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    Creamy Butternut Squash Pasta with Sausage and Spinach

    Published: Nov 28, 2020 / 194 Comments

    253.6K shares
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    Recipe Print

    Creamy Butternut Squash Pasta with Sausage and Spinach is a perfect Autumn comfort food.  This easy and flavorful recipe is packed with veggies and will become your favorite Fall and Winter family weeknight dinner!

    Creamy Butternut Squash Pasta with Sausage and Spinach and creamy Parmesan Sauce in a stainless steel pan

    Butternut Squash Pasta -  Seasonal and Holiday Main Course

    Butternut squash pasta is one of those recipes you would probably make only in the Fall and Winter when the butternut squash is in season.  Which makes this pasta so much more special!  It's so good I hope you will be looking forward to making it every year!  My other favorite butternut squash pasta dish that I highly recommend is butternut squash and spinach lasagna.

    This easy pasta is also a great holiday main course.  If you want to expand your Thanksgiving or Christmas menu, add this colorful and flavorful butternut squash pasta to your holiday menu!  Another fantastic holiday recipe is Roasted Butternut Squash and Brussels sprouts with Pecans and Cranberries.

    Why Make Butternut Squash Pasta

    This butternut squash pasta is one of those rare pasta recipes that combine both comfort food deliciousness and healthy ingredients. This pasta is surely comforting yet it's packed with fiber and nutrients.  A perfect family weeknight dinner!

    • Butternut squash is an excellent source of vitamins A, B6, C, and E, as well as several minerals, including magnesium, manganese, and potassium. Butternut squash is also rich in dietary fiber.
    • Spinach is packed with nutrients and antioxidants. It’s high in fiber and a good source of many vitamins and minerals. Spinach is a great source of vitamins A and C, as well as folic acid, iron, and calcium.

    ingredients for Creamy Butternut Squash Pasta with Sausage and Spinach and Parmesan Cream Sauce in a stainless steel pan

    How To Make Butternut Squash Pasta

    Ingredients

    • Bow Tie Pasta. This recipe uses an Italian pasta, called Farfalle, or bow tie pasta. The bow-tie shape of this pasta works very well with the cubed butternut squash and add an appealing look to your dinner. Cook bow-tie pasta al dente for best texture.
    • Butternut Squash. This wonderful vegetable is known for its subtly sweet and nutty flavor. In this recipe, butternut squash is roasted with olive oil and acquires a nice soft texture on the inside with a little crunch on the outside.
    • Sausage. If you have a spicy sausage somewhere in your fridge or a freezer, this is the recipe to use it! Spicy sausage will blend exceptionally well with sweet and nutty butternut squash and creamy pasta sauce.  Use crumbled sausage without casings.  Any type of pork sausage, spicy sausage, or Italian sausage will work!
    • Spinach. Spinach adds flavor, texture, and colorfulness to this pasta dish.

    ingredients for Creamy Butternut Squash Pasta with Sausage and Spinach in a stainless steel pan

    How to Roast Butternut Squash

    For everything you need to know about roasting this fantastic vegetable, refer to my recipe on how to roast butternut squash.

    The butternut squash should be peeled, seeded, and cubed.  You can do it yourself or buy cubed butternut squash in the store.   Tip: If you peeled, seeded, and cubed butternut squash ahead (or bought cubed squash in the store), you can store it refrigerated in an airtight container for up to 2 days.  Use cubed butternut squash within 2 days.

    1. Preheat oven to 400 F.
    2. Combine butternut squash with 1 or 2 tablespoons of olive oil, salt, and pepper in a large bowl.  Toss together.
    3. Then,  spread the squash on a parchment paper-lined baking sheet in a single layer.   Make sure the butternut squash is not overcrowded.  This way the air can circulate around the squash in the oven and the squash roasts properly instead of steaming. Roasted this way, without overcrowding, will give squash a slightly crunchy texture on the outside.  This will ensure that the squash is roasted and not steamed.
    4. Roast the squash in the preheated oven at 400 F for 30 minutes.

    How To Make Creamy Pasta Sauce

    While the butternut squash is being roasted, prepare the cream sauce.

    1. In a large skillet, heat 1 tablespoon of olive oil together with 4 minced garlic cloves and 6 oz of spinach.  Cook on medium heat for about 5 to 7 minutes, until the spinach starts to wilt.
    2. Add heavy cream.  Bring to boil and immediately reduce to a low or medium boil.
    3. Add shredded Parmesan cheese while the sauce simmers, constantly stirring.
    4. Season with salt to taste, about ¼ teaspoon of salt.  Note: No salt is necessary if the sausage is very salty.

    Cook Sausage

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

    How Long to Cook Pasta

    • Usually, the pasta is cooked in a pot of boiling water for 10 minutes. Always check the cooking time on the package instructions for precise times of cooking pasta.
    • To prepare any pasta al dente, cook pasta in boiling water for 8 minutes, or for 2 minutes less than indicated on the package instructions.

    Assemble the Pasta

    1. Add drained cooked pasta and cooked sausage to the creamy spinach sauce in the skillet. Stir. Season with salt and pepper.
    2. Top with roasted butternut squash.  Stir it in, or leave butternut squash on top.

    Tips on Making Pasta Ahead

    Make-ahead Tip: Roast butternut squash up to 2 days ahead. Keep it refrigerated in an airtight container until ready to use. Reheat it briefly in the microwave (for about 30 seconds) before adding to pasta. Or, just add to the creamy pasta sauce, stir it in and reheat in the cream sauce.

    How to Store, Freeze, Reheat Butternut Squash Pasta

    • Refrigerate. Store leftover butternut squash pasta in an airtight container in the refrigerator for up to 4 days.
    • Freeze. You can freeze butternut squash pasta in an airtight container for up to 2 months.
    • Reheat. Reheat the pasta gently on the stovetop in the skillet over medium heat, stirring halfway through. Add extra milk or heavy cream to thin out the sauce.

    It's always best to serve bow tie pasta (or any pasta) al dente. That's when the pasta texture is at its best. Storing cooked pasta for a day or two will cause the pasta to lose its perfect texture, however, it will still taste great.

    Also, keep in mind that the cream sauce when refrigerated loses its texture and becomes thick. To reheat it the next day, reheat over medium heat and add extra milk or heavy creamy when reheating to thin out the sauce.

    Creamy Butternut Squash Pasta with Sausage and Spinach on a white plate

    Substitutions

    • Pasta.  Use any type of short pasta.  That includes farfalle (bow-tie pasta), penne, rigatoni, fusilli, or orecchiette.  You can also use gnocchi.
    • Spinach.  This butternut squash pasta will work equally well with spinach, kale, Swiss chard, or arugula.  Pick the greens of your choice, add them to the pasta, and enjoy!
    • Sausage.  Use crumbled sausage without casings.  Regular or spicy pork sausage (such as Jimmy Dean brand) is a great choice.    Crumbled Italian sausage or spicy Italian sausage is another excellent option.
    • Cheese.  Use shredded Parmesan cheese, Romano cheese, or Asiago.  You can also use shredded low-moisture part-skim Mozzarella cheese.  Do not use soft Mozzarella cheese balls.
    • Cream.  If you don't have heavy cream, you can use half-and-half instead and add more shredded cheese to thicken the sauce.

    Creamy Butternut Squash Pasta with Sausage and Spinach on a white plate (close-up)

    Other Butternut Squash Pasta Recipes

    Butternut squash is an amazing vegetable that pairs beautifully with pasta, whether the squash is roasted or pureed.  Here are some delicious butternut squash pasta recipes to explore:

    • Butternut Squash Ravioli with Brown Butter and Pecans
    • Butternut Squash and Spinach Tortellini
    • Butternut Squash and Spinach Lasagna

    What to Serve with Butternut Squash Pasta

    • Salad.  Because this pasta has a rich creamy sauce with lots of veggies, any type of simple fresh salad will make an excellent pairing.  Serve this pasta with a simple spinach salad with pine nuts and Parmesan or cranberry spinach salad with cashews and goat cheese.  Or, pair the pasta with the colorful and easy-to-make arugula salad with apples, cranberries, and pecans.
    • Bread.  Serve the pasta with warm garlic bread or olive bread.  If you want to venture out and make your own simple loaf - try this easy bread recipe made in a bread machine.
    Creamy Butternut Squash Pasta with Spinach and Sausage
    4.93 from 170 votes

    Creamy Butternut Squash Pasta with Sausage and Spinach

    Creamy Butternut Squash Pasta with Sausage and Spinach is a perfect Autumn comfort food.  This easy and flavorful recipe is packed with veggies and will become your favorite Fall and Winter family weeknight dinner!
    Print Recipe Pin Recipe
    Prep Time 30 mins
    Cook Time 40 mins
    Total Time 1 hr 10 mins
    Course Main Course
    Cuisine American, Italian
    Servings 4 people
    Calories per serving 759 kcal
    Author: Julia

    Ingredients

    Roasted Butternut Squash

    • 2 cups butternut squash , peeled, seeded, and cubed
    • 1 tablespoon olive oil
    • salt and pepper

    Sausage

    • 1 tablespoon olive oil
    • ½ lb sausage , crumbled, without casings

    Creamy Pasta Sauce

    • 1 tablespoon olive oil
    • 4 garlic cloves minced
    • 6 oz spinach
    • 1 cup heavy cream
    • ⅓ cup Parmesan cheese shredded
    • ¼ teaspoon salt

    Pasta

    • 8 oz farfalle (bow tie pasta)
    US Customary - Metric

    Instructions 

    Roast Butternut Squash

    • 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 paper-lined baking sheet in one layer, without overcrowding. 
    • Roast in the preheated oven at 400 F for 30 minutes. Remove from oven.

    Cook Sausage

    • In a medium skillet, heat 1 tablespoon of olive oil on medium heat.
    • Add crumbled sausage and cook for about 10 minutes, regularly stirring, until the sausage is cooked through. Remove from heat and set aside.
    • Tip: Cook the sausage while the butternut squash is being roasted.

    Make Creamy Sauce

    • In a separate, large skillet, heat 1 tablespoon of olive oil together with minced garlic and spinach over medium heat.  Cook, occasionally stirring, for about 5 or 7 minutes until spinach starts to wilt. 
    • Add heavy cream.  Bring to a brief boil, then immediately reduce to simmer (boiling but not intensely).  Add shredded Parmesan cheese.  Keep stirring the sauce with the Parmesan cheese on low to medium boil (simmer) until the cheese melts. Remove from heat.
    • Season with salt to taste, about ¼ teaspoon of salt.  No salt might be necessary if the sausage is very salty.
    • Tip: Use your judgment about whether to add salt or not based on how salty the sausage is. Make the cream sauce while the butternut squash is being roasted.

    Cook Pasta and Assemble

    • Cook pasta al dente in boiling water according to package instructions. That usually means cooking pasta in boiling water for about 7 to 11 minutes. Drain.
    • To a large skillet with the creamy spinach sauce, add drained cooked pasta and cooked sausage. Stir. Season with salt and pepper, if desired. 
    • Top the pasta with roasted butternut squash.  Stir the squash in, or leave it on top.

    Nutrition

    Nutrition Information
    Creamy Butternut Squash Pasta with Sausage and Spinach
    Amount per Serving
    Calories
    759
    % Daily Value*
    Fat
     
    51
    g
    78
    %
    Saturated Fat
     
    22
    g
    138
    %
    Cholesterol
     
    128
    mg
    43
    %
    Sodium
     
    703
    mg
    31
    %
    Potassium
     
    807
    mg
    23
    %
    Carbohydrates
     
    55
    g
    18
    %
    Fiber
     
    4
    g
    17
    %
    Sugar
     
    3
    g
    3
    %
    Protein
     
    22
    g
    44
    %
    Vitamin A
     
    12411
    IU
    248
    %
    Vitamin C
     
    28
    mg
    34
    %
    Calcium
     
    235
    mg
    24
    %
    Iron
     
    3
    mg
    17
    %
    * Percent Daily Values are based on a 2000 calorie diet.

    The nutritional information on this website is only an estimate and is provided for convenience and as a courtesy only. The accuracy of the nutritional information for any recipe on this site is not guaranteed. It should not be used as a substitute for a professional nutritionist’s advice.

    Keyword butternut squash pasta, pasta with butternut squash, roasted butternut squash, Thanksgiving butternut squash
    Tried this recipe?Be sure to leave a comment and provide a Star Rating below - I love your feedback and try to respond to every comment!
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    Please share your comment and Star Rating in the comments section below.

    I appreciate your feedback!

    Reader Interactions

    Comments

    1. Jennifer Gylling

      May 05, 2022 at 8:54 pm

      Delicious! Loved it! My family loved it! Even my father enjoyed it and he does not even like AnY type of Squash! Thank you for sharing this <3

      Reply
      • Julia

        May 06, 2022 at 4:44 pm

        Jennifer, you are very welcome! Glad you liked it! 🙂

        Reply
    2. Janet C

      April 08, 2022 at 9:25 am

      I made this last night and it was amazing! At first, I thought that there wouldn't be enough butternut squash after I took it out of the oven, but it was the perfect amount. I made it with Italian sausage and it was wonderful, I will be making this again. Thanks!

      Reply
      • Julia

        April 24, 2022 at 8:13 pm

        Janet, I am so glad you enjoyed this recipe! Thank you for sharing such a positive comment - I appreciate it!! 🙂

        Reply
    3. Lorna

      March 05, 2022 at 2:26 pm

      I put this together for a crowd the night before Thanksgiving. All the roasting and cooking was prepared ahead of time making family time the priority! Everyone loved this dish!! (even the grankiddos❤️)

      Reply
      • Julia

        March 22, 2022 at 12:15 am

        Lorna, your comment made my day! WOW! I am glad that your crowd loved this recipe. 🙂 And thanks for the feedback that this dish can be made ahead of time successfully!

        Reply
    4. CJ

      March 01, 2022 at 9:42 pm

      So yummy! I substituted the heavy cream for half and half and it was delicious! Not gonna lie I went back for seconds and thirds, and I never do that haha. Thanks for sharing!

      Reply
      • Julia

        March 22, 2022 at 12:49 am

        Your comment made my day and made me smile at the same time. 🙂 Thank you for the 5-star rating and thanks for the feedback about using half-and-half instead of heavy cream - very helpful to other readers!

        Reply
    5. Jacquelin

      February 19, 2022 at 11:40 pm

      Great recipe! I followed as directed and really enjoyed the end result. The balance of sweet and savory was excellent.

      Reply
      • Julia

        March 22, 2022 at 2:16 am

        Jacquelin, you said it well: this recipe perfectly combines the sweet and the savory! I am glad you found this recipe and liked it! 🙂

        Reply
    6. Rhonda

      February 12, 2022 at 5:07 pm

      DELICIOUS!! Added mushrooms and substituted kale for the spinach. Didn’t change anything else. Will make again and again 🙂

      Reply
      • Julia

        February 18, 2022 at 5:48 pm

        Rhonda, I am so glad you've enjoyed this recipe. Yes, it tastes amazing with kale, and mushrooms are a great addition!

        Reply
    7. Rhonda

      February 11, 2022 at 2:58 pm

      Could I substitute the spinach for lacinato (dinosaur) kale?
      I plan to make this tonight!
      thanks!

      Reply
      • Julia

        February 11, 2022 at 6:50 pm

        I've never heard of dinosaur kale (sounds interesting!) but you can't certainly use kale in this recipe instead of spinach. Enjoy!

        Reply
        • Rhonda

          February 11, 2022 at 7:59 pm

          It’s has a few names. Lacinato, Dinosaur, Tuscan. I’m sure you’ve seen it. I prefer it to the curly kale.

          Reply
          • Julia

            February 11, 2022 at 8:28 pm

            Very interesting! Thanks for educating me!

            Reply
            • Rhonda

              February 12, 2022 at 5:05 pm

              I made it with the kale and added mushrooms as someone else mentioned, then didn’t change anything else. This was DELICIOUS!!! I will be making this again for sure 🙂

            • Julia

              February 18, 2022 at 5:49 pm

              Rhonda, thank you so much for taking the time to share such a wonderful comment! I really appreciate the feedback, especially the positive one, ha-ha! 🙂

    8. Mallory

      January 29, 2022 at 6:17 pm

      Made this tonight without the sausage because I'm a vegetarian and I used Asiago cheese because that's what I had and it turned out so delicious!!!! My husband and I both loved it and he even had seconds! I think next time I'll add mushrooms and I'll add the sausage to my husbands portion!

      Reply
      • Julia

        February 11, 2022 at 8:44 pm

        Mallory, I just love your comment! Glad you've enjoyed the vegetarian version of this recipe. The addition of Asiago cheese sounds so good!

        Reply
        • Debi

          March 02, 2022 at 8:17 pm

          Hello,
          I came across this recipe because I am on another refulx diet. I was wondering can I just use Silk milk instead of half and half?

          Reply
          • Julia

            March 22, 2022 at 12:39 am

            It should work. The sauce might be thinner, but the taste would still be great!

            Reply
    9. Emily Brantford

      January 21, 2022 at 11:56 pm

      Lady, this recipe is fantastic!!! I added a little extra garlic and Parmesan because my 4 and 10 year old kids and husband…not to mention myself are obsessed with those flavors…all the yummies! Thank you for sharing! We are HUGE fans!
      P.S. - this is absolutely easy to make in a teeny tiny kitchen….we travel full time across the country in our motorhome and I’m always looking for recipes that will work in my mini kitchen.

      Reply
      • Julia

        February 11, 2022 at 9:42 pm

        Emily, I just love your comment - thank you for taking the time to share such positive feedback! 🙂 Extra garlic and extra Parmesan always add so much flavor!

        Reply
        • Pam

          March 25, 2022 at 6:35 pm

          The 1st time I made this, I used 2% milk because that is all I had. We really liked it.
          The next couple of times I have made this dish I have doubled the amount of squash and still used 2% milk. This is now in our dinner rotation!

          Reply
          • Julia

            March 29, 2022 at 6:03 pm

            Pam, I am so glad you've made this recipe more than once and enjoyed it! thank you for the feedback about using 2% milk and doubling the amount of squash - very helpful to me and other readers!

            Reply
    10. Ali

      January 21, 2022 at 3:28 pm

      Yum, a new go-to for sure! I subbed turkey sausage and nondairy alternatives (oat milk instead of cream, and dairy free “mozzarella” shreds), and it still turned out great. I also added dried sage and fresh nutmeg for a bit of extra flavor depth. Hearty and cozy without being too rich and heavy. I’ll make this again for sure and will likely also add it to my list of meals to bring new parents!

      Reply
      • Julia

        February 11, 2022 at 9:45 pm

        Ali, your comment made my day! 🙂 I am so glad you've enjoyed this recipe and thank you for taking the time to share such a positive comment - it means a lot to me! 🙂 Also, thank you for sharing about your non-dairy alternatives used in this recipe - very helpful to me and other readers!

        Reply
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    Hi, I'm Julia! / Welcome to my recipe blog where I share easy-to-make weeknight dinners and other recipes using simple ingredients!

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