Creamy Pumpkin Alfredo Pasta with Crispy Prosciutto
If you’re craving a cozy fall pasta dish, this Creamy Pumpkin Alfredo Pasta with Crisciy Prosciutto is the perfect blend of comfort and flavor. The smooth pumpkin sauce, salty Parmesan, and crunchy prosciutto come together to make a warm and satisfying meal in just 30 minutes.

Why You’ll Love This Pumpkin Alfredo Pasta
This dish is great for cool nights, holiday dinners, or anytime you want a bowl of creamy comfort. Here’s why it deserves a place in your fall recipe rotation:
- Ready in just 30 minutes
- Packed with rich fall flavor
- Creamy pumpkin Alfredo with a salty, crispy bite
- A seasonal twist on classic fettuccine alfredo
- Easy to adjust for different diets
Ingredients You’ll Need
Gather these simple ingredients before you start:
- Pasta – Fettuccine, tagliatelle, or any long pasta
- Pumpkin purée – Canned pumpkin, not pumpkin pie mix
- Heavy cream – Or use half-and-half for a lighter sauce
- Parmesan cheese – Freshly grated works best
- Prosciutto – Thin slices that crisp well
- Garlic and onion – Adds great aroma and depth
- Butter or olive oil – For sautéing
- Nutmeg, sage, salt, and pepper – Season the sauce
- Pasta water – Helps thin the sauce if needed

How to Make Pumpkin Alfredo Pasta with Prosciutto
1. Cook the pasta
Boil a large pot of salted water. Cook pasta until al dente. Save ½ cup of pasta water, then drain.
2. Crisp the prosciutto
Heat a skillet over medium heat. Add prosciutto in a single layer and cook 1–2 minutes per side until crisp. Place on a paper towel-lined plate.
3. Sauté the aromatics
In the same skillet, add butter or oil. Cook the garlic and onion for 3–4 minutes until soft and fragrant.
4. Make the pumpkin Alfredo sauce
Lower the heat and stir in pumpkin purée, heavy cream, Parmesan, nutmeg, sage, salt, and pepper. Whisk until smooth. Let it simmer for 4–5 minutes to thicken.
5. Combine with pasta
Add the cooked pasta to the skillet and toss well. If the sauce feels too thick, add a little pasta water until it’s creamy.
6. Top and serve
Crumble the crispy prosciutto on top. Serve warm with extra Parmesan or fresh herbs.
Tips for the Creamiest Pumpkin Alfredo Sauce
- Use fresh Parmesan for the smoothest sauce.
- Let the sauce simmer gently, not boil.
- Stir often to help the cheese melt evenly.
- Adjust seasonings to taste.
- Add pasta water to get the ideal creamy texture.
Substitutions & Variations
Try these easy swaps:
- Dairy-free: Use coconut cream or cashew cream with vegan Parmesan.
- Gluten-free: Use gluten-free pasta.
- Add veggies: Spinach, mushrooms, or roasted butternut squash.
- Make it spicy: Add red pepper flakes.
- Switch proteins: Pancetta or bacon work well. Omit prosciutto for a vegetarian version.
What to Serve with Pumpkin Alfredo Pasta
This rich pasta pairs nicely with light sides:
- Garlic bread or rosemary focaccia
- Simple arugula salad with lemon vinaigrette
- Roasted Brussels sprouts, carrots, or squash
- A glass of Chardonnay or Pinot Grigio
Storage and Reheating Tips
- Refrigerate: Store leftovers for up to 3 days.
- Reheat gently: Warm on the stovetop with a splash of cream or milk.
- Re-crisp prosciutto: Heat in a dry skillet instead of the microwave.
- Not freezer-friendly: The cream sauce doesn’t thaw well.
Creamy Pumpkin Alfredo Pasta with Crispy Prosciutto
Course: Main CourseCuisine: American, Italian4
servings10
minutes20
minutes540
kcal30
minutesThis Creamy Pumpkin Alfredo Pasta with Crispy Prosciutto is the perfect fall comfort meal. The smooth pumpkin sauce, salty Parmesan, and crunchy prosciutto come together to make a cozy yet elegant dish. It takes only 30 minutes to make, so it’s great for busy weeknights or any fall gathering.
With warm flavors of nutmeg, sage, and a touch of garlic, this easy pasta feels rich, comforting, and full of seasonal flavor. It’s a simple, satisfying recipe you’ll want to enjoy all autumn long.
Ingredients
12 oz fettuccine or long pasta of choice
4 oz prosciutto thinly sliced
1 tablespoon butter or olive oil
3 cloves garlic minced
½ small yellow onion finely chopped
1 cup canned pumpkin purée
1 cup heavy cream or half-and-half for lighter option
¾ cup freshly grated Parmesan cheese
¼ teaspoon ground nutmeg
½ teaspoon dried sage or 1 teaspoon fresh chopped
½ teaspoon salt adjust to taste
¼ teaspoon black pepper
½ cup reserved pasta water as needed
Instructions
- Cook the pasta
Bring a large pot of salted water to a boil. Cook pasta according to package instructions until al dente. Reserve about ½ cup of pasta water before draining. - Crisp the prosciutto
While the pasta cooks, heat a large skillet over medium heat. Add the prosciutto slices in a single layer and cook for 1–2 minutes per side, until crispy and lightly golden. Transfer to a paper towel-lined plate. - Sauté the aromatics
In the same skillet, add a bit of butter or olive oil. Sauté minced garlic and finely chopped onion over medium heat until soft and fragrant, about 3–4 minutes. - Make the pumpkin alfredo sauce
Lower the heat and stir in the pumpkin purée, heavy cream, grated Parmesan, nutmeg, sage, salt, and pepper. Whisk everything together until smooth and creamy. Simmer for 4–5 minutes, stirring occasionally, to let the sauce thicken slightly. - Combine with pasta
Add the drained pasta to the skillet and toss to coat evenly in the sauce. If the sauce is too thick, add a splash of the reserved pasta water to loosen it to your desired consistency. - Top and serve
Crumble the crispy prosciutto over the pasta and serve immediately. Add extra Parmesan or fresh herbs like parsley or sage, if desired.
Keyword
- Creamy Pumpkin Alfredo Pasta
FAQ’s
Can I use fresh pumpkin?
Yes. Roast and purée fresh pumpkin, but drain extra moisture so the sauce stays thick.
What pasta shapes work best?
Tagliatelle, linguine, penne, and rigatoni all hold the sauce well.
Can I make this ahead of time?
Yes. Make the sauce up to 3 days ahead. Reheat gently and mix with fresh pasta.
