Creamy Butternut Squash Bow-Tie Pasta with Sausage and Spinach

As the leaves turn golden and the evenings get cooler, nothing beats a warm and creamy pasta dish that’s like a comforting hug in a bowl. This recipe perfectly blends creamy roasted butternut squash with savory sausage and fresh spinach tossed with bow-tie pasta, making it the ultimate fall comfort food.

This dish is simple enough for weeknight dinners yet impressive enough for guests, capturing all the cozy fall vibes.

Ingredients

  • 2 cups butternut squash, peeled and cubed
  • 1 tbsp olive oil
  • Salt and black pepper to taste
  • 8 oz bow-tie pasta (farfalle)
  • ½ lb Italian sausage, casing removed
  • 4 cloves garlic, minced
  • 6 oz fresh spinach
  • 1 cup heavy cream
  • ⅓ cup grated Parmesan cheese
  • Pinch of nutmeg (optional)
  • Lemon zest for garnish (optional)

Step-by-Step Instructions

  1. Roast the Squash Preheat oven to 400°F (200°C). Toss cubed butternut squash with olive oil, salt, and pepper. Spread evenly on a baking sheet and roast for 25-30 minutes until tender and caramelized.
  2. Cook the Pasta Meanwhile, cook bow-tie pasta in salted boiling water until al dente. Drain and set aside.
  3. Cook the Sausage and Sauté Vegetables In a large skillet, cook the sausage over medium heat until browned. Add minced garlic and cook for another minute. Add spinach and cook until wilted.
  4. Make the Creamy Sauce Add the roasted butternut squash to the skillet. Stir in heavy cream, Parmesan cheese, and nutmeg. Let simmer for 3 minutes, mashing some squash to create a creamy texture.
  5. Combine and Serve Add the cooked pasta to the skillet, toss well to coat. Garnish with lemon zest if desired and serve hot.

Tips & Variations

  • For a vegetarian option, substitute the sausage with plant-based sausage.
  • Try rigatoni or linguine instead of bow-tie pasta for a different pasta shape.
  • Add toasted hazelnuts or fried sage leaves as a topping for extra flavor and texture.
  • Make the roasted squash ahead of time and refrigerate for up to 3 days.

Serving Suggestions

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FAQ

Can I make this recipe ahead of time?

Yes, you can prepare the sauce and sausage mixture a day or two in advance. Store it in the fridge and reheat before tossing with freshly cooked pasta.

Can I freeze the sauce?

The creamy squash sauce freezes well up to two months. For best results, cook fresh pasta when ready to serve as it freezes less well.

How can I make this healthier?

Use light cream or half and half instead of heavy cream, and swap the sausage for turkey sausage or a plant-based alternative.

What other herbs can I use?

Rosemary, oregano, or a pinch of nutmeg can also add great flavor to this dish.

Can I substitute the sausage with other proteins?

This dish works well with shredded rotisserie chicken, pancetta, or can be served vegetarian without meat.

Bowl of bow-tie pasta with butternut squash, sausage, and spinach.

Creamy Butternut Squash Bow-Tie Pasta with Sausage and Spinach

A cozy fall dinner of bow-tie pasta tossed in creamy roasted butternut squash sauce, with savory sausage and fresh spinach.
Prep Time 15 minutes
Cook Time 35 minutes
Total Time 50 minutes
Course Dinner, Main Course
Cuisine Fall Comfort Food, Italian-Inspired
Servings 4 plates
Calories 620 kcal

Ingredients
  

  • 2 cups butternut squash, peeled and cubed
  • 1 tbsp olive oil
  • salt and pepper, to taste
  • 8 oz bow-tie pasta (farfalle)
  • 0.5 lb Italian sausage (or plant-based sausage), casing removed
  • 4 cloves garlic, minced
  • 6 oz fresh spinach
  • 1 cup heavy cream or light cream
  • 1/3 cup Parmesan cheese, grated
  • Pinch nutmeg (optional)
  • Lemon zest, for garnish (optional)

Instructions
 

  • Preheat oven to 400°F (200°C). Toss squash with olive oil, salt, and pepper, then roast for 25–30 minutes until tender and lightly caramelized.
  • Cook bow-tie pasta in salted boiling water until al dente. Drain and set aside.
  • In a large skillet, cook sausage until browned. Add minced garlic and cook for 1 minute. Add spinach and cook until wilted.
  • Add roasted butternut squash to skillet. Stir in cream, Parmesan, and nutmeg. Let simmer 3 minutes. Mash some squash into the cream for extra creaminess.
  • Combine with cooked pasta, mix well. Garnish with lemon zest if desired and serve hot.

Notes

For a vegetarian version, use plant-based sausage. Substitute rigatoni or linguine for bow-tie pasta if desired. Sauce can be made ahead and kept for three days in the fridge. Try topping with toasted hazelnuts or fried sage.
Keyword Abendessen Rezepte, Butternut Squash Pasta, Fall Comfort Food, Fall Dinner, Fall Dinner Recipes, Linguine, Rigatoni, Spinach Pasta, Squash Recipes

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