Orecchiette with Sausage & Butternut Squash

I’m naming this my essential hearty pasta dish for fall and winter: orecchiette with sausage & butternut squash. It’s a rustic-style pasta that comes together in one pan and has lots of satisfying flavor in every bite.

Orecchiette with Sausage

This orecchiette with sausage & butternut squash is a pasta dish that’s made in a really rustic “toss everything together” type of way, with the sauce being made up of just pasta water and olive oil, so there’s a lot of focus on the ingredients – caramelized butternut squash, spicy italian chicken sausage, wilted greens, cannellini beans, fresh sage, and pecorino romano.

It’s full of all the cozy flavor and hearty ingredients that we crave this time of year. Apart from the pasta boiling in a large pot, the rest of the dish comes together in just one pan. The ingredients are sautéed individually so they have room to groove and caramelize really well.

Orecchiette with Sausage

Everything gets combined at the end as pasta water and parmesan cheese are stirred in, creating a really simple sauce to cling to the orecchiette. I garnish this pasta with a good drizzle of olive oil and lots of freshly cracked black pepper for flavor that hits you at first bite, and then melds into the rich wintery flavors of the other ingredients.

I love this rustic style of pasta, and I hope you do, too! Serve the orecchiette with sausage alongside a simple salad with torn croutons for the perfect comforting meal.


Orecchiette with Sausage & Butternut Squash

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a simple, hearty fall or winter pasta dish of orecchiette, spicy italian chicken sausage, butternut squash, red chard, and beans

servings: 4

  • Author: Kayla Howey


  • olive oil
  • kosher salt
  • freshly cracked black pepper
  • 1 (2 lb) butternut squash, peeled + seeded + diced ¼”
  • 1 lb spicy italian chicken sausage
  • ¾ lb orecchiette
  • 1 shallot, thinly sliced
  • 1 bunch red chard, stemmed + roughly chopped
  • 4 sage leaves, thinly sliced
  • 1 can cannellini beans, rinsed + drained
  • ½ cup grated pecorino romano, plus more for serving


  1. Heat a large skillet over medium heat. Add enough olive oil to coat the bottom. Once the oil is hot, add the butternut squash. Allow to cook in an even layer until caramelized and tender, stirring often. Season with salt and black pepper. Transfer the squash to a plate and reserve.
  2. Add a little more olive oil to the skillet. Break the sausage into pieces and add it in. Allow the sausage to brown on all sides, breaking it apart with a wooden spoon into smaller pieces as it cooks. Once browned and just cooked through, transfer the sausage to a plate and reserve.
  3. Meanwhile, drop the orecchiette into a large pot of boiling, heavily-salted water. Cook for 1 minute less than the package’s instructions.
  4. Add a little more olive oil to the skillet, along with the shallot. Cook for a minute or two until tender. Add the red chard and sage. Continue to cook as the greens wilt. Season well with salt.
  5. Retrieve 1 cup of pasta water from the pot and add it to the greens. Drain the pasta and immediately add the pasta to the skillet. Stir well and add the squash and sausage back in to heat through as the liquid simmers. Stir in the cannellini beans and pecorino cheese. Continue to stir as the cheese melts.
  6. Serve the orecchiette with a good drizzle of olive oil, lots of freshly cracked black pepper, and more grated pecorino over top.

Orecchiette with Sausage

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