternut Squash Puree
If you’re using fresh butternut squash, begin by preheating your oven to 400°F (200°C). Cut the squash in half, scoop out the seeds, and place it face down on a baking sheet lined with parchment paper. Roast for about 30-40 minutes, or until tender. Once cool, scoop the flesh into a blender and blend until smooth for a creamy base in your Delicious Autumn Sausage Pasta Squash.
Step 2: Cook Pasta
Bring a large pot of salted water to a boil. Add 12 ounces of bow-tie or farfalle pasta, stirring occasionally. Cook according to the package instructions, approximately 10-12 minutes, until the pasta is al dente. Once cooked, drain the pasta and set it aside, ensuring you reserve just a bit of the cooking water for later, which will help loosen the sauce.
Step 3: Cook Sausage
In a large skillet over medium heat, add 1 tablespoon of olive oil. Once the oil is shimmering, add 16 ounces of crumbled Italian sausage. Cook for about 6 minutes, stirring frequently, until the sausage is browned and fully cooked. You should expect the sausage to have a nice golden crust, adding a depth of flavor to your Delicious Autumn Sausage Pasta Squash.
Step 4: Make the Sauce
Lower the heat to medium-low and add the prepared butternut squash puree to the skillet along with 1 cup of unsweetened coconut milk, 4 minced garlic cloves, ¼ teaspoon of nutmeg, ¼ teaspoon of red pepper flakes, and 2 tablespoons of fresh thyme leaves. Stir well and bring the sauce to a gentle boil. Once boiling, reduce to a simmer and let it thicken for about 5 minutes, melding all those lovely flavors.
Step 5: Add Spinach
Once the sauce has thickened slightly, add 6 ounces of fresh spinach to the skillet. Stir for about 3 minutes, or until the spinach is wilted and vibrant. This not only enhances the nutritional value of your Delicious Autumn Sausage Pasta Squash but also adds a beautiful contrast of color, making the dish even more inviting.
Step 6: Combine with Pasta
Finally, add the cooked pasta to the sauce in the skillet, tossing everything gently until fully combined. If the sauce is too thick, add a splash of the reserved pasta water to achieve your desired creaminess. Taste and adjust seasoning with salt or pepper as needed, ensuring your Delicious Autumn Sausage Pasta Squash is perfectly seasoned before serving.

Make Ahead Options
These Creamy Butternut Squash Italian Sausage Pasta dishes are perfect for busy home cooks looking to save time during the week! You can prepare the butternut squash puree and refrigerate it for up to 3 days; this ensures a smooth and flavorful sauce when you’re ready to cook. Additionally, you can cook the pasta and store it in an airtight container for up to 24 hours before combining it with the sauce. Just make sure to toss the pasta with a little olive oil to prevent sticking. When you’re ready to serve, reheat the sauce and spinach mixture, add the pasta, and stir until perfectly heated through. You’ll enjoy comforting, delicious flavors with minimal effort!
How to Store and Freeze Delicious Autumn Sausage Pasta Squash
Fridge: Store leftovers in an airtight container in the fridge for up to 4 days. Reheat gently on the stove with a splash of coconut milk to restore creaminess.
Freezer: Freeze portions in airtight containers or freezer bags for up to 3 months. Thaw overnight in the fridge before reheating to enjoy your Delicious Autumn Sausage Pasta Squash again.
Reheating: For best results, reheat in a saucepan over low heat, stirring occasionally. Add a little reserved pasta water or coconut milk to loosen the sauce.
Make-Ahead: The butternut squash puree can be made in advance and refrigerated for up to 3 days, saving time during meal preparation.
Expert Tips for Delicious Autumn Sausage Pasta Squash
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Prep Ahead: Prepare butternut squash puree in advance to cut down on cooking time, making weeknight meals a breeze.
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Al Dente Pasta: Ensure your pasta is cooked al dente to maintain its firmness when tossed with the creamy sauce, enhancing the overall texture of your Delicious Autumn Sausage Pasta Squash.
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Mind the Garlic: To prevent burnt garlic, add minced garlic to the skillet only after the sausage is partially cooked—this gives the garlic time to infuse flavor without bitterness.
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Adjust Creaminess: For additional creaminess, consider incorporating a sprinkle of dairy-free cheese before serving; it will melt beautifully into the sauce.
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Flavor Enhancements: Experiment with adding fresh herbs like basil or parsley at the end for an aromatic boost that complements your dish’s flavors beautifully.
What to Serve with Creamy Butternut Squash Italian Sausage Pasta
As you gather around the table to enjoy this delicious autumn sausage pasta squash, consider complementing it with delightful sides that enhance the cozy experience.
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Crusty Garlic Bread: Perfect for soaking up the creamy sauce, this warm and toasty bread adds a comforting crunch to your meal.
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Mixed Green Salad: A refreshing salad with peppery arugula and sweet cherry tomatoes provides a bright contrast, balancing the richness of the pasta beautifully.
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Roasted Brussels Sprouts: Their caramelized edges and earthy flavor can elevate your dining experience, mirroring the autumnal vibes of your main dish.
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Maple-Glazed Carrots: Sweet and slightly spicy, these glazed carrots bring a pop of color and extra sweetness that pairs wonderfully with the savory notes of the sausage.
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Herbed Quinoa: A light and nutty side, quinoa packs in nutrients, offering a pleasant texture contrast while soaking up leftover flavors from your pasta.
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Wine Pairing: A glass of Sauvignon Blanc or a light-bodied red like Pinot Noir can elevate the meal, harmonizing with the dish’s flavors perfectly.
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Delicious Apple Crisp: End on a sweet note with a warm apple crisp topped with oat crumble, infusing the meal with cozy autumn flavors for a delightful finish.
Delicious Autumn Sausage Pasta Squash Variations
Feel free to customize this recipe to suit your preferences and dietary needs—explore these delightful options!
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Dairy-Free: Use unsweetened almond milk or oat milk instead of coconut milk for a different flavor profile while keeping it dairy-free.
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Protein Swap: Replace Italian sausage with ground turkey or chicken for a lighter taste while maintaining the savory essence of the pasta.
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Vegetarian Option: Substitute sausage with sautéed mushrooms or extra veggies for a hearty vegetarian delight. Chopped zucchini and bell peppers work wonderfully!
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Pumpkin Boost: Adding roasted pumpkin in place of some butternut squash provides a unique texture and a flavor twist perfect for the season.
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Heat Level: Spice things up! Add more red pepper flakes or even a dash of cayenne for an extra kick—tailored to your heat tolerance.
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Herb Infusion: Experiment with different herbs; adding fresh basil or rosemary can elevate flavors, making your dish even more aromatic and inviting.
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Noodle Variety: Switch up the pasta! Use whole grain or chickpea pasta for an added nutritional boost. Even spiralized zucchini can make a great low-carb alternative.
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Nutty Flavor: Incorporate some toasted pine nuts or walnuts for a delightful crunch and a nutty depth of flavor that adds a new layer to your Delicious Autumn Sausage Pasta Squash.
For even more delightful ideas, check out my recipes for Buttery Lobster Pasta or Pot Spicy Sausage that are equally cozy and satisfying!

Delicious Autumn Sausage Pasta Squash Recipe FAQs
What type of butternut squash is best for the puree?
Absolutely! When choosing butternut squash for your puree, look for firm squashes with a deep beige color and no dark spots all over. The squash should feel heavy for its size and have a smooth skin. If you’re using fresh squash, you can make your puree by roasting it and blending until smooth. Store-bought options are perfect for those short on time.
How can I store leftovers?
Very simply! Store any leftovers of your Delicious Autumn Sausage Pasta Squash in an airtight container in the refrigerator for up to 4 days. Just make sure to reheat them gently on the stove with a splash of coconut milk to help bring back that creamy consistency!
Can I freeze this dish for later?
Absolutely! You can freeze your Delicious Autumn Sausage Pasta Squash for up to 3 months. Just portion it out into airtight containers or freezer bags. When you’re ready to enjoy it again, simply thaw it overnight in the fridge and reheat on the stove, adding a little reserved pasta water or coconut milk to help with the creaminess.
What should I do if the sauce is too thick?
No worries! If you find your sauce to be too thick, simply add a little reserved pasta water while mixing in the pasta. Start with a tablespoon or two and stir well until you achieve your desired consistency. This approach will help retain the flavor and creaminess of your delicious dish!
Can I use a non-dairy substitute for coconut milk?
Yes, indeed! If you prefer a different flavor or consistency, you can substitute the unsweetened coconut milk with cashew milk for an even thicker texture or half-and-half if you’re looking for a non-dairy option that still includes some richness. Give it a whisk and see what delightful variation you come up with!
Is this recipe safe for pets or those with allergies?
While the Delicious Autumn Sausage Pasta Squash is filled with wholesome ingredients for humans, keep in mind that garlic, a key ingredient in this recipe, can be harmful to pets, especially dogs. Always check for any specific allergies before serving this dish to family or friends, particularly if they have dietary restrictions.

Delicious Autumn Sausage Pasta Squash for Cozy Nights
Ingredients
Equipment
Method
- Preheat your oven to 400°F (200°C). Cut the butternut squash in half, scoop out seeds, and roast face down for 30-40 minutes until tender. Blend until smooth.
- Boil salted water in a large pot. Add pasta and cook for 10-12 minutes until al dente. Drain and reserve some water.
- In a skillet over medium heat, add olive oil. Once shimmering, add sausage and cook for about 6 minutes until browned.
- Add butternut squash puree, coconut milk, garlic, nutmeg, red pepper flakes, and thyme to the skillet. Bring to a gentle boil, then simmer for 5 minutes.
- Stir in spinach and cook for 3 minutes, until wilted.
- Add cooked pasta to the sauce, toss gently, and add reserved pasta water if needed. Adjust seasoning and serve.

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