Heat olive oil and butter in a large pan over low to medium heat. Add chopped garlic and cook for about a minute until fragrant, but do not let it brown.
Stir in pumpkin purée, salt, Parmesan cheese, and cream. Whisk to combine until the sauce is smooth and creamy.
Heat the sauce through for 3-5 minutes. If too thick, add a splash of pasta water to adjust the consistency.
Gently add cooked pasta into the pan with the pumpkin sauce and toss to coat.
Sprinkle fresh parsley over the top and serve immediately, adding extra Parmesan if desired.
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Notes
Store leftovers in an airtight container in the refrigerator for 1-2 days. Reheat gently, adding a splash of milk or cream to restore creaminess.