Turkey Meatballs Pumpkin Sage Sauce: A Delicious Fall Recipe
If you’re looking for a comforting, cozy, and absolutely irresistible dish to celebrate the flavors of the season, this Turkey Meatballs Pumpkin Sage Sauce recipe is exactly what you need. Bursting with warm spices, creamy pumpkin, and tender turkey meatballs, it perfectly captures the essence of autumn. This is truly A Delicious Fall Recipe that embraces those rich seasonal ingredients while being comforting enough to make it a new family favorite. Once you try it, you’ll understand why this combination is a meal to savor again and again when the leaves start to turn.

Ingredients You’ll Need
The secret to creating such a delightful dish lies in the simplicity and quality of the ingredients. Each one plays a vital role—whether it’s the lean turkey providing a tender bite, the fresh sage adding that unmistakable earthy aroma, or the pumpkin puree bringing in creamy richness and vibrant color. Here’s everything you’ll want to have ready on your kitchen counter before you begin.
- Ground turkey (1.5 lbs, preferably 93% lean): It’s lean but still juicy, perfect for tender meatballs that won’t be greasy.
- Panko breadcrumbs (1/2 cup): These give meatballs a lovely light texture and help them hold together without becoming dense.
- Grated Parmesan cheese (1/4 cup + 1/4 cup): Adds a salty, umami depth both inside the meatballs and in the sauce.
- Large egg (1, lightly beaten): The binding hero that keeps your meatballs perfectly formed.
- Yellow onion (1/4 cup finely chopped + 1 small finely chopped): Sweet and aromatic, it adds layers of flavor in both meatballs and sauce.
- Garlic (4 cloves, minced): Brings savory warmth that complements the pumpkin and herbs beautifully.
- Fresh sage (1 tablespoon chopped + 2 tablespoons chopped + fresh leaves): This herb is the star of the show, lending that autumnal, earthy touch.
- Dried thyme (1 teaspoon): A subtle, woodsy accent that pairs perfectly with sage.
- Salt (1/2 teaspoon + to taste): Enhances every flavor without overpowering.
- Black pepper (1/4 teaspoon + to taste): Adds just the right amount of heat.
- Olive oil (2 tablespoons): For browning meatballs and sautéing aromatics to golden perfection.
- Pumpkin puree (1 can, 15 ounces; not pie filling): The silky base of the sauce, bringing sweetness and silky texture.
- Chicken broth (1 cup): Adds savory moisture and depth to the sauce.
- Heavy cream (1/2 cup): Makes the sauce luxuriously creamy and rich.
- Nutmeg (1/4 teaspoon): Adds a hint of subtle warmth that highlights the pumpkin’s natural flavor.
- Red pepper flakes (optional): Perfect if you want a slight kick to balance the creaminess.
How to Make Turkey Meatballs Pumpkin Sage Sauce: A Delicious Fall Recipe
Step 1: Combine Meatball Ingredients
Begin by gently mixing the ground turkey, panko breadcrumbs, grated Parmesan, beaten egg, finely chopped onion, minced garlic, chopped fresh sage, dried thyme, salt, and pepper in a large bowl. Be careful not to overmix to keep the meatballs tender and juicy. The combination of herbs and cheese folded into the turkey sets the foundation for that rich autumn flavor we love in this A Delicious Fall Recipe.
Step 2: Form Meatballs
Wet your hands slightly to prevent sticking, and roll the mixture into 1.5-inch meatballs. Place them evenly spaced on a parchment-lined baking sheet so they’re ready for browning. This step feels so satisfying—seeing those perfectly shaped meatballs come together!
Step 3: Brown Meatballs
Heat olive oil in a large skillet over medium heat. Add meatballs and brown on all sides, about 2 to 3 minutes each side to develop a gorgeous golden crust. This not only locks in moisture but adds that beautiful caramelized flavor that lifts the whole dish. Once browned, remove and set them aside. Don’t skip this step—it’s essential for flavor depth in your A Delicious Fall Recipe.
Step 4: Sauté Aromatics
In the same skillet, add a bit more olive oil and sauté the finely chopped small yellow onion until softened—about 5 to 7 minutes. Toss in the minced garlic and cook another minute until fragrant. These aromatics build the savory base of your pumpkin sage sauce and make your kitchen smell like fall magic.
Step 5: Incorporate Pumpkin Puree and Seasonings
Stir in the pumpkin puree, chicken broth, heavy cream, Parmesan cheese, chopped fresh sage, dried thyme, and nutmeg. Whisk everything together until smooth and combined. The sauce becomes luxuriously creamy, with spicy hints from those herbs, making it the heart of this A Delicious Fall Recipe.
Step 6: Simmer the Sauce
Bring the sauce to a gentle simmer, then lower the heat and let it cook slowly for 10 to 15 minutes, stirring occasionally. This step melds the flavors perfectly and thickens the sauce to a ripe, velvety consistency that clings beautifully to every meatball.
Step 7: Add Meatballs to the Sauce
Gently nestle the browned meatballs into the sauce, cover the skillet, and let them simmer for 15 to 20 minutes. This ensures they cook through completely, reaching an internal temperature of 165°F (74°C) while soaking up the fragrant pumpkin sage goodness. Stir occasionally to keep things cozy in the pan.
Step 8: Season to Taste and Serve
Finally, taste the sauce and adjust salt and pepper as needed. This is your moment to fine-tune the flavors before plating. Serve the meatballs and sauce over your favorite base—be it pasta, mashed potatoes, or creamy polenta—and get ready to enjoy one of the most comforting dishes you’ll encounter this season.
How to Serve Turkey Meatballs Pumpkin Sage Sauce: A Delicious Fall Recipe

Garnishes
Top your plate with fresh sage leaves for that bright herbal freshness and a sprinkle of grated Parmesan cheese to add a hint of salty indulgence. If you’re a fan of a little heat, red pepper flakes offer a lovely kick that contrasts the creamy sauce beautifully. These finishing touches elevate the dish to a whole new level and make every bite exciting.
Side Dishes
This dish pairs wonderfully with simple side dishes that don’t compete but complement its rich flavors. Consider serving with light buttered egg noodles, velvety mashed potatoes, or polenta for the ultimate cozy comfort. Roasted seasonal vegetables like Brussels sprouts or green beans also make fantastic companions to round out the meal.
Creative Ways to Present
For a fun twist, serve the meatballs and pumpkin sage sauce stuffed inside toasted, hollowed-out mini pumpkins for an eye-catching presentation that’s perfectly festive. Or arrange the meatballs on a bed of creamy wild rice and drizzle extra sauce over the top to impress guests. This recipe truly shines as both a homey family dinner or a charming holiday centerpiece.
Make Ahead and Storage
Storing Leftovers
If you have leftovers (which is likely), store them in an airtight container in the refrigerator for up to 3 days. The flavors actually deepen overnight, making it a great make-ahead meal for busy fall evenings. Just be sure to cool it before refrigerating to keep the texture intact.
Freezing
You can freeze the meatballs and pumpkin sage sauce together or separately. Transfer cooled portions into freezer-safe bags or containers and freeze for up to 3 months. When ready to eat, thaw overnight in the fridge to keep texture and flavor intact, making it a perfect batch-cook solution during the hectic holiday season.
Reheating
Reheat gently on the stovetop over low heat, stirring occasionally until warmed through and the sauce is creamy and luscious again. Avoid microwaving at high power to prevent meatballs from drying out. This way, your leftovers taste just as wonderful as when freshly made, giving you a second chance to enjoy this A Delicious Fall Recipe’s comforting charm.
FAQs
Can I use ground chicken instead of turkey?
Absolutely! Ground chicken with a little bit of fat content works well too. Keep in mind the flavor might be slightly milder, so you may want to boost the herbs and seasoning to maintain that rich fall flavor.
Is pumpkin puree necessary for the sauce?
Yes, the pumpkin puree is essential. It brings the creamy texture, subtle sweetness, and gorgeous autumn color that define this A Delicious Fall Recipe. Avoid using pumpkin pie filling, as it has added sugars and spices that will alter the flavor balance.
Can I make this recipe dairy-free?
Definitely! Replace the heavy cream with full-fat coconut milk and use a dairy-free Parmesan alternative or nutritional yeast. The dish will still be creamy and flavorful, offering a lovely dairy-free twist on this classic fall favorite.
What is the best way to serve these meatballs for a dinner party?
Serve them family-style in a large rustic dish with plenty of the pumpkin sage sauce ladled over the top. Provide crusty bread for dipping and a simple autumn salad on the side to balance all the richness and impress your guests with an elegant yet cozy meal.
Can I prepare the meatballs ahead of time and freeze before cooking?
You can! Form the meatballs and freeze them raw on a baking sheet, then transfer to a bag. When you’re ready to make the sauce, either thaw and brown them or cook directly from frozen—just add a few extra minutes to ensure they’re thoroughly cooked.
Final Thoughts
This Turkey Meatballs Pumpkin Sage Sauce is the perfect way to welcome autumn into your kitchen and heart. Its rich flavors, tender meatballs, and creamy pumpkin sauce combine into a dish that’s both comforting and impressive—truly A Delicious Fall Recipe worth savoring all season long. Trust me, once you make it, it’ll become one of your go-to meals to celebrate cozy evenings and festive gatherings. Give it a try and let the magic of fall fill your home.
PrintTurkey Meatballs Pumpkin Sage Sauce: A Delicious Fall Recipe
This Turkey Meatballs with Pumpkin Sage Sauce is a comforting and flavorful fall recipe that combines lean ground turkey meatballs with a creamy, aromatic pumpkin sauce infused with fresh sage and warm spices. Perfect for cozy dinners, this dish pairs wonderfully with pasta, mashed potatoes, or polenta for a hearty meal.
- Prep Time: 20 minutes
- Cook Time: 40 minutes
- Total Time: 1 hour
- Yield: 4 servings 1x
- Category: Main Course
- Method: Sautéing, Simmering
- Cuisine: American
- Diet: Low Fat
Ingredients
Meatballs
- 1.5 lbs ground turkey (preferably 93% lean)
- 1/2 cup panko breadcrumbs
- 1/4 cup grated Parmesan cheese
- 1 large egg, lightly beaten
- 1/4 cup finely chopped yellow onion
- 2 cloves garlic, minced
- 1 tablespoon chopped fresh sage
- 1 teaspoon dried thyme
- 1/2 teaspoon salt
- 1/4 teaspoon black pepper
- 1 tablespoon olive oil (for browning)
Pumpkin Sage Sauce
- 1 tablespoon olive oil
- 1 small yellow onion, finely chopped
- 2 cloves garlic, minced
- 1 (15 ounce) can pumpkin puree (not pumpkin pie filling)
- 1 cup chicken broth
- 1/2 cup heavy cream
- 1/4 cup grated Parmesan cheese
- 2 tablespoons chopped fresh sage
- 1 teaspoon dried thyme
- 1/4 teaspoon nutmeg
- Salt and pepper to taste
- Fresh sage leaves (for garnish)
- Grated Parmesan cheese (for garnish)
- Red pepper flakes (optional garnish)
Instructions
- Combine Meatball Ingredients: In a large bowl, gently combine the ground turkey, panko breadcrumbs, grated Parmesan cheese, beaten egg, finely chopped onion, minced garlic, chopped fresh sage, dried thyme, salt, and black pepper. Mix just until combined to avoid dense meatballs.
- Form Meatballs: Wet your hands slightly to prevent sticking and shape the mixture into 1.5-inch meatballs. Place them evenly spaced on a parchment-lined baking sheet.
- Brown Meatballs: Heat 1 tablespoon of olive oil in a large skillet over medium heat. Add the meatballs and brown them on all sides, about 2-3 minutes per side. Remove from the skillet and set aside.
- Sauté Aromatics: In the same skillet, add another tablespoon of olive oil and heat over medium heat. Add the finely chopped onion and cook until softened and translucent, about 5-7 minutes. Then add the minced garlic and cook for an additional minute until fragrant.
- Incorporate Pumpkin Puree: Stir in the pumpkin puree, chicken broth, heavy cream, grated Parmesan cheese, chopped fresh sage, dried thyme, and nutmeg. Whisk the ingredients together until the sauce is smooth and well combined.
- Simmer Sauce: Bring the sauce to a gentle simmer, then reduce the heat to low. Let it simmer uncovered for 10-15 minutes, stirring occasionally to prevent sticking and to allow flavors to meld.
- Season Sauce: Taste the sauce and season with salt and pepper to your preference.
- Add Meatballs to Sauce: Gently add the browned turkey meatballs back into the skillet with the pumpkin sage sauce.
- Simmer Together: Cover the skillet with a lid and let the meatballs simmer in the sauce for 15-20 minutes, or until they are cooked through with an internal temperature of 165°F (74°C) and the sauce has thickened. Stir occasionally to ensure even cooking and prevent burning.
- Serve: Serve the meatballs and pumpkin sage sauce hot over your choice of pasta, mashed potatoes, or creamy polenta. Garnish with fresh sage leaves, additional grated Parmesan cheese, and red pepper flakes if desired for an added kick.
Notes
- Use 93% lean turkey to keep meatballs moist yet lower in fat.
- Do not overmix the meatball mixture to maintain tender meatballs.
- Fresh sage enhances the flavor but dried sage can be substituted if fresh is unavailable.
- Ensure meatballs reach an internal temperature of 165°F (74°C) for safe consumption.
- Leftover meatballs and sauce keep well in the refrigerator for up to 3 days.
- For a dairy-free version, substitute heavy cream with coconut cream and omit Parmesan cheese.
Nutrition
- Serving Size: 1 serving (about 5 meatballs with sauce)
- Calories: 380 kcal
- Sugar: 3 g
- Sodium: 480 mg
- Fat: 18 g
- Saturated Fat: 6 g
- Unsaturated Fat: 11 g
- Trans Fat: 0 g
- Carbohydrates: 12 g
- Fiber: 2 g
- Protein: 34 g
- Cholesterol: 110 mg
Keywords: turkey meatballs, pumpkin sage sauce, fall recipe, comforting dinner, healthy meatballs, creamy pumpkin sauce