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Creamy One-Pot Pasta with Sausage and Squash

This creamy one-pot pasta with sausage and squash is a wonderful example of a comforting, high-protein meal that saves on the washing up. By cooking the fusilli directly in a rich sauce of milk, double cream and savoury Parmesan, the pasta releases its starches to create a silky, indulgent finish. The sweetness of the roasted butternut squash balances perfectly with the herby notes of sage and the warmth of freshly grated nutmeg.

Ideal for busy weeknights, this nutritious dish provides a balanced hit of protein and vegetables in one go. The textures are deeply satisfying as the squash begins to break down, thickening the sauce further while the sausage adds a robust, salty depth. Serve this homemade favourite straight from the pan with an extra dusting of cheese for a simple yet sophisticated family supper.

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Ingredients for Creamy One-Pot Pasta with Sausage and Squash

  • 45ml extra-virgin olive oil

  • 350g Italian sausage (about 3 links), casings removed

  • 1 tablespoon plain flour

  • 475ml milk

  • 240ml double cream

  • 350ml finely grated Parmesan, divided

  • 1/2 large butternut squash (about 450g .), peeled, seeded, chopped into 1/2" pieces

  • 230g fusilli

  • 1 garlic clove, finely grated

  • 1 sprig sage

  • 2 1/2 teaspoons kosher salt

  • 1/4 teaspoons freshly grated nutmeg

  • Freshly ground black pepper

Heat oil in a medium heavy pot over medium-high. Cook sausage, breaking up into about 1" pieces with a wooden spoon, until well browned, 5–7 minutes. Add flour and cook, stirring constantly, until evenly distributed, about 1 minute.

Combine milk, cream, and 475ml water in a large bowl or glass measuring cup. Stirring sausage mixture constantly, slowly stream in milk mixture; bring to a simmer. Add 190g Parmesan and cook, stirring constantly, until cheese is melted. Add squash, pasta, garlic, sage, salt, and nutmeg and toss to combine, making sure pasta is covered with liquid. Bring to a boil, then reduce heat to low and bring to a bare simmer. Cook, stirring occasionally, until pasta is cooked through, squash is beginning to break down, and sauce is reduced and glossy, about 20 minutes.

Pluck out and discard sage. Transfer pasta to a platter. Top with remaining 40g Parmesan and a few cranks of pepper.

Disclaimer

While every effort has been made to ensure the information is accurate and up to date, individual needs may vary and dietary requirements can differ based on personal health conditions. Always check food labels and allergen information before preparing or consuming any recipe. If you have specific health concerns, allergies, intolerances, or are following a medically prescribed diet, seek advice from your GP, pharmacist, or a registered dietitian before making significant changes to your diet or lifestyle.

Article history

The information on this page is peer reviewed by qualified clinicians.

  • 28 Jan 2026 | Originally published

    Authored by:

    UK recipe editors

    Peer reviewed by

    UK recipe editors
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