
Silky pumpkin sauce coats pillowy cheese tortellini for an easy, comforting autumn meal — finished with fried sage and toasted walnuts for crunch.

This pumpkin tortellini dish became a fall staple the first autumn I combined pantry pumpkin with refrigerated tortellini. I was aiming for a faster dinner that still felt special: silky sauce, warm spices, and pillowy pasta that everyone at the table recognizes as comfort food. I discovered this balance on a weeknight when I had a can of pumpkin and a package of cheese tortellini in the fridge; the result was an instant favorite that lasted through the season. It’s rich but never heavy, and the sage adds an aromatic top note that keeps each bite interesting.
What makes this version stand out is the simplicity of technique paired with careful timing: briefly sautéed garlic and sage in butter and olive oil, folded into pumpkin puree and cream, and finished with freshly grated Parmesan. The sauce clings to the tortellini, so each bite has creamy pumpkin, salty cheese, and the occasional crunch from toasted walnuts. It’s an ideal shortcut for weeknights, but elegant enough for guests — especially when you serve it with a crisp green salad and a glass of white wine.
I first served this on a drizzly October evening to neighbors and watched the bowls empty one by one. My partner declared it an instant classic, and I learned that a little nutmeg goes a long way to brighten pumpkin’s sweetness. Over the years I’ve tweaked the amount of cream and the seasoning balance — these notes reflect what made everyone ask for seconds.
I love that this dish is equally cozy for a family weeknight and special enough for company. The fried sage became my signature touch after a guest raved about the buttery, crisp leaves. Over the years I’ve learned that a quick simmer is enough to meld flavors — long boiling reduces pumpkin brightness — and that fresh-grated Parmesan always improves texture and flavor over dry, pre-shredded options.
Store leftovers in an airtight container in the refrigerator for up to 3 days. When storing, keep sauce and pasta together if you plan to eat within that timeframe; otherwise, freeze the sauce separately in freezer-safe containers for up to 3 months for best texture on reheating. To reheat refrigerated portions, warm gently in a skillet over low heat with 1–2 tablespoons of cream or reserved pasta water to loosen the sauce. Microwaving is fine for single portions but stir halfway through to ensure even heating and add a splash of liquid if the dish dries out.
If you want a lighter version, substitute half-and-half for heavy cream or use 3/4 cup unsweetened almond milk thickened with 1 teaspoon cornstarch dissolved in a little cold water. For a gluten-free option, choose gluten-free cheese tortellini; be aware cook times may differ. If you prefer a nuttier finish, swap walnuts for toasted pecans. For a dairy-free adaptation, omit Parmesan and use a nutritional yeast and cashew cream blend to mimic savory richness.
Serve with a crisp, acidic salad to balance the creaminess — a simple arugula and lemon vinaigrette pairs beautifully. For a heartier meal, offer roasted Brussels sprouts or a tray of oven-roasted root vegetables. Garnish with fried sage leaves for aroma, crushed toasted walnuts for crunch, and a generous shave of Parmesan for saltiness. A chilled glass of dry Riesling or an unoaked Chardonnay complements the pumpkin and sage notes.
This dish is an Italian-American interpretation that borrows traditional Italian elements — sage-butter sauce and filled pasta — while incorporating pumpkin, a ubiquitous North American autumn ingredient. In Italy, filled pastas are often paired with brown butter and sage or rich cream sauces; adding pumpkin follows a longstanding Italian practice of using seasonal vegetables in pastas, though sweet pumpkin additions are more common in North America. The combination of sage and butter is classic; here pumpkin deepens the flavor profile and nods to seasonal harvest traditions.
In cooler months, intensify the warming spices with a slightly larger pinch of freshly grated nutmeg or a dash of ground cinnamon. In spring or summer, lighten the dish with half-and-half and finish with lemon zest and a scattering of fresh herbs like thyme. For holiday gatherings, plate in shallow bowls and scatter pomegranate seeds and toasted hazelnuts for festive color and crunch; the tart seeds cut through richness and make the dish feel celebratory.
Make the sauce up to 3 days ahead and store in the refrigerator. Reheat gently and toss with freshly cooked tortellini just before serving to maintain texture. If preparing for meal prep lunches, portion pasta and sauce separately so reheating is quick and the pasta doesn’t become overly soft. Use microwave-safe containers with vented lids and add a splash of cream when reheating to regain silky texture.
Final thought: this pumpkin tortellini is proof that simple pantry staples can elevate dinner without hours of work. Whether you’re feeding family or sharing with neighbors, it’s an approachable dish that rewards attention to small details like fresh Parmesan and fried sage.
Reserve a little pasta water when draining; it helps adjust sauce consistency without thinning flavor.
Use freshly grated Parmesan for the best melt and flavor — pre-shredded cheese contains anti-caking agents that inhibit smoothness.
Fry sage leaves in butter until crisp and drain on paper towels for the best aromatic garnish.
If the sauce separates when reheating, whisk in a tablespoon of cream over low heat to bring it back together.
This nourishing creamy pumpkin tortellini with sage and parmesan 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.
This Creamy Pumpkin Tortellini with Sage and Parmesan 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.

Bring a large pot of generously salted water to a boil. Add 18 ounces cheese tortellini and cook according to package instructions until al dente, usually 3–7 minutes depending on freshness. Reserve 1/4 cup pasta water and drain the rest.
In a large skillet over medium heat, warm 1 tablespoon olive oil and 2 tablespoons unsalted butter until the butter foams and begins to brown slightly. Add 2 minced garlic cloves and 6 sage leaves; sauté 1–2 minutes until fragrant without burning the garlic.
Stir in 1 cup pumpkin puree and cook 2–3 minutes to heat through. Pour in 1/2 cup heavy cream and whisk until smooth. Keep heat gentle so the cream does not boil. Simmer for 1–2 minutes to marry flavors.
Remove skillet from direct heat, stir in 1/4 cup grated Parmesan, a pinch of nutmeg (optional), and season with salt and black pepper to taste. Add drained tortellini and toss to coat, adding reserved pasta water if needed to loosen the sauce. Serve immediately with garnishes.
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