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    Creamy Butternut Squash and Sausage Soup with Orzo and Spinach (30-Minute, One-Pot)

    By Julia | Updated: Dec 08, 2022 | Published: Dec 08, 2022 | 101 Comments

    30.8K shares
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    Butternut Squash and Sausage Soup with Spinach and Orzo is a cozy and comforting meal that will keep you warm on a cold Fall or Winter night. The recipe takes only 30 minutes and is made entirely in one pot. Perfect for busy weeknights when you're craving comforting yet nutritious food but don't have too much time to spend in the kitchen.

    Creamy Butternut Squash and Sausage Soup with Orzo and Spinach in a white bowl.

     

    Butternut squash and Italian sausage soup

    One of the best things I love about Autumn and Winter is the abundance of winter squash. Making butternut squash soup at least once during this season is a must! This soup is quite different from the traditional creamy butternut squash soup recipes. This recipe features Italian sausage, orzo, spinach, and only ½ cup of heavy cream (or use half-and-half for fewer calories). It's a cozy comfort food that will warm you up on a chilly Fall or Winter evening. And the best part? Everything is done in 30 minutes, and you only need one cooking pot! It became my new favorite soup this season along with this creamy Italian sausage tortellini soup.

    Creamy Butternut Squash and Sausage Soup with Orzo and Spinach topped with shaved Parmesan

    Why make it

    • Well-balanced meal. Creamy Butternut Squash and Sausage Soup with Spinach and Orzo is packed with veggies and protein - a simple recipe to make on a busy weeknight when you crave something comforting yet nutritious. It has everything you need in a complete meal: protein (Italian sausage), veggies and fiber (butternut squash and spinach), and pasta (orzo).
    • 30-Minute one-pot recipe. It's perfect for busy weekdays and also for special occasions when you want to feed your family and friends healthier comfort food made with lots of veggies.
    • Meal-prep-friendly. You can easily make this soup up to 4 days in advance. For best results, add orzo and cream right before serving - everything else can be cooked beforehand.
    • Fall and Winter comfort food. The best time to cook butternut squash is when it's in season. This soup is like Fall in a bowl.

    Main ingredients

    • 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. I use fresh spinach - you can also use frozen spinach - thawed and drained of any liquid. Or, use arugula or kale instead.
    • Sausage. I used spicy Italian ground sausage which adds lots of savory flavors and a bit of heat to the butternut squash soup. You can use sausage in casings - just remove the casing before cooking and crumbling the sausage.
    • Orzo is an Italian pasta that is shaped and looks like long rice.
    • Seasonings that I used to make this butternut squash and sausage soup are Italian seasonings, minced garlic, red pepper flakes, salt, pepper, and fresh thyme.
    • Broth or water.  Use water, chicken broth, beef broth, or vegetable broth.
    • Cream. I used only ½ cup of heavy cream for a whole soup to add a touch of creaminess.
    • Shredded or grated Parmesan is added on top of the soup when serving.

    Creamy Butternut Squash and Sausage Soup with Orzo and Spinach in a white bowl.

    Recipe Notes

    • Reduce calories by using chopped cauliflower or cauliflower rice instead of orzo. Also, use half-and-half instead of cream.
    • Save time by using pre-cut butternut squash sold in some grocery stores.
    • Toppings. When serving creamy butternut squash and sausage soup, you can add grated Parmesan cheese (or Pecorino Romano or Asiago), red pepper flakes, fresh herbs, or cracked black pepper.

    Substitutions

    • Butternut squash can be replaced with diced sweet potatoes.
    • Can't find orzo? Use any other small-cut pasta you like. This includes bow tie, orecchiette, fusilli, or even gnocchi.
    • Cream. You can use half-and-half or whole milk instead of heavy cream. Or, use dairy-free unsweetened coconut cream/milk.
    • Greens. This a perfect recipe to use your favorite greens. Spinach, arugula, kale, Swiss chard, and Collard greens - all would be great!

    How to make it gluten-free

    Make this recipe gluten-free by using long rice, gluten-free orzo, or wild rice. If using wild rice - cook it separately, not in the broth.

    How to make it vegan

    Make it vegan by omitting the sausage and replacing heavy cream with unsweetened coconut milk, cashew milk, almond milk, or oat milk. Replace the chicken stock with vegetable broth. You can replace the sausage with plant-based veggie sausage or simply use chopped portobello mushrooms instead of sausage. Portobellos have a deep, rich, and "meaty" flavor and work great as meat substitution.

    Storage and reheating tips

    • Refrigerate. Store leftover butternut squash sausage orzo soup in an airtight container in the refrigerator for up to 5 days.
    • Reheat. Reheat the soup gently on the stovetop in a large enough pan over medium heat, stirring halfway through. Add extra chicken stock or broth to thin it out.

    What to serve with it

    I like to serve this soup as a complete meal with a simple Fall salad. Here are some easy-to-make salads made with simple ingredients:

    • Arugula Salad with Apples, Cranberries, Pecans, and Balsamic Dressing
    • Cranberry Spinach Salad with Cashews and Goat Cheese and Lemon-Honey Poppy Seed Dressing
    • Autumn Salad with Arugula, roasted Butternut Squash, dried Figs, toasted sliced Almonds, and Pomegranate Seeds.
    • Simple Spinach Salad with Pine Nuts, Parmesan Cheese
    • Arugula Salad with Pears, Apples, and Cashews

    Other soup recipes

    • Italian Sausage Tortellini Soup with Spinach and Sweet Potatoes
    • Italian Sausage Orzo Soup with Mushrooms and Spinach
    • Chicken, Spinach, and Bean Soup
    • Creamy Shiitake Mushroom Soup
    • Black Bean and Butternut Squash Soup
    • Creamy Chicken and Mushroom Soup with Wild Rice
    Creamy Butternut Squash and Sausage Soup with Orzo and Spinach in a white bowl.
    4.27 from 671 votes

    Creamy Butternut Squash and Sausage Soup (30-Minute, One-Pot)

    Butternut Squash and Sausage Soup with Spinach and Orzo is a cozy and comforting soup - a great recipe to make on a cold Fall or Winter night. It takes only 30 minutes and is made entirely in one pot. Perfect for busy weeknights when you're craving some comforting yet nutritious food but don't have too much time to spend in the kitchen.
    Print Recipe Pin Recipe Save RecipeSaved!
    Prep Time 10 minutes mins
    Cook Time 20 minutes mins
    Total Time 30 minutes mins
    Course Soup
    Cuisine American, Italian
    Servings 6 people
    Calories per serving 531 kcal
    Author: Julia

    Ingredients

    • 15 oz spicy Italian sausage crumbled
    • 1 teaspoon Italian seasoning or Herbs from Provence
    • 1 tablespoon fresh thyme (no sprigs, just leaves)
    • red pepper flakes to taste
    • 1 cup orzo uncooked
    • 4 cloves garlic minced
    • 5 cups chicken stock
    • 10 oz butternut squash peeled and cubed
    • 5 oz fresh spinach
    • ½ cup heavy cream
    • ⅓ cup Parmesan cheese shaved, shredded, or grated (for garnish)
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    Instructions 

    • Add crumbled Italian sausage, Italian seasoning, a generous amount of fresh thyme (no sprigs, just leaves), and red pepper flakes to a large saucepan. Cook on medium heat, regularly stirring to break the sausage.
    • Once the sausage released juices and is half cooked, add 1 cup of uncooked orzo and minced garlic, and cook, constantly stirring, for about 2 minutes on medium heat to brown the orzo.
    • Add 5 cups of chicken stock and cubed butternut squash, stir everything well, cover with the lid, bring to a boil, reduce to visible simmer, and cook for about 5 or 10 minutes until the orzo and butternut squash is cooked.
    • Add spinach to the soup, cover with the lid and let it wilt on low heat, occasionally stirring.
    • Once the spinach has wilted, remove the soup from the heat and add heavy cream. Stir everything and season with salt and pepper. Add more chicken stock (or water) if the soup is too dense. Add more red pepper flakes, if you like. Top with Parmesan cheese (shaved, shredded, or grated) and fresh thyme.

    Nutrition

    Nutrition Information
    Creamy Butternut Squash and Sausage Soup (30-Minute, One-Pot)
    Amount per Serving
    Calories
    531
    % Daily Value*
    Fat
     
    34
    g
    52
    %
    Saturated Fat
     
    14
    g
    88
    %
    Polyunsaturated Fat
     
    4
    g
    Monounsaturated Fat
     
    14
    g
    Cholesterol
     
    86
    mg
    29
    %
    Sodium
     
    921
    mg
    40
    %
    Potassium
     
    786
    mg
    22
    %
    Carbohydrates
     
    34
    g
    11
    %
    Fiber
     
    3
    g
    13
    %
    Sugar
     
    6
    g
    7
    %
    Protein
     
    22
    g
    44
    %
    Vitamin A
     
    7640
    IU
    153
    %
    Vitamin C
     
    21
    mg
    25
    %
    Calcium
     
    163
    mg
    16
    %
    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 and sausage soup
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      Recipe Rating




    1. Jillian

      December 30, 2025 at 11:12 am

      My husband, 7yo and I really loved this soup. Adjustments I made to make it 7yo friendly: low sodium half bone broth, half chicken stock and Italian sausage rather than spicy and omitted the red pepper flakes. Next time I wouldn’t mind swapping the heavy cream for coconut milk to see how that goes- my little one has a sweet tooth. All and all a very flavorful soup I am not making for the second time this week!

      Reply
    2. Sandi Dioli

      December 15, 2025 at 1:24 pm

      Such an adaptable recipe… have made twice. Most requested recipe at recent pot luck. Trying in Crockpot with rapini and chicken sausage for healthier alternative. Totally recommend for those chilly winter days!

      Reply
    3. Esther

      November 30, 2025 at 5:06 pm

      ...Made on Nov. 30, 2025. !This was easy to make and was delish. Will be making again.

      Reply
      • Julia

        December 01, 2025 at 7:43 pm

        Esther, I am so glad you loved this soup! Thank you for taking the time to share your review! ❤️

        Reply
    4. Joyce Boyer

      November 20, 2025 at 7:30 pm

      We loved your recipe and used hot Italian sausage. Will definitely make again.

      Reply
      • Julia

        November 22, 2025 at 5:50 pm

        Using hot Italian sausage is a great choice — the heat softens nicely in the broth and mellows out. Thank you for your lovely review, Joyce! ❤️

        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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