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Creamy One-Pot Pasta with Sausage and Squash

A comforting one-pot pasta dish featuring Italian sausage, butternut squash, and a rich, creamy Parmesan sauce. This hearty meal combines fusilli pasta with savory sausage and tender squash in a garlic-sage cream sauce.

4 servings
35 min
Published October 4, 2025

Ingredients

  • •3 Tbsp extra-virgin olive oil
  • •12 oz Italian sausage
  • •1 Tbsp all-purpose flour
  • •2 cups milk
  • •1 cup heavy cream
  • •1½ cups Parmesan
  • •½ large butternut squash
  • •½ lb fusilli
  • •1 clove garlic
  • •1 sprig sage
  • •2½ tsp kosher salt
  • •¼ tsp nutmeg
  • •to taste black pepper

Cooking Instructions

  1. 1.

    Heat oil in a medium heavy pot over medium-high. Cook sausage, breaking up into about 1" pieces with a wooden spoon, until well browned, 5-7 minutes. Add flour and cook, stirring constantly, until evenly distributed, about 1 minute.

    8 min

  2. 2.

    Combine milk, cream, and 2 cups water in a large bowl or glass measuring cup. Stirring sausage mixture constantly, slowly stream in milk mixture; bring to a simmer. Add 1 1/4 cups Parmesan and cook, stirring constantly, until cheese is melted. Add squash, pasta, garlic, sage, salt, and nutmeg and toss to combine, making sure pasta is covered with liquid. Bring to a boil, then reduce heat to low and bring to a bare simmer. Cook, stirring occasionally, until pasta is cooked through, squash is beginning to break down, and sauce is reduced and glossy, about 20 minutes.

    25 min

  3. 3.

    Pluck out and discard sage. Transfer pasta to a platter. Top with remaining 1/4 cup Parmesan and a few cranks of pepper.

    2 min

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