Creating this delicious Creamy Pumpkin Pasta Sauce with Sage involves a few easy steps:

1. Cook the Pasta: Begin by boiling a large pot of salted water. Add your pasta and cook according to package instructions until al dente. Reserve ½ cup of the pasta cooking water before draining the pasta.

2. Sauté the Aromatics: In a large skillet, heat a drizzle of olive oil over medium heat. Add the chopped onion and cook until translucent, about 5 minutes. Add the minced garlic and sauté for an additional 1-2 minutes until fragrant.

3. Add Pumpkin and Spices: Stir in the pumpkin puree, sage, salt, pepper, and nutmeg. Mix well and allow it to cook for 2-3 minutes to combine the flavors.

4. Incorporate Cream and Broth: Gradually add the heavy cream and vegetable broth to the pumpkin mixture. Stir until everything is well blended and simmer on low heat for about 5-10 minutes, ensuring it doesn’t boil.

5. Mix with Pasta: Add the drained pasta to the skillet, tossing it in the creamy pumpkin sauce. If the sauce is too thick, gradually add in some reserved pasta water until it reaches your desired consistency.

6. Finish with Cheese: Stir in the grated Parmesan cheese until it melts and enriches the sauce. Adjust seasoning with additional salt and pepper as needed.

7. Garnish and Serve: Remove from heat and plate the pasta. Optionally, garnish with extra sage leaves or more grated Parmesan.