This creamy Pumpkin Alfredo Pasta is a delightful mix of rich pumpkin and cheesy goodness. It’s perfect for a cozy dinner! 🍂
Honestly, who can resist that velvety sauce? I love adding a sprinkle of nutmeg on top for extra flavor. With just a few steps, dinner is served in no time!
Key Ingredients & Substitutions
Fettuccine Pasta: I love using fettuccine for its ability to hold the creamy sauce perfectly. If you prefer, you can swap it for spaghetti or even a gluten-free pasta to accommodate dietary needs.
Pumpkin Puree: Canned pumpkin puree is super convenient, but you can use fresh pumpkin for a homemade touch. Just roast and blend it until smooth. This option can make the dish feel extra special.
Heavy Cream: For a lighter version, try half-and-half or even coconut cream. Just remember that coconut cream will change the flavor a bit, but it can add a nice twist!
Parmesan Cheese: Freshly grated Parmesan gives the best flavor. If you need a substitute, Pecorino Romano works well too. For a dairy-free option, nutritional yeast can add a cheesy taste.
Fresh Sage Leaves: I adore the aroma of fried sage, but if you can’t find it, dried sage still adds flavor. Use less, as dried herbs are more concentrated.
How Do I Create a Creamy Pumpkin Sauce?
Making the perfect pumpkin Alfredo sauce is key for this dish. Follow these steps for a smooth, creamy texture:
- Start by melting butter and sautéing garlic gently to avoid burning. This brings out the garlic flavor.
- When adding the pumpkin puree, stir it until it warms up before adding the cream. This ensures everything blends evenly.
- Let the cream simmer, but don’t boil it. This prevents curdling and keeps your sauce silky.
- Always add cheese off the heat or at low heat to help it melt smoothly without clumping.
- Taste as you go! Adjust seasonings to make sure the sauce is just right.
With these tips, you’ll whip up a luscious creamy sauce every time!

How to Make Pumpkin Alfredo Pasta
Ingredients You’ll Need:
- 12 oz fettuccine pasta
- 2 tbsp unsalted butter
- 2 garlic cloves, minced
- 1 cup pumpkin puree (canned or fresh)
- 1 cup heavy cream
- 1/2 cup grated Parmesan cheese, plus extra for serving
- 1/4 tsp ground nutmeg
- Salt and black pepper to taste
- Fresh sage leaves for garnish
- Red pepper flakes (optional)
How Much Time Will You Need?
This delightful dish takes about 25-30 minutes from start to finish. You’ll spend about 10 minutes preparing the ingredients, and then around 15-20 minutes cooking the pasta and making the creamy sauce.
Step-by-Step Instructions:
1. Cook the Pasta:
Start by bringing a large pot of salted water to a boil. Once it’s boiling, add the fettuccine pasta and cook it according to the package instructions until it’s al dente (firm to the bite). Drain the pasta and set it aside while you prepare the sauce.
2. Make the Sauce Base:
In a large skillet or saucepan, melt the unsalted butter over medium heat. Add the minced garlic and sauté it for about 1 minute, just until it becomes fragrant, but be careful not to let it turn brown.
3. Incorporate the Pumpkin:
Stir in the pumpkin puree and cook for another 2-3 minutes, allowing it to heat through and blend with the garlic. This step gives the sauce a warm, rich flavor.
4. Add the Cream:
Pour in the heavy cream and stir everything together. Let the mixture simmer gently for about 3-4 minutes, allowing the sauce to thicken slightly. Watch carefully—you want it to be creamy, not boiling!
5. Cheesy Goodness:
Now it’s time to add the grated Parmesan cheese and ground nutmeg to the sautéed pumpkin mixture. Stir continuously until the cheese melts completely, creating a smooth and luscious sauce.
6. Season to Taste:
Give your pumpkin Alfredo sauce a taste and add salt and black pepper as needed. This really helps enhance all those delicious flavors!
7. Combine with Pasta:
Carefully add the drained fettuccine pasta to the skillet with the sauce. Toss gently to coat the pasta evenly with that creamy sauce—every bite should be filled with pumpkin goodness!
8. Garnish and Serve:
If you’d like, you can fry some fresh sage leaves in a little butter until they’re crispy. They make a wonderful garnish! Serve your pasta hot, topped with the crispy sage, extra Parmesan, and a sprinkle of red pepper flakes if you enjoy a bit of spice.
Enjoy your creamy, comforting Pumpkin Alfredo Pasta with the lovely aromatic touch of fresh sage! 🍂✨

Can I Use Fresh Pumpkin Instead of Canned?
Absolutely! If you prefer to use fresh pumpkin, roast it until tender and blend it until smooth. This will give your dish a delicious homemade touch.
How Do I Store Leftover Pumpkin Alfredo Pasta?
Store any leftovers in an airtight container in the refrigerator for up to 3 days. When reheating, add a splash of cream or milk to loosen the sauce, as it may thicken when chilled.
What Can I Substitute for Heavy Cream?
If you’re looking for a lighter option, try using half-and-half or even coconut cream for a dairy-free version. Just keep in mind that this will alter the flavor slightly.
Can I Make This Vegetarian-Friendly?
This recipe is already vegetarian! To make it vegan, substitute the heavy cream with a plant-based cream and use nutritional yeast instead of Parmesan cheese for a cheesy flavor.


