Follow these simple steps to make your mouthwatering pumpkin pasta:

1. Cook the Pasta: Begin by boiling a large pot of salted water. Cook the pasta according to package instructions until al dente. Drain and set aside, reserving ½ cup of pasta water.

2. Sauté Garlic: In a large skillet, heat the olive oil over medium heat. Add minced garlic and sauté for 1-2 minutes until fragrant.

3. Make the Sauce: Lower the heat, then stir in the pumpkin puree, heavy cream, sage, nutmeg, salt, and pepper. Cook until the mixture is heated through, about 5 minutes.

4. Combine: Add the cooked pasta to the skillet and toss it in the pumpkin sauce. If the sauce appears too thick, gradually stir in the reserved pasta water until you achieve your desired consistency.

5. Add Cheese: Mix in the grated Parmesan cheese until melted and fully incorporated into the sauce.

6. Taste and Adjust: Taste the pasta and adjust seasoning with more salt and pepper or additional spices according to your preference.

7. Serve Immediately: Plate the pasta, garnishing it with fresh parsley for a burst of color and flavor.