As I stirred the velvety sauce, a delightful aroma of pumpkin and sage wafted through the kitchen, instantly transforming my home into a cozy autumn escape. This recipe for Turkey Meatballs in Pumpkin-Sage Sauce is a heartfelt creation that marries tender, juicy turkey with a creamy, seasonal sauce that’s perfect for chilly evenings. Not only does it capture the essence of comfort food, but it also brings a nutritious twist to your dinner table without demanding hours of your time. Whether you serve it over pasta, gnocchi, or even mashed potatoes, it promises to be a crowd-pleaser that warms the soul. Are you ready to dive into the taste of fall?

Why You’ll Love Turkey Meatballs?
Comforting Flavors: Each bite of these turkey meatballs is enveloped in a rich, creamy pumpkin-sage sauce that screams fall.
Quick & Easy: This recipe can be whipped up in under an hour, making it perfect for busy weeknights.
Versatile Pairing: Serve it over pasta, gnocchi, or even mashed potatoes for an easy, satisfying meal.
Nutritious Twist: Lean turkey and pumpkin bring nutrition without compromising on flavor—perfect for those looking to eat healthier!
Crowd-Pleasing Appeal: Whether cooking for family or friends, this dish is sure to impress and leave everyone asking for seconds.
Elevate your meal with a side salad or try serving it alongside Garlic Sauce Baby for a complete dining experience!
Turkey Meatballs in Pumpkin Sage Sauce Ingredients
For the Meatballs
• Ground Turkey – A lean protein that keeps these meatballs tender while remaining healthy.
• Fresh Breadcrumbs – Adds moisture and texture; panko is a great substitute for extra crunch.
• Milk – Soaks breadcrumbs to keep meatballs moist; non-dairy options can work wonderfully as well.
• Onion (minced) – For a sweet flavor base; shallots can be used for an alluring twist.
• Garlic (minced) – Invigorates the savory essence; fresh garlic is best, but use garlic powder if necessary.
• Fresh Sage – Infuses that quintessential fall flavor; dried sage works but be sure to use less.
• Italian Seasoning – Balances out flavors with aromatic herbs; swap with your favorite herb mix to customize.
• Eggs (1 whole + 1 yolk) – Binds the meatballs together and keeps them moist; a flax egg serves as a vegan alternative.
• Parmesan Cheese (grated) – Enhances richness and flavor; nutritional yeast is an excellent non-dairy substitute.
For the Pumpkin Sage Sauce
• Canned Pumpkin Puree – The silky base of the sauce; fresh pumpkin can be roasted and blended as a delicious alternative.
• Heavy Cream – Adds luxurious creaminess; opt for half-and-half or coconut cream for a lighter or dairy-free option.
• Salt and Pepper – Essential for perfecting the flavor of both the meatballs and the sauce.
Transform your dinners with these delightful Turkey Meatballs in Pumpkin-Sage Sauce!
Step‑by‑Step Instructions for Turkey Meatballs in Pumpkin-Sage Sauce
Step 1: Prepare Meatball Mixture
In a large mixing bowl, soak fresh breadcrumbs in 1/4 cup of milk for about 5 minutes or until softened. Then, combine the soaked breadcrumbs with minced onion, garlic, chopped fresh sage, Italian seasoning, one whole egg, one egg yolk, and grated Parmesan cheese. Gently add the ground turkey, season with salt and pepper, and mix until just combined to keep the meatballs tender.
Step 2: Shape and Cook Meatballs
Using your hands, shape the turkey mixture into 1.5-inch meatballs; you should have around 16 to 18 meatballs. Heat 2 tablespoons of olive oil in a large skillet over medium heat. Once the oil is shimmering, add the meatballs in batches, cooking for about 5 to 7 minutes per side until they’re golden brown and cooked through, creating that enticing crust we all love.
Step 3: Make Pumpkin Sage Sauce
In a medium saucepan, combine 1 can of pumpkin puree with 1 cup of heavy cream over medium heat. Stir in additional chopped fresh sage and season with salt and pepper to taste. Allow the mixture to heat gently, stirring occasionally, for about 5 minutes, until the sauce is warm and creamy, releasing an inviting aroma that fills your kitchen with fall vibes.
Step 4: Combine and Serve
Once the meatballs are golden and fully cooked, gently place them into the pumpkin sage sauce. Stir carefully to coat the meatballs without breaking them apart. Let them simmer together on low heat for about 5 more minutes, allowing the flavors to meld beautifully. Serve warm over your favorite pasta, gnocchi, or mashed potatoes, and revel in the cozy deliciousness of turkey meatballs in pumpkin-sage sauce.

Make Ahead Options
These Turkey Meatballs in Pumpkin Sage Sauce are perfect for busy home cooks looking to save time during hectic weeknights! You can prepare the meatballs up to 24 hours in advance; simply form them and refrigerate on a baking sheet lined with parchment paper to prevent sticking. For maximum flavor, cook them partially before storing, then finish cooking in the sauce when you’re ready to serve. The creamy pumpkin sage sauce can also be made ahead of time and refrigerated for up to 3 days. Just reheat gently on the stove and combine with the meatballs for a delightful meal that’s just as delicious as when freshly made.
Expert Tips for Turkey Meatballs
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Moisture Control: Avoid overcrowding the meat mixture; mixing too much can lead to dense meatballs. Gently combine ingredients for the best texture.
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Searing Technique: For a perfect golden crust, pan-fry the meatballs instead of baking. The direct heat enhances flavor and gives that desired crunch.
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Prep Ahead: Make the turkey meatballs in advance! Cook them and store in the fridge, then simply reheat in the pumpkin sage sauce before serving.
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Ingredient Substitutions: Be mindful with substitutions; using dried herbs instead of fresh sage may alter the flavor intensity of your turkey meatballs in pumpkin-sage sauce.
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Serving Suggestions: For an elevated dining experience, pair with crusty bread or serve alongside a fresh salad to complement the rich sauce.
What to Serve with Turkey Meatballs in Pumpkin Sage Sauce
Elevate your comforting dish with delightful sides that balance the flavors and textures, creating a hearty and inviting meal experience.
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Garlic Mashed Potatoes:
Creamy and buttery, these mashed potatoes provide a smooth counterpoint to the rich pumpkin sage sauce. A classic pairing that’s always comforting! -
Roasted Brussels Sprouts:
Crispy and caramelized, these Brussels sprouts add a hint of bitterness that beautifully offsets the sweetness of the pumpkin sauce. -
Crispy Garlic Bread:
Perfect for sopping up the luscious sauce, this garlicky delight adds a satisfying crunch that complements the tender meatballs. -
Mixed Green Salad:
A refreshing salad with a light vinaigrette helps cut through the richness, introducing fresh flavors that lighten the meal. -
Buttery Corn on the Cob:
The sweetness of the corn provides a delightful contrast to the savory meatballs, making each bite a celebration of fall. -
Sautéed Green Beans:
Vibrant and snappy, green beans add a fresh, crisp texture, perfectly balancing the dish’s creaminess. -
Apple Cranberry Chutney:
This tangy and sweet condiment pairs wonderfully with the turkey, adding a burst of flavor that enhances the overall dining experience. -
Zinfandel or Chardonnay:
A glass of red Zinfandel brings out the warm spices, while a chilled Chardonnay enhances the creamy elements of the sauce.
These sides will not only enhance the tasty turkey meatballs in pumpkin sage sauce but also create a memorable meal that echoes the flavors of fall. Enjoy!
Turkey Meatballs in Pumpkin Sage Sauce Variations
Feel free to play around with this recipe and make it your own to delight your taste buds!
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Lean Protein: Substitute ground turkey with ground chicken for a lighter option, maintaining that delightful flavor.
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Vegan Friendly: Use plant-based ground meat and a flax egg to create a delicious vegan version that everyone will love! The creamy pumpkin-sage sauce complements the textures beautifully.
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Spice It Up: Add crushed red pepper flakes or a dash of cayenne pepper for a delightful kick of heat that balances the sweetness of the pumpkin.
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Nutty Twist: Mix in finely chopped walnuts for extra crunch and a depth of flavor that enhances the meatballs’ texture and heartiness.
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Herb Variation: Try using thyme or rosemary along with or instead of sage for a wonderful aromatic twist that enriches the dish.
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Creaminess Upgrade: For a richer sauce, substitute heavy cream with creamy cashew or almond cream to maintain a luscious texture while keeping it dairy-free.
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Pasta Alternatives: Switch up your serving style by serving them over quinoa or a bed of sautéed greens like spinach, adding even more nutrition to your meal.
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Gourmet Sauce: Elevate the flavor by incorporating a splash of white wine into the sauce as it cooks, deepening its complexity and aroma.
With these variations, your Turkey Meatballs in Pumpkin Sage Sauce can suit any palate. For extra sensory delight, consider serving it alongside a lovely garlic sauce by checking out the recipe for Garlic Sauce Baby. Enjoy!
How to Store and Freeze Turkey Meatballs in Pumpkin-Sage Sauce
Fridge: Store cooked turkey meatballs in an airtight container for up to 3 days. Keep the sauce separate if possible to maintain texture and flavor.
Freezer: Meatballs can be frozen raw or cooked. Place them in a single layer on a baking sheet, then transfer to an airtight container or freezer bag once solidified. They’ll last for up to 2 months.
Reheating: To reheat, thaw meatballs overnight in the fridge and warm them in the sauce over low heat for about 10-15 minutes. This ensures they stay moist and flavorful.
Make-Ahead Tip: Consider preparing the turkey meatballs in advance, allowing you to enjoy this comforting meal on busy nights with less fuss.

Turkey Meatballs in Pumpkin Sage Sauce Recipe FAQs
What type of ground turkey should I use for the meatballs?
I recommend using lean ground turkey for a lighter and healthier option. Look for ground turkey that contains around 7% fat to maintain juiciness while ensuring a tender texture in your turkey meatballs in pumpkin-sage sauce.
How should I store leftover turkey meatballs?
Store your cooked turkey meatballs in an airtight container in the refrigerator for up to 3 days. If possible, keep the pumpkin sage sauce separate to prevent the meatballs from becoming soggy. Reheat gently in a saucepan to enjoy the flavors again!
Can I freeze the turkey meatballs? If so, how?
Absolutely! You can freeze turkey meatballs raw or cooked. For freezing, place the meatballs in a single layer on a baking sheet and freeze until solid. Then transfer them to an airtight container or freezer bag. They’ll be best used within 2 months for optimal flavor.
What should I do if my meatballs end up too dry?
If your meatballs are dry, this could be due to overcooking or insufficient moisture in the mixture. To prevent this, ensure you’re thoroughly soaking the breadcrumbs in milk before combining. If you find they are still dry after cooking, try adding a bit more canned pumpkin puree to your sauce for added moisture when serving.
Are there any dietary considerations I should keep in mind?
Certainly! For those with allergies, ensure that your ingredients do not contain any allergens such as gluten (in breadcrumbs) or dairy (in cream and cheese). You can make this dish vegan by using a flax egg and substituting ground turkey with a plant-based meat alternative, along with non-dairy cream and nutritional yeast.
Can I use fresh pumpkin instead of canned in the sauce?
Yes, you can use fresh pumpkin! To do this, roast a halved pumpkin until tender, scoop out the flesh, and blend until smooth. Use fresh puree in the same quantity as canned for a delightful, homemade pumpkin flavor in your sauce.

Turkey Meatballs in Pumpkin-Sage Sauce for Cozy Nights
Ingredients
Equipment
Method
- In a large mixing bowl, soak fresh breadcrumbs in 1/4 cup of milk for about 5 minutes or until softened.
- Combine the soaked breadcrumbs with minced onion, garlic, chopped fresh sage, Italian seasoning, one whole egg, one egg yolk, and grated Parmesan cheese.
- Gently add the ground turkey, season with salt and pepper, and mix until just combined to keep the meatballs tender.
- Using your hands, shape the turkey mixture into 1.5-inch meatballs; you should have around 16 to 18 meatballs.
- Heat 2 tablespoons of olive oil in a large skillet over medium heat. Once the oil is shimmering, add the meatballs in batches, cooking for about 5 to 7 minutes per side until they’re golden brown and cooked through.
- In a medium saucepan, combine 1 can of pumpkin puree with 1 cup of heavy cream over medium heat.
- Stir in additional chopped fresh sage and season with salt and pepper to taste.
- Allow the mixture to heat gently, stirring occasionally, for about 5 minutes, until the sauce is warm and creamy.
- Once the meatballs are golden and fully cooked, gently place them into the pumpkin sage sauce and stir carefully to coat.
- Let them simmer together on low heat for about 5 more minutes.
- Serve warm over your favorite pasta, gnocchi, or mashed potatoes.

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