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The Best Creamy Butternut Squash Alfredo Pasta

A beautiful plate of homemade, creamy Butternut Squash Alfredo pasta being enjoyed for a cozy dinner.

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.

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

  1. 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.
  2. Reduce the heat to a simmer and continue cooking for about 15 minutes, until the squash is tender when poked with a fork.
  3. 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.
  4. Meanwhile, bring a large pot of salted water to a boil. Add the fettuccine and cook according to the package directions until al dente.
  5. Before draining the pasta, reserve about 1/2 cup of the starchy pasta water. Drain the pasta.
  6. Add the cooked pasta and the grated Parmesan cheese to the squash sauce. Toss until the pasta is well coated.
  7. Add the reserved pasta water, 1 tablespoon at a time, if needed to loosen the sauce to your desired consistency.
  8. 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.
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