
This hearty Fall Harvest Pumpkin Alfredo Pasta transforms seasonal pumpkin into a velvety, indulgent sauce that coats every strand of pasta with autumn's warmth. The marriage of traditional Alfredo creaminess with sweet roasted pumpkin creates a comforting dish that celebrates fall's bounty in every bite.
I created this recipe during a particularly vibrant autumn when our local farmers market was overflowing with sugar pumpkins. My family was growing tired of pumpkin pies and soups, so I decided to incorporate this seasonal star into our pasta night. The resulting dish has become our most requested fall tradition.
Ingredients
- Pumpkin: choose sugar pumpkin or butternut squash for their natural sweetness and smooth texture when roasted
- Heavy cream: creates the silky base for the Alfredo sauce while balancing the earthy pumpkin notes
- Parmesan cheese: use freshly grated for the best meltability and flavor depth
- Nutmeg: enhances the natural sweetness of the pumpkin while adding warmth to the dish
- Fettuccine pasta: the wide surface area catches the thick sauce perfectly
- Fresh sage: adds an aromatic woody note that complements the pumpkin beautifully
Instructions
- Roast the Pumpkin:
- Toss diced pumpkin with olive oil and a generous pinch of salt until each piece is lightly coated. Spread in a single layer on a baking sheet ensuring pieces aren't touching to promote caramelization. Roast at 400°F for 20 to 25 minutes until the edges develop a golden brown color and the flesh yields easily when pierced with a fork. The caramelization is crucial as it concentrates the pumpkin's natural sweetness.
- Cook the Pasta:
- Bring a large pot of water to a rolling boil before adding a tablespoon of salt. The water should taste like the sea. Add pasta and stir immediately to prevent sticking. Cook until al dente according to package directions usually 8 to 10 minutes. Before draining reserve a half cup of the starchy pasta water which will help bind the sauce. Test a piece of pasta before draining it should have a slight resistance when bitten.
- Create the Flavor Base:
- Heat olive oil in a large skillet over medium heat until it shimmers. Add diced onion and cook for 3 to 4 minutes stirring occasionally until they become translucent but not browned. Add minced garlic and cook for just 1 minute until fragrant being careful not to let it brown which would create bitterness.
- Prepare the Pumpkin Base:
- Add roasted pumpkin to the skillet with onions and garlic. Use a fork or potato masher to break down about 75% of the pumpkin leaving some chunks for texture. This creates a sauce with body while maintaining some character. The pumpkin should be soft enough to mash easily.
- Create the Alfredo Sauce:
- Reduce heat to medium low and add butter allowing it to melt completely. Pour in heavy cream in a slow stream while stirring constantly to incorporate. Sprinkle in Parmesan cheese in batches stirring between additions until fully melted. Add nutmeg salt pepper and red pepper flakes if using. Simmer gently for 2 to 3 minutes until the sauce coats the back of a spoon.
- Combine and Finish:
- Add drained pasta directly to the sauce stirring gently with tongs to coat each strand completely. If the sauce seems too thick add reserved pasta water a tablespoon at a time until you reach your desired consistency. The starch in the water helps the sauce cling to the pasta. If using spinach fold it in now and cook just until wilted about 1 minute.

This dish has become my ultimate autumn comfort food. The moment I start roasting pumpkin the entire house fills with an irresistible aroma that signals the official start of fall in our home. My absolute favorite ingredient is the freshly grated nutmeg which transforms the sauce from merely delicious to truly memorable with its subtle warmth.
Storage and Reheating
This pumpkin alfredo pasta keeps beautifully in an airtight container in the refrigerator for up to 3 days. The flavors actually improve overnight as they meld together. When reheating add a splash of milk or cream to restore the silky texture and warm gently over medium low heat stirring frequently. Microwave reheating works in a pinch but may cause the sauce to separate slightly. A quick stir will bring it back together.
Creative Variations
Transform this dish throughout the season with thoughtful additions. For a protein boost add grilled chicken breast or crispy pancetta. Vegetarians might enjoy toasted walnuts or pecans for crunch and nutrition. For an elevated version incorporate caramelized shallots and a splash of white wine into the sauce. During winter holidays a pinch of cinnamon and clove creates a festive twist that pairs wonderfully with holiday meals.
Serving Suggestions
This pasta shines as the star of your meal but benefits from thoughtful accompaniments. Serve with a simple arugula salad dressed with lemon vinaigrette to cut through the richness. A side of roasted Brussels sprouts with balsamic glaze complements the autumn theme. For bread garlic rubbed crostini or warm focaccia makes the perfect vehicle for scooping up extra sauce. Complete the meal with a glass of oaked Chardonnay or spiced apple cider.
Make It Ahead
Prepare this dish for stress free entertaining by making components ahead. Roast the pumpkin up to two days in advance and refrigerate in an airtight container. The complete sauce can be made a day ahead without the pasta. When ready to serve reheat the sauce gently while your pasta cooks then combine. For best results add an extra splash of cream and a sprinkle of fresh Parmesan when reheating to refresh the flavors.

This pasta is a delightful and comforting fall meal.
Recipe FAQ
- → Can I use butternut squash instead of pumpkin?
Yes, butternut squash works beautifully and offers a similar sweet, nutty flavor and creamy texture in the sauce.
- → How can I make the dish dairy-free?
Swap in plant-based butter, cream, and Parmesan for a satisfying dairy-free version that still achieves creaminess.
- → What type of pasta is best?
Fettuccine or tagliatelle is ideal due to its ability to hold the luscious Alfredo sauce. Gluten-free options also work.
- → Can I prepare the pumpkin in advance?
Absolutely. Roasted pumpkin can be stored in the refrigerator and added to the sauce when ready to cook.
- → What wine pairs well with this pasta?
A crisp Chardonnay or Pinot Grigio complements the creamy, savory flavors and balances the autumn undertones.
- → How do I add extra flavor or texture?
Add sautéed mushrooms or toasted walnuts for earthiness and crunch, or stir in baby spinach for freshness.