Table of Contents
  1. How do you cook a winter squash?
  2. What does cooking pasta to al dente mean?
  3. Questions about this recipe
  4. Watch how to make this squash pasta
  5. Sausage & Butternut Squash Pasta Recipe

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Food is always best when it encompasses what’s in season. During the fall, squash becomes ripe with the stem beginning to dry on the vine. When cured correctly, winter squash lasts all throughout the winter months.

My go-to on any weeknight is sliced squash roasted at high heat drizzled with olive oil, salt, and pepper. The sugars in the squash caramelize and a crisp browned crust is formed. It’s always perfect!

Squash is one of the most versatile vegetables. It can be roasted, used in soups, mashed, and so on. And it’s the base for this pasta sauce. I love the simple, sweet flavor that butternut squash gives to the pasta. It has become a fall favorite in my house!

Large red pot sitting on white countertop with wooden spoon inside with hand holding plate filled with pasta

How do you cook a winter squash?

Squash can be cooked in various ways. Butternut squash has thin enough skin that it can be roasted with the skin still on and then consumed. Other varieties with thicker skin, such as kabocha, need to be peeled in order to roast the flesh.

The best way to cook squash without roasting and browning the flesh is to slice the squash in half lengthwise. Remove the seeds and then place the cut side down on a parchment-lined baking sheet. During the baking, the squash will brown on the exposed skin side but perfectly cook the flesh, which can then be scooped out with a spoon and used in recipes.

Top down view of orange colored tubular shaped pasta covered with sauce and topped with cheese with wooden spoon in the middle

What does cooking pasta to al dente mean?

Most pasta recipes will mention cooking pasta to al dente. Not all pasta box instructions give an explanation as to what that means. Simply put, al dente means “to the tooth.” So instead of cooking the pasta for the full recommended time, a slight bite is left in the pasta. It could almost seem as though the pasta is slightly undercooked.

So why is this done? Once the pasta is added to the hot sauce and stirred, the pasta finishes cooking, absorbing the sauce. This way the pasta does not become overcooked and mushy. Perfect!

Top down view of white plate filled with large pieces of tubular pasta topped with fried sage on white countertop

Questions about this recipe

Can other pasta be used with this recipe?

Yes! This pasta sauce can work with other kinds of pasta. I find it best to stick with a tubular pasta that holds up well to the hearty sauce. A rigatoni or penne works great also!

Can other types of squash besides butternut be used in this recipe?

Yes! Any winter squash will work well. Kabocha, Red Kuri, buttercup, Hubbard, and others all will work. Each squash can have a different water content so more or less pasta water may be needed to create a sauce, but all will be equally delicious.

Watch how to make this squash pasta

Top down view of large kettle sitting on white countertop filled with orange colored squash pasta with wooden spoon inside

Sausage & Butternut Squash Pasta

4.40 from 23 votes
This super cozy pasta recipe is absolutely perfect for the fall season! Made from large tubular pasta and a butternut squash sauce, the flavors are impeccable and serves a crowd!
Prep Time 5 minutes
Cook Time 55 minutes
Total Time 1 hour
Servings 6 servings


  • 2 lb butternut squash
  • 1 head garlic
  • 1 lb Italian sausage sliced into ¼-inch pieces
  • 1 lb paccheri pasta
  • 1 cup chopped onion
  • 1 ½ tsp salt
  • 1 tbsp chopped sage
  • 1 tsp crushed red pepper flakes
  • 6 oz tomato paste
  • 1 – 1 ½ cups pasta water
  • 4 oz grated Parmesan cheese


  • Preheat oven to 400°F. Remove the stem of the squash and slice it in half lengthwise. Discard the seeds. Drizzle the cut sides with 1 tbsp olive oil and set the cut side down on a parchment-lined baking sheet.
    2 lb butternut squash
  • Slice off the stem and about ¼-inch from the top of the head of garlic, exposing all the cloves. Place in the center of a square of aluminum foil. Fold up the corners of the foil and tightly pinch to create a packet.
    1 head garlic
  • Place both the squash and garlic in the preheated oven. Cook the squash until tender and softened, 30-40 minutes. Cook the garlic until golden brown and soft, 40 minutes.
  • Once the squash is done cooking, start the pasta. Bring 4 quarts of water to a boil and add 2 tbsp salt. Pour in the pasta and cook until al dente, or when the pasta still has a slight bite. Paccheri pasta will be about 12-15 minutes. Once al dente, remove from the water until ready to add to the sauce.
    1 lb paccheri pasta
  • While the pasta is cooking, prepare the sauce. In a 6-quart Dutch oven, add 1 tbsp olive oil over medium heat. Add the sausage and spread to an even layer. Sauté until browned on both sides, 6-8 minutes. Remove the sausage from the Dutch oven and add the onion, salt, and garlic. Sauté until softened, 4-6 minutes. Add the red pepper flakes and sage. Then add the tomato paste. Stir and cook the tomato paste until darker in color and just beginning to stick to the bottom of the Dutch oven.
    1 head garlic, 1 lb Italian sausage, 1 cup chopped onion, 1 ½ tsp salt, 1 tbsp chopped sage, 1 tsp crushed red pepper flakes, 6 oz tomato paste
  • Add the scooped out squash and 1 cup of pasta cooking water. Use a potato masher if the squash needs to be further mashed. Turn the heat to low. Stir until smooth.
    1 – 1 ½ cups pasta water
  • Add the pasta and stir until it is all coated in sauce. Add the reserved sausage and Parmesan cheese. Stir and serve.
    4 oz grated Parmesan cheese


Serving: 1servingCalories: 730kcalCarbohydrates: 84.8gProtein: 31.1gFat: 30.4gSaturated Fat: 12.1gPolyunsaturated Fat: 3.8gMonounsaturated Fat: 12.7gTrans Fat: 0gCholesterol: 71.1mgSodium: 1485.3mgPotassium: 1262.7mgFiber: 7.4gSugar: 10.2gVitamin A: 876.5IUVitamin C: 43mgCalcium: 370.2mgIron: 5.7mg
Course Dinner
Cuisine Italian
Difficulty Intermediate
Method Cooking

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I’m Kaleb! I'm not a chef, professional baker, landscaper, or designer, but I like to play each on Knollgate Farm. Come join me on my journey and let's learn together!

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4.40 from 23 votes (17 ratings without comment)

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  1. 5 stars
    Was making a butternut squash for tonight, so just decided to try your recipe! Delicious!! Only changed pasta, since I need to be gluten-free, and blended sauce with immersion blender before adding pasta and meat. Flavors were excellent. The roasted garlic was definitely a nice addition. Feeling quite full and satisfied right now. Thanks for sharing this recipe! ✌🏼

  2. 5 stars
    Made a vegetarian version w/o sausage…used bow tie pasta. AMAZING! Perfect flavors to usher in Autumn! Thank you so much for sharing. It’s a keeper recipe😃

  3. 5 stars
    Made it, tried it and loved it. My husband was skeptical at first… but very much enjoyed it. Delicious alternative pasta recipe made with squash.

  4. 2 stars
    good recipe, but dish was very heavy! i would probably use half a butternut squash versus the whole thing, maybe add a little chicken broth to lighten it up.

  5. I made this dish today! Honestly delicious! I think it could be the best pasts sauce ever! Delish! Thank you so much for this recipe it may replace the traditional souse for my pasta…..I loved it!❤️❤️

  6. 5 stars
    hello, I just wanted to tell you how much I enjoy all of your videos. I love how much you love your family. My daughter and I made the sausage and butternut squash pasta, which didn’t look too pretty after we made it…lol so I didn’t take a picture. But, OMG it was delish! And I will definitely make roasted squash like this from now on. So much better than peeling…lol. Hope you and your family have a Happy Thanksgiving.