Spicy Sausage and Pumpkin Mac & Cheese

Spicy Sausage and Pumpkin Mac & Cheese

Spicy Sausage and Pumpkin Mac & Cheese ~ the key here is to remind yourself that, first and foremost, pumpkin a winter squash, not a pie filling. After you’ve got that down it’s easy to imagine it marrying with Italian sausage (spicy please!) and fragrant sage in a creamy mac and cheese. It just makes delicious sense!

Spicy Sausage and Pumpkin Mac & Cheese pin

All that being said, the pumpkin presence in this mac and cheese is mild ~ even my pumpkin avoiding husband loved it. I think it has something to do with the spicy sausage 😉

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I love this recipe because it turns mac & cheese into a complete meal. Add a bit of salad and some cornbread, and you’ve got a comforting feast. I recommend my Pumpkin Cornbread, or Cheddar Kale Skillet Cornbread.

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I baked mine in individual ‘cocottes’ or dutch ovens, which you can find at discount department stores (Marshall’s, Home Goods, TJ MAXX) or online. But this mac & cheese is just as good family style in your regular casserole dish. You can assemble it ahead of time and bake it later, just be sure not to over cook the pasta so it stays firm.

Spicy Sausage and Pumpkin Mac & Cheese

So there you have it, anyone who still claims mac & cheese is bland and boring has been proven wrong!!

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2.60 from 5 votes

Spicy Sausage and Pumpkin Mac & Cheese

Spicy Sausage and Pumpkin Mac & Cheese ~ with Italian sausage (spicy please!) and fragrant sage in a creamy mac and cheese.  It just makes delicious sense!
Course dinner, pasta
Cuisine American
Cook Time 1 day 16 hours
Author Sue Moran


  • 2 heaping cups dry cellentani pasta or elbows,
  • 1 lb spicy Italian sausage either in bulk or in casings
  • 3 Tbsp unsalted butter
  • 3 Tbsp flour
  • 2 cups whole milk
  • 1 cup pumpkin puree not pie filling
  • 8 oz cheddar cheese grated (use Gruyere or Fontina too)
  • 3 Tbsp finely chopped fresh sage the dried will not do!
  • salt and fresh cracked black pepper to taste


  • set the oven to 350F
  • Cook the pasta in lots of well salted water until just shy of al dente. The pasta will continue to cook in the oven, so you don't want it too soft. Drain and set aside.
  • Brown the sausage in a pan over medium heat until all the pink is gone. If your sausage is in links, remove it from the casing first. Break up the meat as you cook it so that it forms small crumbles. Drain off any excess fat and set aside.
  • Melt the butter in a large saucepan and whisk in the flour, Stir to combine and cook for a minute, but do not brown. Slowly add the milk to the pan while stirring, making sure to get all the flour off the bottom and edges of the pan. Heat the milk until it thickens, stirring constantly. Do not let the milk boil.
  • Remove the pan from the heat and stir in the pumpkin and the cheese, stirring until the cheese is completely melted.
  • Add the sausage and the cooked pasta to the pan, along with the sage, and blend well. Taste and add salt and pepper.
  • Turn the pasta into individual baking dishes or one casserole. Bake for about 20 minutes until hot and bubbly.
  • Serve hot with fresh sage as a garnish.
The nutritional information for recipes on this site is provided as a courtesy and although theviewfromgreatisland.com tries to provide accurate nutritional information, these figures are only estimates.


Spicy Sausage and Pumpkin Mac & Cheese


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  • Reply
    Ann Baker
    October 20, 2014 at 7:29 am

    Incredibly delicious..will definitely be making this again sometime this fall/winter. I did take the liberty to make some minor modifications: a) Used mild Italian sausage and then added a little cayenne pepper to the cheese sauce (this way I can control the heat a bit better) and b) I used about 2TBS of sage in the casserole c) I toasted some panko breadcrumbs with a little butter in a skillet, threw in the remaining 1 TBS fresh sage and sprinkled on top before baking.

    LOVE your blog too. Just subscribed!

    • Reply
      October 20, 2014 at 8:43 am


  • Reply
    Melissa @ The Crafty Frugaler
    October 15, 2014 at 3:14 pm

    Oh my goodness this looks delicious! What an interesting combination.

    • Reply
      October 15, 2014 at 6:05 pm

      Thanks Melissa — the combination just works, so I don’t question it 😉

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