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    Creamy Roasted Butternut Squash Pasta with Sausage and Spinach

    By Julia | Updated: Sep 15, 2024 | Published: Nov 28, 2020 | 570 Comments

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    This post may contain affiliate links. Read my disclosure policy.

    Creamy Butternut Squash Pasta with Sausage and Spinach is a perfect Autumn comfort food.  This easy and flavorful recipe is packed with veggies (roasted butternut squash and spinach) 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

    Roasted 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 roasted 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 roasted 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 adds 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 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 the 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 it to the pasta. Or, just add it to the creamy pasta sauce, stir it in and reheat it in the cream sauce.

    How to Store, Freeze, Reheat Roasted 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
    4.69 from 1929 votes

    Creamy Roasted Butternut Squash Pasta with Sausage and Spinach

    Creamy Roasted 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 Save RecipeSaved!
    Prep Time 30 minutes mins
    Cook Time 40 minutes mins
    Total Time 1 hour hr 10 minutes 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
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    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 Roasted 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.

    Nutrition Disclaimer:

    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
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    783.6K shares
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    Reader Interactions

    Comments

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      Recipe Rating




    1. Rob

      December 08, 2021 at 3:07 pm

      simply awesome, hands down. Used spicy Italian sausage for a little spice that we crave. shared leftovers at work and everybody wanted the recipe:)

      Reply
      • Julia

        December 12, 2021 at 5:41 pm

        Rob, I am so flattered by your comment! Thank you!

        Reply
    2. Micah

      December 07, 2021 at 3:17 pm

      This is so yummy! It even tastes good reheated! I added a touch more garlic and used jimmy deans spicy sausage for the best flavor (and I LOVE garlic).

      Reply
      • Julia

        December 12, 2021 at 5:47 pm

        Micah, your comment made my day! 🙂 Glad you've enjoyed this recipe!

        Reply
    3. Todd H Tilberg

      November 26, 2021 at 6:28 pm

      We had this dish at a restaurant that was offering it as a special. I found your recipe and made it at home and it turned out AWESOME!! We used Imposible sausage and I added some grilled onions with spinach and garlic. Big hit!! HUGE!!

      Reply
      • Julia

        November 29, 2021 at 10:40 pm

        Todd, I am so glad you enjoyed this recipe - thank you for such a positive and enthusiastic comment! 🙂 Adding grilled onions sounds so good!

        Reply
    4. Sharlene

      November 24, 2021 at 5:58 pm

      How would Sage sausage taste with this recipe?

      Reply
      • Julia

        November 24, 2021 at 9:23 pm

        Sharlene, I think sage sausage would be quite delicious in this recipe!

        Reply
    5. Debbie in Montana

      November 21, 2021 at 9:13 pm

      New favorite recipe! I did make a few changes (not necessary, just our preference). I doubled the amount of pasta so we didn’t have a half opened box leftover, and we love leftovers. I also doubled the butternut squash since I had a whole one I wanted to use up. This will definitely be on the rotation when family is home over the holidays.

      Reply
      • Julia

        November 22, 2021 at 2:41 pm

        Debbie, I am so, so happy you enjoyed this recipe! 🙂 Thank you for stopping by and sharing such a positive and uplifting comment - comments like that make my day and make me want to do more recipes! Happy Holidays!

        Reply
    6. Deena

      November 20, 2021 at 9:56 pm

      We had this tonight for dinner, Hubby really liked it so that’s a keeper recipe for sure! He said it was like eating something from a good Italian place! Thanks for sharing your recipe.

      Reply
      • Julia

        November 21, 2021 at 3:17 pm

        Deena, I am so flattered by your comment! Thank you! I am very happy you enjoyed this recipe! 🙂

        Reply
    7. Shirley Proctor

      November 16, 2021 at 6:18 pm

      I made this for supper tonight, and it was a hit! I didn't have cream, so I just used 2% milk. Next time, I'll make it with heavy cream, and I'm sure it will be even better.

      Reply
      • Julia

        November 18, 2021 at 3:39 pm

        I am so pleased you enjoyed this recipe - thanks for letting me know! It looks like the recipe worked well even with 2% milk - thank you for the feedback, very helpful!

        Reply
    8. Joan

      November 14, 2021 at 2:15 pm

      Can you substitute Soy Creamer for Heavy Cream?

      Reply
      • Julia

        November 18, 2021 at 4:05 pm

        I am not sure about soy creamer, but if you're looking for a dairy-free option, I know that unsweetened coconut milk works well.

        Reply
    9. Emily

      November 13, 2021 at 4:43 pm

      this recipe looks ABSOLUTELY amazing, but can you veganize it at all? I am making it your way for a friend but for myself i wondered if adding coconut milk and no meat will change it? seriously thank you for this recipe!

      Reply
      • Julia

        November 18, 2021 at 4:16 pm

        Emily, you can use unsweetened coconut milk instead of the heavy cream - it will work well. Also, if you scroll down to older comments you will see a comment from somebody who used Hot Italian beyond meat sausage instead of regular sausage. Now, I am not vegan, and not sure if that type of sausage is vegan or if any other changes should be made. But those are my thoughts! 🙂

        Reply
    10. Jodie Spencer

      November 11, 2021 at 7:18 am

      This was delicious and I will make again. I substituted sliced, Andouille sausage for the crumbled form. I also subbed out lactose-free milk for the cream (because I cannot find lactose-free cream.

      Reply
      • Julia

        November 18, 2021 at 4:43 pm

        Jodie, I am so happy you gave this recipe a try and liked it! Thank you for sharing your changes - it's very helpful to other readers, too!

        Reply
    11. Pam M

      November 04, 2021 at 8:15 pm

      This was so delicious! Our family tries to limit meat, so I substituted the sausage with Hot Italian beyond meat sausage (beyond meat substitutes flawlessly in any dish) I also added an onion at the beginning and some red pepper flakes. This will be on the menu again soon! My daughter wants this over tortellini next time.

      Reply
      • Julia

        November 05, 2021 at 4:20 pm

        Pam, I am so pleased you tried this recipe and liked it! Thank you for such detailed and helpful feedback re: using the alternatives for sausage. It would be helpful and useful to other readers. And, serving this over tortellini next time sounds delicious!

        Reply
      • Angela Marcey

        November 08, 2021 at 7:26 pm

        My entire household enjoyed this! Bulked it out with left over roasted cauliflower and broccoli and used half and half instead of heavy cream. Delish.

        Reply
        • Julia

          November 10, 2021 at 8:17 pm

          Angela, I am so happy to hear the recipe was enjoyed! Love your additions of cauliflower and broccoli!

          Reply
      • Emily

        November 13, 2021 at 1:26 pm

        Would you adjust the cooking time at all for the butternut squash if you’re using frozen?

        Reply
        • Julia

          November 18, 2021 at 4:18 pm

          Yes, you can use frozen butternut squash (peeled and cubed). You don't even need to thaw it. Toss it, still frozen, with olive oil and salt and pepper and roast it following the recipe instructions. Make sure it's not overcrowded on a baking sheet to prevent steaming.

          Reply
    12. Becky

      November 02, 2021 at 10:33 pm

      OMG! I've never commented on a recipe..until today. I made this for a friend and I and she said it's restaurant quality!
      It was so easy and delicious. It will go into my rotation. Thank you!!

      Reply
      • Julia

        November 03, 2021 at 1:38 pm

        Becky, your comment made my day! So happy to hear the recipe was enjoyed! 🙂

        Reply
    13. Marie

      November 02, 2021 at 8:30 pm

      Why in the world are the cook pasta directions not at the beginning of the recipe?! This is notoriously step #1 in every single pasta dish recipe ever. All of my ingredients are waiting on the pasta to cook because my pregnant brain didn't think of it and the recipe didn't direct this until the end 🙁

      Reply
      • Melissa

        November 03, 2021 at 10:08 am

        That’s why all cooks know you read the recipe all the way through before you start!

        Reply
      • Julia

        November 03, 2021 at 1:47 pm

        Marie, I added the cooking pasta step the last on purpose. I like to have my pasta fresh and al dente, and I don't like it sitting all cooked and clumping up together (and losing its al dente texture) while I am making the butternut squash, sausage, and the sauce. I always cook pasta the last and add it right after it's cooked to the sauce so that the pasta absorbs some of the sauce.

        That's just how I do it - and the logic behind it.

        Reply
        • Melissa

          November 11, 2021 at 12:49 pm

          Loved this recipe! My husband doesn't "do" veggies, he loved it. He also doesn't do leftovers. Guess who took leftovers

          Reply
          • Julia

            November 18, 2021 at 4:40 pm

            Ha-ha! Your comment made my day and made me smile at the same time! 🙂

            Reply
    14. Suzy

      November 01, 2021 at 7:23 pm

      Do you think you can substitute full fat coconut milk for the heavy cream?
      Thanks!

      Reply
      • Julia

        November 03, 2021 at 2:17 pm

        Yes! Coconut milk will work great here instead of heavy cream!

        Reply
    15. Jessica

      October 31, 2021 at 3:07 pm

      AMAZING! Tastes like a meal at a restaurant! I added caramelized onions with the garlic and a sprinkle of ground thyme and 2 small chopped Leaves of sage at the end.
      Thank you!

      Reply
      • Julia

        November 03, 2021 at 2:27 pm

        Jessica, your version sounds so good! Love the addition of caramelized onions!

        Reply
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    Hi, I'm Julia!

    I am a full-time food blogger living in beautiful Colorado. I focus primarily on savory recipes (protein-based & fiber-rich main dishes, pasta, salads) using fresh & seasonal ingredients. A food blogger since 2012, I help home cooks create well-balanced and visually appealing dinners (many of which are 30-minute ONE-PAN meals). Find out more about me and my cooking philosophy. 

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