Are you craving a bowl of rich, cheesy, and unbelievably creamy Alfredo pasta, but also looking for a lighter, healthier, and more seasonal twist on the classic? This incredible, from-scratch Butternut Squash Alfredo Pasta is the absolute best of both worlds. It’s the ultimate healthy comfort food, with a silky, velvety sauce made from sweet, tender butternut squash that is so luscious and satisfying, you won’t believe it’s packed with hidden vegetables.
This isn’t just another pasta recipe; it’s a guide to your new favorite fall dinner. We’ll show you the simple secrets to creating a flawlessly smooth and creamy squash sauce that beautifully coats every single noodle. Infused with the warm, aromatic flavor of freshly grated nutmeg and salty Parmesan cheese, this is a restaurant-quality meal that is surprisingly easy to make on a busy weeknight.
Table of Contents
Table of Contents
Recipe Overview: The Ultimate Healthy Comfort Food
What makes this Butternut Squash Alfredo so spectacular is its incredible, “secretly healthy” sauce and its wonderfully cozy flavor. We create the sauce by simmering fresh butternut squash in cream and butter until it is fall-apart tender, and then blending it into a perfectly smooth and velvety purée. This naturally creamy and sweet sauce mimics the richness of a much heavier, traditional Alfredo, but is packed with all the wholesome goodness of winter squash. Tossed with pasta and a generous amount of salty Parmesan, this is a satisfying one-pot meal the whole family will love.
Metric | Time / Level |
Total Time | 35 minutes |
Active Prep Time | 15 minutes |
Difficulty Level | Easy |
Servings | 4-6 |
The Essential Ingredients for This Creamy Pasta
This recipe uses a handful of fresh, seasonal ingredients and pantry staples to create a spectacular result.
- The “Alfredo” Sauce: This is the velvety, secretly healthy heart of our dish.
- Butternut Squash: The sweet and nutty star of our sauce. When simmered and blended, butternut squash creates an incredibly smooth, creamy, and naturally sweet base that is a beautiful, sunny orange color.
- Heavy Cream & Butter: A touch of cream and butter is simmered with the squash, which helps to make the final sauce incredibly rich, luscious, and satisfying.
- The Pasta:
- Fettuccine: A long, flat, and wide pasta shape like fettuccine is the classic choice for an Alfredo-style sauce. Its broad surface is a perfect vehicle for the thick, creamy sauce to cling to.
- Starchy Pasta Water: This is a crucial, “liquid gold” ingredient! The starchy water left over from cooking your pasta is a natural emulsifier that is the professional secret to a perfectly smooth and cohesive sauce that clings beautifully to every noodle.
- The Flavorings:
- Parmesan Cheese: A generous amount of freshly grated, high-quality Parmesan cheese adds a salty, nutty, umami flavor and contributes to the incredible creaminess of the sauce.
- Freshly Grated Nutmeg: The warm, aromatic, and slightly sweet flavor of freshly grated nutmeg is a classic and perfect pairing with both creamy sauces and winter squash. Its flavor is far superior to the pre-ground kind.

Step-by-Step to the Best Butternut Squash Pasta
This delicious, one-pot sauce meal is incredibly simple to prepare.
Step 1: Simmer the Butternut Squash
In a medium saucepan, add the 3/4 cup of heavy cream, the 3 tablespoons of butter, the 1 pound (about 4 cups) of cubed butternut squash, and 3/4 cup of water.
Bring the mixture to a boil over medium-high heat. Then, reduce the heat to a simmer and continue cooking, stirring occasionally, for about 15 minutes, until the squash is very tender and can be easily poked with a fork.
Part 2: Cook the Pasta (and Save That Water!)
While the squash is simmering, bring a large pot of heavily salted water to a boil.
Add the 1 pound of fettuccine and cook until it is al dente (still has a slight, firm bite) according to the package directions.
Crucial Pro Tip: Before you drain the pasta, be sure to reserve at least 1/2 cup of the starchy pasta water. This is a key ingredient for the final sauce!
Drain the pasta and set it aside.
Part 3: Create the Creamy Butternut Squash Sauce
Step 1: Once your squash is tender, it’s time to make the sauce. The easiest method is to use an immersion blender directly in the saucepan. Blend the squash and all its cooking liquid for 3 to 5 minutes, until the sauce is completely and totally smooth and creamy.
Pro Tip: If you don’t have an immersion blender, you can carefully transfer the entire hot squash mixture to a regular blender. Secure the lid firmly, remove the center cap to allow steam to escape, and cover the opening with a folded kitchen towel. Blend until the sauce is perfectly smooth.
Step 2: Season the smooth sauce with the 1/2 teaspoon of freshly grated nutmeg and 1 teaspoon of kosher salt.
Part 4: Combine and Serve
Stir the cooked and drained fettuccine and the 3/4 cup of freshly grated Parmesan cheese directly into the pot with the hot squash sauce.
Toss everything together until the pasta is well coated and the cheese has melted into the sauce.
If the sauce seems too thick, you can add your reserved, starchy pasta water, one tablespoon at a time, until the sauce has reached your desired, luscious consistency.
Serve the pasta immediately in warm bowls, with an extra sprinkle of Parmesan cheese and a final grating of fresh nutmeg, if desired.

The Best Creamy Butternut Squash Alfredo Pasta
A creamy and flavorful vegetarian pasta dish that creates a healthy Alfredo-style sauce using butternut squash. Cubes of butternut squash are simmered in cream and butter until very tender, then pureed directly in the pot with an immersion blender to create a smooth, velvety sauce. This rich vegetable sauce is seasoned with nutmeg, tossed with cooked fettuccine and freshly grated Parmesan cheese, and thinned with a bit of starchy pasta water to reach the perfect consistency.
- Prep Time: 15 minutes
- Cook Time: 20 minutes
- Total Time: 35 minutes
- Yield: 4-6 servings
- Category: Main Course
- Method: Simmering, Pureeing
- Cuisine: Italian-American
- Diet: Vegetarian
Ingredients
- 3/4 cup heavy cream
- 3 tablespoons unsalted butter, cut into small pieces
- 1 pound butternut squash, cubed (about 4 cups)
- 1/2 teaspoon freshly grated nutmeg, plus more for serving
- Kosher salt
- 1 pound fettuccine
- 2 ounces freshly grated Parmesan (about 3/4 cup), plus more for serving
Instructions
- In a medium saucepan, combine the cream, butter, cubed squash, 3/4 cup of water, and 1 teaspoon of salt. Bring the mixture to a boil.
- Reduce the heat to a simmer and continue cooking for about 15 minutes, until the squash is tender when poked with a fork.
- Use an immersion blender to puree the mixture directly in the saucepan until it is super creamy and smooth, which should take 3 to 5 minutes. Season with the nutmeg.
- Meanwhile, bring a large pot of salted water to a boil. Add the fettuccine and cook according to the package directions until al dente.
- Before draining the pasta, reserve about 1/2 cup of the starchy pasta water. Drain the pasta.
- Add the cooked pasta and the grated Parmesan cheese to the squash sauce. Toss until the pasta is well coated.
- Add the reserved pasta water, 1 tablespoon at a time, if needed to loosen the sauce to your desired consistency.
- Serve immediately, with more grated Parmesan and a sprinkle of nutmeg, if desired.
Notes
- Special Equipment: An immersion blender is recommended for this recipe for easy pureeing directly in the pot.
- This recipe uses pureed butternut squash to create a creamy sauce, which is a great way to add vegetables to a pasta dish.
- Reserving the starchy pasta water is an important step that helps the sauce cling to the noodles and allows you to adjust the consistency.
Storage and Make-Ahead Tips
This Butternut Squash Alfredo is a fantastic make-ahead sauce for busy weeknights.
- Make-Ahead: You can prepare the butternut squash sauce completely up to 3 days in advance. Let it cool and store it in an airtight container in the refrigerator. When you are ready to eat, simply reheat the sauce gently on the stovetop while you cook your pasta.
- Storage: Store any leftover pasta in an airtight container in the refrigerator for up to 4 days.
- Reheating: The sauce will thicken considerably in the refrigerator. The best way to reheat the pasta is in a skillet on the stovetop over a low heat with a generous splash of milk, broth, or water to loosen the sauce and bring back its creamy consistency.
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Creative Recipe Variations
- Add a Crispy, Savory Garnish: For a wonderful textural contrast, you can top the finished pasta with some crispy, crumbled bacon or pancetta, some toasted walnuts or pecans, or some beautiful, crispy fried sage leaves.
- Add a Hearty Protein: To make this an even more substantial, all-in-one meal, you can stir in some cooked, shredded rotisserie chicken, some browned Italian sausage, or some sautéed shrimp.
- Make it a Vegan / Dairy-Free Pasta: For a completely vegan version, use a high-quality, full-fat oat milk or canned coconut milk instead of the heavy cream, a vegan butter substitute, and substitute the Parmesan cheese with nutritional yeast or your favorite brand of vegan Parmesan.
Enjoy The Ultimate Healthy Comfort Food!
You’ve just created a truly special dish that is a perfect harmony of wholesome, nourishing ingredients and decadent, satisfying flavor. This Creamy Butternut Squash Alfredo is a testament to the power of a simple, homemade meal to bring comfort and joy. It’s a rewarding and deeply satisfying recipe that is sure to become a new fall family favorite.
We hope you enjoy every last, creamy, and delicious bite!
If you enjoyed making this recipe, please leave a comment below or share it with a friend who loves a good, healthy comfort food meal!
Frequently Asked Questions (FAQs)
Q1: Can I use a regular blender instead of an immersion blender?
Yes, absolutely! If you don’t have an immersion blender, you can carefully transfer the hot, cooked squash mixture to a regular, countertop blender. Just be sure to do it safely: never fill the blender more than halfway, and remove the small center cap from the lid and cover the opening with a folded kitchen towel. This will allow the hot steam to escape and will prevent a dangerous pressure buildup.
Q2: What is the best way to get a super smooth butternut squash sauce?
The two most important secrets are to simmer the squash until it is very, very tender (it should be easily mashable with a fork), and to use a high-powered blender. Simmering the squash until it is fall-apart soft will make it much easier to blend into a perfectly smooth purée without any stringy bits.
Q3: Is it really important to save the pasta water?
Yes, this is a fantastic professional Italian cooking secret! The water that your pasta has cooked in is full of wonderful starches. This starchy water, often called “liquid gold,” is the perfect, natural emulsifier. Adding a splash of it to your final sauce will help the sauce to cling beautifully to the pasta and will create an even more cohesive, luscious, and creamy final dish.
Q4: Can I make this sauce ahead of time?
Yes, this sauce is perfect for making ahead! You can prepare the butternut squash sauce completely, let it cool, and store it in an airtight container in the refrigerator for up to 4 days, or in the freezer for up to 3 months. When you are ready to eat, simply reheat the sauce gently on the stovetop while you cook your fresh pasta.
Q5: Can I use a different kind of squash in this recipe?
Of course! This recipe is also fantastic with other sweet, firm winter squashes. A kabocha squash or a honeynut squash would both be delicious substitutes for the butternut squash. You could also use an equal amount of canned, 100% pure pumpkin purée for an even faster shortcut!