If you’re craving a dish that feels like a warm hug from the inside out, the Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe is exactly what you need. This comforting pasta blends the earthy richness of caramelized mushrooms with hearty sausage meatballs, crunchy toasted walnuts, and the fragrant crispness of sage leaves, all enveloped in a luscious creamy sauce. It’s a dish that brings together simple, seasonal ingredients to create layers of flavor and textures that will make every bite a delightful experience, perfect for chilly evenings or special family dinners.

Ingredients You’ll Need
Nothing beats using a few essential ingredients that do all the heavy lifting in flavor, texture, and color. Each component in this recipe shines brightly, making the dish both approachable and spectacular.
- Sweet Italian sausage: Provides the perfect savory and spiced base for the meatballs, adding richness to every bite.
- Extra virgin olive oil: Adds fruitiness and depth while helping crisp up the sage leaves perfectly.
- Dried short-cut pasta (farfalle or rigatoni): Holds sauce beautifully and offers a satisfying chew.
- Fresh sage leaves: When fried, become irresistibly crispy and aromatic, elevating the dish’s fragrance.
- Butter: Brings luscious creaminess and helps caramelize mushrooms for a deep, rich flavor.
- Mushrooms (cremini, shiitake, oyster, or chanterelles): The earthy stars of the recipe that soak up all savory nuances.
- Fresh thyme leaves: Impart subtle herbal notes that enhance the mushroom earthiness.
- Garlic cloves: Add a punch of warmth and depth to the sauce.
- Salt and pepper: Essential for seasoning to balance and enhance flavors.
- Half and half or heavy cream: Creates the silky, comforting sauce that ties everything together.
- Toasted walnuts: Introduce a delightful crunch and nutty contrast.
- Fresh parsley, chopped: Lightens the dish with a burst of fresh greenery.
- Shaved parmesan or romano cheese: Adds a salty, tangy finish that rounds out the flavors beautifully.
How to Make Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe
Step 1: Form and Cook Sausage Meatballs
Begin by removing the sausage from its casing and carefully shaping it into small, bite-sized meatballs. Heat a good splash of olive oil in a skillet over medium heat, then cook these meatballs until they’re thoroughly browned and crisp on the outside while juicy inside. Once done, set them aside to rest so they maintain that lovely crispness and don’t overcook.
Step 2: Cook Pasta and Crisp the Sage
Bring a pot of salted water to a boil and cook your dried pasta until perfectly al dente—the ideal balance of tender and firm. Reserve a small cup of the cooking water before draining the pasta. In the same skillet used for the meatballs, heat more olive oil and gently fry the fresh sage leaves until they become delightfully crispy and fragrant. Set these aside as a magical garnish that will awe your guests.
Step 3: Caramelize Mushrooms
Add butter to the skillet and toss in your choice of mushrooms alongside the fresh thyme leaves and chopped garlic. Sauté these for 5 to 7 minutes until the mushrooms caramelize to a deep golden brown and become tender. This step is where the earthy, savory depth of the dish truly shines, so don’t rush—the aroma alone will tell you when it’s right.
Step 4: Bring It All Together
Pour the half and half or heavy cream into the skillet with your mushrooms and stir gently to make a creamy sauce. Add the cooked pasta, sausage meatballs, and chopped parsley, then toss everything to combine fully. If the sauce feels thick, loosen it with the reserved pasta water, creating that perfect silky consistency that clings to every pasta piece.
Step 5: Serve and Garnish
Transfer the pasta mixture to a serving bowl and top generously with the crispy sage leaves, toasted walnuts, and freshly shaved parmesan or romano cheese. This final flourish adds crunch, aroma, and a deliciously salty tang, making each mouthful utterly unforgettable.
How to Serve Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe

Garnishes
For garnishes, the crispy sage leaves and toasted walnuts are the stars—they provide alluring crunch and herbal savory notes that contrast beautifully against the creamy pasta. Sprinkle freshly grated cheese just before serving to add richness and a touch of elegance.
Side Dishes
This hearty pasta pairs wonderfully with a crisp green salad dressed lightly with lemon vinaigrette to brighten the palate. Roasted root vegetables or steamed greens work well too, offering varied textures and a fresh counterbalance to such a rich main course.
Creative Ways to Present
Serve this Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe in warm, rustic bowls for a cozy feel. Layer the ingredients slightly exposed on top rather than mixed in, so every diner appreciates the vibrant colors and textures before diving in. You might even drizzle a bit of walnut oil over the finished dish for an added nutty aroma.
Make Ahead and Storage
Storing Leftovers
Place any leftover pasta in an airtight container and refrigerate it for up to 3 days. To maintain its texture, avoid storing the crispy sage garnish with the pasta; instead, keep it separately to re-crisp before serving again.
Freezing
This pasta is best enjoyed fresh, but you can freeze the meatballs and sautéed mushrooms separately in freezer-safe containers for up to 2 months. Thaw overnight in the fridge before reheating and combining with freshly cooked pasta.
Reheating
To reheat, gently warm the pasta and sauce in a skillet over low heat, adding a splash of water or cream to loosen the sauce as needed. Re-crisp the sage leaves in a hot pan outside of the pasta to restore their texture, then add them on top just before serving.
FAQs
Can I use other types of sausage for the meatballs?
Definitely! While sweet Italian sausage offers a perfect balance of flavor and seasoning, spicy or mild sausages can be swapped based on your preference, just ensure they are fresh and high quality for the best results.
Is there a vegetarian alternative for this recipe?
Yes! You can substitute sausage meatballs with hearty vegetarian meatballs or even roasted chickpeas. To keep the dish rich, consider adding extra mushrooms or a splash of soy sauce for umami depth.
What type of pasta works best?
Short-cut pasta like farfalle or rigatoni holds the sauce well and adds a satisfying bite. However, feel free to use any pasta shape you prefer—just adjust cooking times accordingly.
Can I prepare any parts of this recipe in advance?
You can form and cook the sausage meatballs ahead of time and store them refrigerated for up to two days. The toasted walnuts and crispy sage are best prepared just before serving to retain their crunch.
How do I ensure the mushrooms caramelize properly?
Pat the mushrooms dry before cooking and avoid overcrowding the pan so they brown evenly. Cooking over medium heat, without stirring too often, helps develop that lovely caramelized color and flavor.
Final Thoughts
This Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe is truly a winner when you want to create something cozy, flavorful, and a bit special without fuss. Its blend of textures and savory notes will have everyone asking for seconds, making it the kind of dish you’ll want to keep coming back to every chilly season. So go ahead, try this recipe and enjoy a bowl full of comfort and joy.
Print
Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe
- Prep Time: 10 minutes
- Cook Time: 35 minutes
- Total Time: 45 minutes
- Yield: 4 servings
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
Description
This Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage is a comforting and flavorful dish perfect for chilly days. It features tender meatballs made from sweet Italian sausage, caramelized mushrooms with fresh herbs, crispy sage leaves, toasted walnuts, and a creamy sauce tossed with short-cut pasta. Finished with shaved parmesan or romano cheese, this hearty meal is easy to prepare and delivers a satisfying blend of textures and cozy autumnal flavors.
Ingredients
Sausage Meatballs
- 8 oz. sweet Italian sausage
- Extra virgin olive oil, for frying
Pasta and Sage
- 8 oz. dried short-cut pasta (such as farfalle or rigatoni)
- 1/4 cup fresh sage leaves
- Extra virgin olive oil, for frying sage
Mushroom Sauce
- 2 tablespoons butter
- 1 lb mushrooms (such as cremini, shiitake, oyster, or chanterelles), sliced
- 1/2 teaspoon fresh thyme leaves
- 3 cloves garlic, chopped
- Salt and pepper, to taste
- 1/2 cup half and half or heavy cream
Finishing Touches
- 1/2 cup toasted walnuts
- 2 tablespoons fresh parsley, chopped
- Shaved parmesan or romano cheese, for topping
Instructions
- Form and Cook Sausage Meatballs: Remove the sweet Italian sausage from its casing and shape the meat into small, bite-sized meatballs. Heat a drizzle of extra virgin olive oil in a skillet over medium heat. Fry the meatballs until they are browned on the outside, crisp, and fully cooked through. Once done, remove them from the skillet and set aside.
- Cook Pasta and Fry Sage Leaves: Bring a large pot of salted water to a boil. Cook the dried short-cut pasta (such as farfalle or rigatoni) until al dente according to package instructions. Drain the pasta, reserving some of the pasta cooking water for later. In the same skillet used for the meatballs, add a bit of extra virgin olive oil and fry the fresh sage leaves until they become crispy and aromatic. Remove the sage leaves and set aside.
- Caramelize Mushrooms: Add the butter to the skillet and let it melt over medium heat. Add the sliced mushrooms, fresh thyme leaves, chopped garlic, and season with salt and pepper. Sauté the mushrooms for 5–7 minutes, stirring occasionally, until they are golden brown, caramelized, and tender.
- Finish the Dish: Pour the half and half or heavy cream into the skillet with the caramelized mushrooms, stirring to combine and create a creamy sauce. Add the cooked pasta, sausage meatballs, and chopped fresh parsley to the skillet. Toss everything together thoroughly, adding some reserved pasta water as needed to adjust the sauce consistency and help coat the pasta evenly.
- Serve: Transfer the finished pasta to a serving bowl. Top generously with the crispy sage leaves, toasted walnuts, and shaved parmesan or romano cheese. Serve immediately for a warm and comforting meal.
Notes
- Choose short-cut pasta shapes like farfalle or rigatoni to hold the creamy sauce well.
- Use a mix of mushrooms (cremini, shiitake, oyster, chanterelles) for added flavor complexity.
- Reserve pasta water to adjust the sauce thickness to your liking.
- For a richer flavor, heavy cream can be used instead of half and half.
- To toast walnuts, spread them on a baking sheet and bake at 350°F (175°C) for 5-7 minutes until fragrant and lightly browned.
- Make sure to cook sausage meatballs thoroughly to an internal temperature of 160°F (71°C) for safety.

