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Creamy Butternut Squash Gnocchi with Sausage, Thyme, and Sage: Fall Comfort in a Bowl.

There’s something about the first cool evening of fall that makes you crave food that’s both comforting and a little bit special. This creamy butternut squash gnocchi with sausage, thyme, and sage captures that exact feeling—pillowy gnocchi swimming in a velvety squash sauce, punctuated with savory sausage and aromatic herbs that make your kitchen smell like the best Italian restaurant you’ve ever visited. I discovered this combination after buying too much butternut squash at the farmers market and needing a way to use it that felt more exciting than soup.
What makes this dish so special is how the sweetness of roasted butternut squash balances perfectly with the savory Italian sausage and earthy herbs. The squash transforms into a silky sauce that’s naturally creamy without relying heavily on dairy, while the gnocchi provide those satisfying pillows of comfort that make every bite feel like a warm hug. Fresh sage and thyme aren’t just garnishes here—they’re essential elements that tie the whole dish together with their aromatic, slightly peppery notes.
This butternut squash gnocchi recipe has become my go-to for those nights when I want something that feels restaurant-worthy but comes together in about 30 minutes using mostly pantry staples and store-bought gnocchi. It’s elegant enough for entertaining but easy enough for a Wednesday night when you need dinner to feel like an occasion. The best part is how the flavors develop—each component enhances the others, creating something much more complex than the simple ingredient list would suggest.
Whether you’re looking to celebrate autumn flavors, impress dinner guests, or just want to elevate your weeknight routine, this creamy gnocchi with sausage delivers comfort and sophistication in equal measure. It’s the kind of dish that makes people ask for the recipe, not realizing how straightforward it actually is to make.
Ingredients
For the Dish:
- 1 package (16-18 oz) potato gnocchi (fresh or shelf-stable)
- 1 pound Italian sausage (sweet or spicy), casings removed
- 3 cups butternut squash, peeled and cubed (about 1/2-inch pieces)
- 3 tablespoons olive oil, divided
- 1 medium onion, diced
- 4 cloves garlic, minced
- 1 cup chicken or vegetable broth
- 1/2 cup heavy cream
- 1/2 cup freshly grated Parmesan cheese, plus more for serving
- 2 tablespoons butter
For the Herbs and Seasoning:
- 8-10 fresh sage leaves
- 2 teaspoons fresh thyme leaves (or 1 teaspoon dried)
- 1/2 teaspoon ground nutmeg
- 1/2 teaspoon red pepper flakes (optional)
- Salt and freshly ground black pepper to taste
For Finishing:
- 2 tablespoons fresh parsley, chopped
- Additional Parmesan cheese
- Extra sage leaves for garnish
- Lemon zest (optional)
Instructions
Start by roasting the butternut squash, which develops the sweet, caramelized flavors that make this sauce so special. Preheat your oven to 425°F and line a baking sheet with parchment paper. Toss the cubed butternut squash with 1 tablespoon of olive oil, a generous pinch of salt, and freshly ground pepper. Spread in a single layer and roast for 20-25 minutes, stirring once halfway through, until the squash is fork-tender and lightly caramelized at the edges.
While the squash roasts, heat 1 tablespoon of olive oil in a large, deep skillet or Dutch oven over medium-high heat. Add the Italian sausage, breaking it up with a wooden spoon into bite-sized crumbles. Cook for 6-8 minutes until browned and cooked through, with crispy edges that add texture and flavor to the finished dish. Transfer the cooked sausage to a plate using a slotted spoon, leaving the rendered fat in the pan for added flavor.
Reduce the heat to medium and add the remaining tablespoon of olive oil to the skillet if needed. Add the diced onion and cook for 4-5 minutes until softened and translucent. The onion should be sweet-smelling and lightly golden, creating the aromatic base for your sauce.
Add the minced garlic, fresh thyme, and half of the sage leaves to the skillet. Cook for about 1 minute until fragrant, stirring constantly to prevent the garlic from burning. The sage will become aromatic and release its oils, infusing the base with that distinctive earthy flavor.
When the butternut squash is done roasting, transfer about two-thirds of it to a blender or food processor. Reserve the remaining third for adding texture to the finished dish. Add the chicken broth to the blender and puree until completely smooth and creamy. The mixture should be silky and pourable—if it seems too thick, add a splash more broth.
Pour the butternut squash puree back into the skillet with the onion mixture. Stir in the heavy cream, nutmeg, and red pepper flakes (if using). Bring to a gentle simmer and let cook for 3-4 minutes, stirring occasionally, until the sauce thickens slightly and the flavors meld together. The sauce should coat the back of a spoon but still be loose enough to coat the gnocchi generously.
While the sauce simmers, cook the gnocchi according to package directions. Fresh gnocchi typically needs just 2-3 minutes in boiling salted water—they’re done when they float to the surface. Drain the gnocchi but don’t rinse, as the starchy coating helps the sauce cling better.
Add the cooked gnocchi to the butternut squash sauce along with the reserved sausage and the remaining roasted squash cubes. Toss gently to combine, being careful not to break up the delicate gnocchi. The sauce should coat every piece beautifully.
Remove the skillet from heat and stir in the butter and Parmesan cheese. The butter adds richness and creates a glossy finish, while the Parmesan contributes salty, nutty depth that balances the sweet squash. Taste and adjust seasonings—you may need more salt, pepper, or a squeeze of lemon juice for brightness.
In a small skillet, heat the remaining butter over medium heat until it begins to foam. Add the remaining sage leaves and cook for 1-2 minutes until crispy and fragrant. This creates a beautiful garnish that adds both visual appeal and intense sage flavor.

Flavor & Texture Notes
This creamy butternut squash gnocchi delivers an incredible balance of flavors and textures that makes each bite interesting and satisfying. The gnocchi are pillowy and tender, with that characteristic slight chew that makes good gnocchi so appealing. They soak up the butternut squash sauce while maintaining their delicate texture.
The butternut squash sauce is naturally sweet and velvety, with the roasting process intensifying the squash’s inherent sweetness and adding subtle caramelized notes. The cream enriches without overwhelming, while the nutmeg adds warmth that enhances rather than dominates the squash flavor. The sauce clings beautifully to the gnocchi, creating that perfect ratio of pasta to sauce in every forkful.
The Italian sausage provides savory, slightly spicy contrast to the sweet squash, with crispy edges that add textural variety. Each piece delivers a burst of seasoned, meaty flavor that grounds the dish and prevents it from being too sweet or one-dimensional.
Fresh sage and thyme are transformative here—the sage becomes slightly crispy when fried, adding an earthy, peppery note that’s essential to fall cooking. The thyme contributes subtle herbal complexity that ties everything together. The reserved squash cubes provide textural interest and little bursts of concentrated squash flavor throughout.
The Parmesan adds salty, umami depth that balances all the other elements, while the butter creates a silky, luxurious finish. The overall effect is sophisticated comfort food that tastes complex but feels approachable and satisfying.
Tips & Variations
Gnocchi Options: Store-bought potato gnocchi works perfectly and saves significant time. Fresh gnocchi from the refrigerated section has the best texture, but shelf-stable vacuum-packed gnocchi works well too. Avoid frozen gnocchi, which can become gummy. For a different twist, try cauliflower gnocchi for a lighter option.
Squash Preparation: Pre-cut butternut squash from the store saves time and effort. If cutting your own, look for squash with long necks and small seed cavities for easier preparation and more usable flesh. The squash can be roasted up to 2 days ahead and stored in the refrigerator.
Sausage Alternatives: Sweet Italian sausage is classic, but spicy sausage adds heat that some prefer. Chicken or turkey sausage makes a lighter version. For vegetarians, omit the sausage and add sautéed mushrooms, cannellini beans, or crispy chickpeas for protein and texture.
Dairy Modifications: The heavy cream can be replaced with half-and-half or whole milk for a lighter sauce, though it won’t be quite as rich. Coconut cream makes an interesting dairy-free alternative that complements the squash nicely. Use nutritional yeast instead of Parmesan for a vegan version.
Herb Variations: If you can’t find fresh sage, dried sage works but use it sparingly as it’s more concentrated. Fresh rosemary can substitute for thyme. A handful of fresh spinach or arugula stirred in at the end adds color and nutrition.
Make It Heartier: Add sun-dried tomatoes, caramelized onions, or roasted garlic cloves. Toasted pine nuts or walnuts provide crunch and additional richness. A handful of fresh baby spinach wilts beautifully into the warm sauce.
Storage & Make-Ahead
This dish is best enjoyed fresh, as gnocchi can become soft and lose their texture when reheated. However, leftovers keep in the refrigerator for up to 3 days and still taste delicious even if the texture isn’t quite as perfect. Reheat gently in a skillet with a splash of cream or broth to restore the sauce consistency.
The components can be prepared ahead of time for easier final assembly. Roast the butternut squash and make the sauce up to 2 days in advance, storing them separately in the refrigerator. Cook the sausage ahead and store it separately as well. When ready to serve, reheat the sauce, cook fresh gnocchi, and combine everything.
The butternut squash puree freezes well for up to 3 months, making it easy to have this sauce ready to go. Thaw overnight in the refrigerator and reheat gently, adding cream when reheating. The complete dish doesn’t freeze as well due to the gnocchi texture changes.
For entertaining, you can have everything prepped and ready, then do the final cooking and assembly in about 15 minutes. This makes it perfect for dinner parties where you want to spend time with guests rather than being stuck in the kitchen.
Serving Suggestions
This creamy gnocchi works beautifully as a main course, especially when served in shallow pasta bowls that show off the golden sauce and allow for generous Parmesan shavings on top. The crispy sage leaves make a stunning garnish that adds both visual appeal and flavor.
A simple arugula salad with lemon vinaigrette provides peppery contrast and cuts through the richness of the dish. Crusty bread or focaccia is welcome for soaking up every drop of that butternut squash sauce—waste nothing.
For wine pairings, try a crisp Pinot Grigio or a light-bodied Chardonnay that won’t overwhelm the delicate squash flavors. If you prefer red, a Pinot Noir or Chianti has enough acidity to balance the cream without being too heavy.
This dish is impressive enough for holiday entertaining—it captures all the flavors of fall in one beautiful presentation. Serve family-style in a large, rustic serving bowl, or plate individually with careful attention to the sage garnish for a more elegant presentation.
FAQ
Can I make this without roasting the squash? While roasting develops the best flavor, you can steam or microwave the squash cubes until tender if you’re short on time. The sauce will be slightly less sweet and complex, but still delicious. Roasting is worth the extra time when possible.
My sauce is too thick/thin. How do I fix it? If too thick, thin with additional broth or cream one tablespoon at a time. If too thin, simmer uncovered for a few more minutes to reduce, or add a bit more Parmesan which helps thicken while adding flavor. Remember the sauce will thicken slightly as it cools.
Can I use other types of winter squash? Yes! Kabocha, acorn, or delicata squash all work well. Each has slightly different sweetness levels and textures, but the technique remains the same. Canned butternut squash puree can work in a pinch, though fresh roasted squash tastes better.
How do I prevent the gnocchi from sticking together? Don’t rinse the cooked gnocchi after draining, and add them to the sauce immediately while still hot. Toss them gently in the sauce to coat, which prevents sticking. If you need to hold them briefly, toss with a little olive oil.
Is this dish kid-friendly? Absolutely! The mild sweetness of butternut squash appeals to most children, and the pillowy gnocchi have a fun texture. For picky eaters, you might omit the visible sage leaves and use mild Italian sausage. The dish can be made less herby by reducing the thyme and sage.
There’s something truly special about a dish that captures the essence of a season so perfectly. This creamy butternut squash gnocchi with sausage, thyme, and sage embodies everything we love about fall cooking—warm, comforting flavors that feel both familiar and elevated. The combination of sweet roasted squash, savory sausage, and aromatic herbs creates something that tastes like it came from a professional kitchen while being surprisingly simple to execute. Make it once during autumn, and it might just become your new seasonal tradition.
