Fall is a season that brings an abundance of rich, warming flavors. Pumpkin Sage Pasta Alfredo is the ultimate dish to embrace the cozy vibes of autumn. This creamy pasta is a perfect marriage of earthy pumpkin and aromatic sage, all enveloped in a luscious Alfredo sauce. Whether you’re preparing a quick weeknight meal or hosting a dinner party, this dish will impress everyone at the table.
In this article, we’ll dive deep into the Pumpkin Sage Pasta Alfredo recipe, exploring its origins, step-by-step preparation, potential variations, and even some frequently asked questions. Let’s get started on crafting this delightful fall dish!

What Is Pumpkin Sage Pasta Alfredo?
Pumpkin Sage Pasta Alfredo is a creamy pasta dish that combines the traditional Alfredo sauce—made from butter, cream, and Parmesan—with the rich and velvety texture of pumpkin purée. This dish is elevated with the inclusion of fresh sage leaves, which add an earthy and aromatic touch. The combination of pumpkin and sage brings out a comforting warmth perfect for fall, while the Alfredo sauce ties everything together in a decadent way.
The Origin of Pumpkin Sage Pasta Alfredo
While Pumpkin Alfredo variations have been gaining popularity in recent years, the recipe itself is rooted in the Italian tradition of pasta and creamy sauces. Fettuccine Alfredo has been a classic Italian-American comfort dish for decades, but over time, chefs and home cooks alike have started adding different seasonal ingredients to make it more versatile.
The addition of pumpkin is a nod to the fall season, which is when pumpkins are in abundance. Combining sage, an herb frequently used in fall and winter dishes, further enhances the dish with its warm, earthy flavors. Thus, Pumpkin Sage Pasta Alfredo was born as an autumn-inspired variation of the traditional Alfredo pasta.
Ingredients for Pumpkin Sage Pasta Alfredo (Serves 4)

For the Pasta
- 12 oz fettuccine, tagliatelle, or your favorite pasta
- Salt, for pasta water
Pumpkin Sage Alfredo Sauce
- 2 tbsp butter
- 2 cloves garlic, minced
- 6–8 fresh sage leaves (or ½ tsp dried sage)
- 1 cup pumpkin purée (not pumpkin pie filling)
- 1 cup heavy cream (or half-and-half for lighter version)
- ½ cup grated Parmesan cheese (plus extra for serving)
- ¼ tsp ground nutmeg
- Salt and freshly ground black pepper, to taste
- Optional: ¼ cup white wine or chicken/vegetable broth (for deglazing)
For Garnish
- Crispy sage leaves (pan-fried in butter until crisp)
- Extra Parmesan shavings
- Cracked black pepper
Step-by-Step Directions and Preparation Method
1. Cook the Pasta
To begin, bring a large pot of salted water to a boil. Salted water is essential, as it enhances the flavor of the pasta. Add your choice of pasta—whether it’s fettuccine, tagliatelle, or another variety—and cook it according to the package instructions until it reaches al dente perfection. Once cooked, be sure to reserve ½ cup of pasta water to help adjust the sauce later. Drain the pasta and set it aside.
2. Make the Sauce Base
While the pasta is cooking, heat 2 tablespoons of butter in a large skillet over medium heat. Once the butter has melted, add the minced garlic and fresh sage leaves. Sauté for 1-2 minutes, stirring occasionally until the garlic becomes fragrant and the sage leaves start to crisp. The sage should become aromatic and golden, adding a beautiful depth to the dish.
If you’d like, you can remove a few sage leaves at this point to use later for garnish. If you’re using white wine or broth (for deglazing), pour it in now, scraping up any flavorful bits from the bottom of the skillet. This adds an extra layer of complexity to the sauce.
3. Add Pumpkin and Cream
Now it’s time to add the star of the dish: pumpkin purée. Stir in 1 cup of pumpkin purée and 1 cup of heavy cream (or half-and-half for a lighter version). Mix well until the sauce becomes smooth and silky. Whisking will help prevent any lumps and ensure a perfectly creamy texture. Add Parmesan cheese, nutmeg, salt, and pepper to taste. Let the sauce simmer gently (do not let it boil) for 3-5 minutes, stirring frequently until it thickens and becomes velvety.
4. Combine with Pasta
Once the sauce has thickened to your liking, add the cooked pasta to the skillet. Toss the pasta gently, making sure it’s evenly coated with the creamy pumpkin Alfredo sauce. If the sauce seems too thick, add a splash of the reserved pasta water to loosen it up. The starchy pasta water will help the sauce adhere to the noodles, giving it that perfect creamy texture.
5. Serve
Now it’s time to plate up this delicious dish! Serve the Pumpkin Sage Pasta Alfredo on individual plates and garnish with crispy sage leaves, extra Parmesan shavings, and a sprinkle of cracked black pepper. These finishing touches add both visual appeal and an extra burst of flavor.
Variations to Try
While the classic Pumpkin Sage Pasta Alfredo is already a showstopper, there are several variations you can try to customize the dish to your taste:
Protein Add-Ins
- Grilled Chicken: For a heartier dish, add slices of grilled chicken on top.
- Shrimp: If you’re in the mood for seafood, grilled shrimp pairs beautifully with the creamy sauce.
- Italian Sausage: For a spicy kick, Italian sausage adds a savory depth to the dish.
Vegetable Variations
- Roasted Mushrooms: Add roasted mushrooms for a rich, umami flavor.
- Spinach: Stir in some fresh spinach for a pop of color and added nutrients.
- Caramelized Onions: Sweet caramelized onions bring out the natural sweetness of the pumpkin.
Crunchy Toppings
- Toasted Nuts: Top your pasta with toasted walnuts or pecans for an added crunch and nutty flavor.
FAQs About Pumpkin Sage Pasta Alfredo
1. Can I use canned pumpkin purée?
Yes, canned pumpkin purée works perfectly for this recipe. Just be sure you’re using plain pumpkin purée, not pumpkin pie filling, which contains spices and sweeteners.
2. Can I make Pumpkin Sage Pasta Alfredo ahead of time?
While Pasta Alfredo is best served fresh, you can make the sauce ahead of time and store it in an airtight container in the fridge for up to 2 days. When ready to serve, reheat the sauce and toss with freshly cooked pasta.
3. Is there a dairy-free version of this recipe?
Yes! To make this dish dairy-free, you can substitute plant-based butter and non-dairy cream (like coconut cream or oat cream) for the butter and heavy cream. Use dairy-free Parmesan as a replacement for the regular Parmesan cheese.
4. How do I store leftovers?
Store any leftover Pumpkin Sage Pasta Alfredo in an airtight container in the fridge for up to 3 days. Reheat gently over low heat, adding a splash of cream or pasta water to bring the sauce back to life.
Conclusion: Pumpkin Sage Pasta Alfredo
Pumpkin Sage Pasta Alfredo is the ultimate fall comfort food, combining the sweetness of pumpkin with the savory richness of Alfredo sauce and the fragrant earthiness of sage. Whether you’re looking for a cozy dinner for two or a show-stopping dish to serve at your next gathering, this recipe has you covered. With its easy-to-follow steps and customizable variations, it’s sure to become a new favorite in your autumn recipe rotation.
Next time you’re in the mood for a cozy, comforting meal, try making this dish. You won’t regret it—and your guests will be asking for seconds!

Pumpkin Sage Pasta Alfredo: A Creamy and Comforting Fall Favorite
- Total Time: 30 minutes
- Yield: 4 servings 1x
- Diet: Vegetarian
Description
Pumpkin Sage Pasta Alfredo is a creamy pasta dish that combines the traditional Alfredo sauce—made from butter, cream, and Parmesan—with the rich and velvety texture of pumpkin purée. This dish is elevated with the inclusion of fresh sage leaves, which add an earthy and aromatic touch. The combination of pumpkin and sage brings out a comforting warmth perfect for fall, while the Alfredo sauce ties everything together in a decadent way.
Ingredients
For the Pasta
12 oz fettuccine, tagliatelle, or your favorite pasta
Salt, for pasta water
For the Pumpkin Sage Alfredo Sauce
2 tbsp butter
2 cloves garlic, minced
6–8 fresh sage leaves (or ½ tsp dried sage)
1 cup pumpkin purée (not pumpkin pie filling)
1 cup heavy cream (or half-and-half for lighter version)
½ cup grated Parmesan cheese (plus extra for serving)
¼ tsp ground nutmeg
Salt and freshly ground black pepper, to taste
Optional: ¼ cup white wine or chicken/vegetable broth (for deglazing)
For Garnish
Crispy sage leaves (pan-fried in butter until crisp)
Extra Parmesan shavings
Cracked black pepper
Instructions
1. Cook the Pasta
Bring a large pot of salted water to a boil.
Cook pasta according to package directions until al dente.
Reserve ½ cup of pasta water, then drain and set aside.
2. Make the Sauce Base
In a large skillet or saucepan, melt butter over medium heat.
Add garlic and fresh sage leaves; sauté 1–2 minutes until fragrant and sage begins to crisp slightly.
(Optional) Remove a few sage leaves to use later for garnish.
Add white wine or broth (if using) to deglaze, scraping up any flavorful bits.
3. Add Pumpkin and Cream
Stir in pumpkin purée and cream.
Whisk until smooth and heated through.
Add Parmesan, nutmeg, salt, and pepper.
Simmer gently (don’t boil) for 3–5 minutes, stirring often, until thickened and velvety.
4. Combine with Pasta
Add cooked pasta to the skillet.
Toss to coat evenly, adding a splash of reserved pasta water as needed to loosen the sauce and help it cling to the noodles.
5. Serve
Plate the pasta and top with crispy sage leaves, extra Parmesan, and a sprinkle of black pepper.
Notes
This creamy Pumpkin Sage Pasta Alfredo is comfort food at its finest! Perfect for fall evenings, it combines the richness of Alfredo sauce with earthy pumpkin and fragrant sage. Serve it with garlic bread or a crisp green salad for a complete, heartwarming meal.
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian-American
Nutrition
- Serving Size: 1 bowl
- Calories: 460
- Sugar: 5g
- Sodium: 520mg
- Fat: 24g
- Saturated Fat: 11g
- Unsaturated Fat: 12g
- Trans Fat: 0g
- Carbohydrates: 46g
- Fiber: 4g
- Protein: 16g
- Cholesterol: 75mg
Keywords: Pumpkin Sage Pasta Alfredo
