
A cozy weeknight pasta featuring roasted-tasting butternut squash, spicy Italian sausage, tender greens, and a silky creme fraiche sauce finished with Parmesan.

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

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