01 -
Bring a large pot of salted water to a boil and cook rigatoni until al dente, about 10-12 minutes. Reserve ½ cup of pasta cooking water, then drain the pasta.
02 -
Melt butter in a large skillet over medium heat. Add minced garlic and chopped fresh sage, sautéing 1-2 minutes until fragrant without browning.
03 -
Stir in pumpkin purée and cook for 1 minute to soften raw flavor. Pour in heavy cream and stir until sauce is smooth and combined.
04 -
Add Parmesan cheese, nutmeg, salt, and pepper. Simmer on low heat for 2-3 minutes until slightly thickened. Adjust consistency with reserved pasta water if needed.
05 -
Toss drained pasta into the sauce, mixing well to coat. Add additional reserved pasta water if required to loosen the sauce.
06 -
Taste and, if desired, stir in lemon juice or white wine to brighten the sauce. Plate and garnish with extra Parmesan and crispy sage leaves, serving warm.