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Creamy Butternut Squash Pasta with Sausage and Spinach

5 from 1 vote
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Natalia Reed
By: Natalia ReedUpdated: Jan 10, 2026
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A cozy weeknight pasta featuring roasted-tasting butternut squash, spicy Italian sausage, tender greens, and a silky creme fraiche sauce finished with Parmesan.

Creamy Butternut Squash Pasta with Sausage and Spinach
This creamy butternut squash pasta has become my go-to comfort meal for cool evenings. I first tossed these ingredients together on a blustery October night when the farmers market had gorgeous orange squash and a vendor recommended a spicy Italian sausage that smelled irresistible. The dish that night was unexpectedly balanced: the sweet, caramelized squash contrasted perfectly with the savory, slightly spicy sausage, while a hint of creme fraiche brought everything together into a velvety coating for the rigatoni. It is the kind of food that wakes up familiar memories — warm kitchens, the smell of garlic and toasted squash, and friends lingering over generous helpings. What makes this preparation special is its simplicity and the way modest techniques amplify flavor. Searing the diced squash in olive oil until the edges brown gives the final dish a roasted depth without needing to bake a whole squash. Browning the sausage in the same pan deposits fond that dissolves into the sauce, creating a rich backbone. Swiss chard adds a leafy brightness and texture contrast, and finishing with creme fraiche keeps the sauce silky without becoming heavy. Serve it when you want dinner that feels indulgent but still comes together in under 40 minutes.

Why You'll Love This Recipe

  • This is a true weeknight crowd-pleaser that comes together quickly: 15 minutes active prep and about 20 minutes of cooking, ready in roughly 35 minutes total.
  • It uses pantry and market staples — rigatoni, winter squash, a handful of greens, and a small amount of creme fraiche and Parmesan for a luxurious finish.
  • Flexible and forgiving: make-ahead squash, swap greens, or use turkey or chicken sausage for a leaner version without losing flavor.
  • Perfect for entertaining as it scales well; double the squash and sausage for a larger gathering and keep the finishing elements the same for consistent flavor.
  • Balances sweet, spicy, and creamy notes: caramelized squash, spicy Italian sausage, chile flakes, and a gentle tang from creme fraiche make each bite interesting.

I remember the first time I served this to my family: my husband asked for seconds twice and my mother-in-law wrote the ingredients down. It traveled well to potlucks and always returned empty bowls. Every time I make it, I notice subtle improvements in how I time the squash browning and the pasta finish, which means small technique changes yield big payoff.

Ingredients

  • Olive oil: 1 tablespoon of extra-virgin olive oil gives a clean, fruity base for sautéing. Choose a mid-priced bottle for reliable flavor; avoid very peppery styles that can overpower delicate squash.
  • Butternut squash: 3 cups peeled and diced. Look for a firm squash without soft spots; denser flesh delivers a nutty, slightly sweet flavor. Dice into roughly 1/2-inch cubes for even browning.
  • Red onion: 1 small, diced. Red onion caramelizes nicely and adds both sweetness and color contrast. If you prefer a milder note, substitute sweet yellow onion.
  • Spicy Italian sausage: 12 ounces, casings removed. Use high-quality pork sausage for the best texture and flavor; sweet sausage will mellow the heat, while hot will increase the spice. Remove casings so the meat crumbles and browns evenly.
  • Garlic: 2 cloves, minced. Fresh garlic adds aromatic depth; press or finely mince to distribute flavor without large bites.
  • Swiss chard: 1 bunch, stems removed and leaves chopped. Chard wilts quickly and adds color and a mild earthy flavor. Baby spinach can be used if you prefer a softer leaf.
  • Red chili flakes: 1 teaspoon to bring a subtle heat that ties the sausage and squash together. Adjust to taste.
  • Salt and pepper: To taste. Season in layers as you cook for the best result.
  • Rigatoni: 8 ounces of dry rigatoni or other tube-shaped pasta. Rigatoni holds the creamy sauce and bits of sausage beautifully.
  • Crème fraîche: 1/4 cup for a glossy, slightly tangy finish that prevents the sauce from separating at heat.
  • Parmesan: 1/3 cup grated plus extra for serving. Use a good-quality Parmigiano-Reggiano for umami depth.

Instructions

Prepare the squash and begin browning: Heat 1 tablespoon of olive oil over medium heat in a large sauté pan. Add the diced butternut squash in a single layer as much as the pan allows and sauté until the edges turn golden and the pieces begin to soften, about 6 to 7 minutes. Resist stirring constantly; letting the squash sit a little lets Maillard browning develop, which adds roasted flavor later in the dish. Add the onion and brown the sausage: Stir in the diced red onion and cook until translucent and tender, about 3 to 4 minutes. Add the sausage with casings removed and break it up with a spoon into small chunks. Continue to sauté until the meat is browned and the sausage releases flavorful bits that stick to the pan, roughly 3 minutes. If the pan looks dry, add a splash more oil or a tablespoon of water to deglaze. Wilt the greens and season: Add the minced garlic, chopped Swiss chard, and 1 teaspoon of red chili flakes. Toss and cook until the chard is wilted and the garlic is fragrant, about 2 to 3 minutes. Season with salt and freshly ground black pepper and reduce heat to low to keep the mixture warm while you cook the pasta. Cook the pasta: Bring a large pot of generously salted water to a boil. Add 8 ounces of rigatoni and cook until al dente, about 8 minutes (follow package directions for precise timing). Reserve 1/4 cup of the starchy pasta water before draining; the reserved water helps loosen and bind the sauce. Finish the sauce and combine: Immediately add the drained pasta to the sausage and vegetable mixture along with 1/4 cup reserved pasta water, 1/4 cup crème fraîche, and 1/3 cup grated Parmesan. Toss over low heat for 1 to 2 minutes so the sauce emulsifies, coats the pasta, and the Parmesan melts into a creamy glaze. Taste and adjust seasoning with salt and pepper as needed. Serve with extra Parmesan on top. Sauté pan with butternut squash, sausage, and greens

You Must Know

  • This stores well: cooled leftovers keep in an airtight container in the refrigerator for up to 3 days and reheats gently in a skillet over low heat with a splash of water or stock.
  • Freezing is not ideal due to dairy; if you must freeze, omit the crème fraîche and add it after thawing when reheating. Frozen components last up to 3 months.
  • High in protein and satisfying; the sausage and Parmesan provide savory richness while the squash adds fiber and beta-carotene.
  • Adjust the heat by swapping spicy sausage for mild or eliminating the red chili flakes to make it kid-friendly.

My favorite part of making this dish is the aroma as the squash and sausage brown. It signals dinner in a way few things do. Over the years I learned to stagger the cooking so the pasta finishes exactly when the sauce reaches the right creaminess; that small timing trick results in the best texture every time.

Storage Tips

Store leftovers in shallow airtight containers to cool quickly and refrigerate within two hours. Kept in the fridge, portions will remain good for up to three days. Reheat gently in a skillet over low heat, adding a tablespoon or two of water or broth to restore creaminess; avoid the microwave when possible to maintain sauce texture. If you plan to freeze, omit the crème fraîche and Parmesan; freeze the pasta and sausage mixture only for up to three months, then thaw overnight and finish with fresh dairy and cheese before serving.

Plated rigatoni with squash, sausage, and shaved parmesan

Ingredient Substitutions

If you do not have butternut squash, sweet potato or pumpkin puree plus a few cubed roasted sweet potatoes will work. Use kale or baby spinach in place of Swiss chard; if substituting kale, remove thick stems and cook a little longer. For a lower-fat version, switch to turkey or chicken sausage or use a plant-based sausage alternative — increase seasoning slightly to compensate for milder flavor. Creme fraiche can be replaced with full-fat Greek yogurt stirred in off-heat to prevent curdling, or with heavy cream for a richer finish, though the tang will be milder.

Serving Suggestions

Serve the dish with a simple green salad dressed with lemon vinaigrette to cut through richness. A slice of crusty bread or garlic crostini is excellent for sopping up any sauce. For a seasonal touch, garnish with toasted pumpkin seeds and a drizzle of good olive oil. Pair with a medium-bodied red wine like Chianti or a bright Pinot Noir. For family-style dinners, serve straight from the pan and offer extra Parmesan at the table.

Cultural Background

This preparation draws on Italian flavors — tube pasta that traps sauce, grated Parmesan for umami, and spicy Italian sausage for regional heat. But the combination of autumnal squash and creamy dairy is a modern, seasonal twist found across contemporary Italian-influenced home cooking. The dish nods to rustic peasant traditions of using preserved dairy and hearty proteins to stretch a meal, updated with quicker sauté techniques suited to modern kitchens.

Seasonal Adaptations

In autumn and winter use hearty greens like Swiss chard or kale and emphasize roasted squash for depth. For spring and summer, swap in zucchini and basil, and lighten the sauce by reducing the crème fraîche and adding lemon zest. At holiday gatherings, finish with chopped toasted walnuts and a sprinkle of sage for an aromatic, celebratory version.

Meal Prep Tips

For meal prep, roast or sauté a double batch of diced squash and store it separately from the pasta. Prepare and cool the sausage-veggie mixture and refrigerate in portioned containers. When ready to eat, cook fresh pasta and combine with prepped mix, adding crème fraîche and Parmesan to finish; this preserves texture and keeps the sauce fresher. Use shallow containers and consume within three days for best quality.

End your meal on a cozy note: this dish is about comfortable textures and balanced flavors. I hope it becomes a favorite in your rotation the way it did in mine — adaptable, comforting, and reliably delicious.

Pro Tips

  • Brown the squash in a single layer and avoid constant stirring so you get caramelized edges for deeper flavor.

  • Reserve a small amount of pasta water to loosen and bind the sauce; the starch helps emulsify the crème fraîche and cheese.

  • Remove sausage casings and break the meat into small pieces so it browns evenly and integrates with the vegetables.

  • Add the crème fraîche off the highest heat and keep the pan on low to prevent separation; finish by tossing rather than vigorously boiling.

This nourishing creamy butternut squash pasta with sausage and spinach recipe is sure to be a staple in your kitchen. Enjoy every moist, high protein slice — it is perfect for breakfast or as a wholesome snack any time.

FAQs about Recipes

How long do leftovers last?

Store leftovers in an airtight container in the fridge for up to 3 days. Reheat gently in a skillet with a splash of water or stock; add a little extra crème fraîche if the sauce seems dry.

Can I substitute the Swiss chard?

Yes. Use baby spinach or chopped kale (stems removed) and adjust cooking time—kale may require an extra minute or two to soften.

Tags

Comfort FoodDinnerPastaButternut SquashItalian SausageCreamy SauceComfort Food
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Creamy Butternut Squash Pasta with Sausage and Spinach

This Creamy Butternut Squash Pasta with Sausage and Spinach recipe makes perfectly juicy, tender, and flavorful steak every time! Serve with potatoes and a side salad for an unforgettable dinner in under 30 minutes.

Servings: 4 steaks
Creamy Butternut Squash Pasta with Sausage and Spinach
Prep:15 minutes
Cook:20 minutes
Rest Time:10 mins
Total:35 minutes

Ingredients

Produce

Meat

Pasta & Pantry

Dairy

Instructions

1

Brown the squash

Heat 1 tablespoon olive oil in a large sauté pan over medium heat. Add the diced butternut squash in a single layer and cook without excessive stirring until edges brown and pieces begin to soften, about 6 to 7 minutes.

2

Cook onion and sausage

Add the diced red onion and cook until softened, 3 to 4 minutes. Add the sausage (casings removed) and break into small pieces. Continue to cook until browned, about 3 minutes.

3

Add garlic and greens

Stir in the minced garlic, chopped Swiss chard, and red chili flakes. Cook until the chard wilts and the garlic is fragrant, about 2 to 3 minutes. Season with salt and pepper and keep warm over low heat.

4

Cook pasta

Bring a large pot of salted water to a boil. Cook 8 ounces rigatoni until al dente, approximately 8 minutes. Reserve 1/4 cup of the pasta cooking water before draining.

5

Combine and finish

Add the drained pasta to the sausage and vegetable mixture with the reserved pasta water, 1/4 cup crème fraîche, and 1/3 cup grated Parmesan. Toss over low heat for 1 to 2 minutes until sauce is creamy and coats the pasta. Adjust seasoning and serve with extra Parmesan.

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Nutrition

Calories: 520kcal | Carbohydrates: 46g | Protein:
26g | Fat: 28g | Saturated Fat: 8g |
Polyunsaturated Fat: 6g | Monounsaturated Fat:
11g | Trans Fat: 1g | Cholesterol: 253mg | Sodium:
0mg | Potassium: 953mg | Fiber: 0g | Sugar:
0g | Vitamin A: 577IU | Vitamin C: 3mg | Calcium:
47mg | Iron: 6mg

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Creamy Butternut Squash Pasta with Sausage and Spinach

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Creamy Butternut Squash Pasta with Sausage and Spinach

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Food Lover
1 day ago

This recipe looks amazing! Can't wait to try it.

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Hi, I'm Natalia!

Chef and recipe creator specializing in delicious Comfort Food cooking. Passionate about sharing easy-to-follow recipes that bring families together around the dinner table.

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