Healthy Creamy Pumpkin Sage Pasta Recipe
Introduction
This Healthy Creamy Pumpkin Sage pasta is a delicious twist on classic comfort food. It features a velvety pumpkin sauce blended with aromatic sage and a touch of Parmesan, making it perfect for a cozy autumn meal. Enjoy a nutritious and flavorful dish that’s easy to prepare.

Ingredients
- 12 oz whole wheat fettuccine or spaghetti
- 1 tablespoon olive oil
- 2 small shallots, finely chopped
- 3 cloves garlic, minced
- 1 2/3 cups canned pure pumpkin puree, unsweetened
- 1 cup low-sodium vegetable broth
- 1/2 cup unsweetened almond milk
- 1/4 cup Greek yogurt (2% or nonfat)
- 10 fresh sage leaves, finely chopped
- 1/2 teaspoon ground nutmeg
- 1/4 teaspoon ground black pepper
- 1/2 teaspoon salt, or to taste
- 2 tablespoons grated Parmesan cheese, plus more for serving
- Fresh sage leaves (optional, for garnish)
- Additional grated Parmesan cheese (optional, for serving)
Instructions
- Step 1: Bring a large pot of salted water to a boil. Cook the whole wheat pasta until al dente according to package instructions. Before draining, reserve 1/2 cup of the pasta cooking water.
- Step 2: While the pasta cooks, heat olive oil in a large skillet over medium heat. Add the finely chopped shallots and cook until softened, about 2 to 3 minutes. Stir in minced garlic and chopped sage, sautéing for another minute until fragrant.
- Step 3: Stir together the pumpkin puree, vegetable broth, almond milk, nutmeg, black pepper, and salt in the skillet. Let the mixture simmer gently for 5 to 7 minutes, stirring occasionally, until the sauce thickens slightly.
- Step 4: Reduce heat to low. Whisk in the Greek yogurt and 2 tablespoons of grated Parmesan cheese until the sauce becomes creamy and smooth. If the sauce is too thick, add some of the reserved pasta water gradually to reach your preferred consistency.
- Step 5: Add the drained pasta to the pumpkin sauce. Toss gently to coat the noodles evenly. Warm everything together for 1 to 2 minutes to combine flavors thoroughly.
- Step 6: Serve the pasta plated with a garnish of fresh sage leaves and extra grated Parmesan cheese, if desired. Enjoy immediately.
Tips & Variations
- For a richer flavor, swap almond milk for whole milk or cream if you don’t need it dairy-free.
- Add toasted pine nuts or walnuts on top for added crunch and texture.
- Use gluten-free pasta if you prefer a gluten-free version of this dish.
- Fresh sage can be substituted with 1 teaspoon dried sage, but fresh leaves provide the best aroma and taste.
- If you want extra protein, stir in cooked chicken or crispy bacon bits before serving.
Storage
Store any leftover pumpkin sage pasta in an airtight container in the refrigerator for up to 3 days. When reheating, add a splash of almond milk or vegetable broth to loosen the sauce as it may thicken after chilling. Warm gently on the stovetop or in the microwave until heated through.
How to Serve

Serve this delicious recipe with your favorite sides.
FAQs
Can I use fresh pumpkin instead of canned puree?
Yes, you can. Roast and puree fresh pumpkin flesh for a homemade pumpkin puree, but be sure it’s smooth and well blended to give the sauce the right texture.
Is this recipe vegan?
This recipe as written is not vegan because it includes Greek yogurt and Parmesan cheese. To make it vegan, substitute the Greek yogurt with a plant-based yogurt and use a vegan Parmesan alternative or nutritional yeast.
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Healthy Creamy Pumpkin Sage Pasta Recipe
- Total Time: 30 minutes
- Yield: 4 servings 1x
- Diet: Low Fat
Description
A wholesome and flavorful Healthy Creamy Pumpkin Sage pasta recipe featuring whole wheat fettuccine tossed in a smooth and creamy pumpkin sauce infused with fresh sage, garlic, and a hint of nutmeg. This dish is enriched with Greek yogurt and Parmesan for a perfect balance of creaminess without excess fat, making it a nutritious and comforting meal ideal for fall or anytime you crave cozy flavors.
Ingredients
Pasta
- 12 oz whole wheat fettuccine or spaghetti
Sauce
- 1 tablespoon olive oil
- 2 small shallots, finely chopped
- 3 cloves garlic, minced
- 10 fresh sage leaves, finely chopped
- 1 2/3 cups canned pure pumpkin puree, unsweetened
- 1 cup low-sodium vegetable broth
- 1/2 cup unsweetened almond milk
- 1/4 cup Greek yogurt (2% or nonfat)
- 1/2 teaspoon ground nutmeg
- 1/4 teaspoon ground black pepper
- 1/2 teaspoon salt, or to taste
- 2 tablespoons grated Parmesan cheese, plus more for serving
- Fresh sage leaves (optional, for garnish)
Instructions
- Cook pasta: Boil the whole wheat fettuccine or spaghetti in salted water until al dente. Reserve 1/2 cup of the pasta cooking water before draining the pasta to help adjust the sauce consistency later.
- Sauté aromatics: Heat 1 tablespoon of olive oil over medium heat in a large skillet. Add the finely chopped shallots and cook until softened, about 2-3 minutes. Add minced garlic and the chopped fresh sage leaves, sautéing for an additional 1 minute until fragrant.
- Simmer pumpkin sauce: Stir together the pumpkin puree, low-sodium vegetable broth, unsweetened almond milk, ground nutmeg, black pepper, and salt in the skillet. Allow the mixture to simmer gently for 5-7 minutes, stirring occasionally, until the sauce thickens slightly.
- Incorporate dairy: Reduce the heat to low and whisk in the Greek yogurt and 2 tablespoons grated Parmesan cheese until the sauce becomes creamy and smooth. If the sauce is too thick, gradually add reserved pasta water to reach your desired consistency.
- Combine pasta and sauce: Add the drained pasta directly into the skillet with the pumpkin sauce. Toss gently to coat the pasta evenly and warm through for 1-2 minutes.
- Serve with garnish: Plate the pumpkin sage pasta and garnish with fresh sage leaves and additional grated Parmesan cheese according to your preference. Enjoy warm.
Notes
- Reserve pasta water is key to adjusting the sauce consistency without diluting flavor.
- Use canned pumpkin puree, not pumpkin pie filling, for best taste.
- Fresh sage adds the best flavor, but dried sage can be substituted in smaller amounts.
- For a vegan version, substitute Greek yogurt with a plant-based yogurt and omit Parmesan or use a vegan cheese alternative.
- This dish pairs well with a crisp green salad or roasted vegetables.
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Category: Main Course
- Method: Stovetop
- Cuisine: American
Keywords: pumpkin pasta, healthy pasta recipe, pumpkin sage sauce, whole wheat pasta, creamy pumpkin sauce, autumn recipes, low fat pasta

