If you’re craving a dish that wraps you in warm, comforting flavors while celebrating the best of winter’s bounty, the Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe is an absolute must-try. This delightful combination brings together tender meatballs bursting with savory sausage, earthy sautéed mushrooms, crunchy toasted walnuts, and the unexpected crispness of fried sage leaves—all tossed with perfectly al dente pasta in a luscious, lightly creamy sauce. It’s a cozy, flavorful dish that feels like a loving hug on a chilly evening and makes any dinner feel like a special occasion.

Ingredients You’ll Need
This recipe is all about simplicity and quality. Each ingredient plays a vital role: from the hearty sausage that forms the star meatballs, to the fresh sage that adds an aromatic punch, and the walnuts, which provide a satisfying crunch. Using a mix of mushrooms and fresh herbs really elevates the dish’s depth and warmth.
- 8 oz. sweet Italian sausage: The base for rich, savory meatballs packed with flavor.
- Extra virgin olive oil: For frying meatballs and sage leaves to golden perfection.
- 8 oz. dried short-cut pasta (farfalle or rigatoni): Pasta shapes that hold sauce and bits of meat beautifully.
- 1/4 cup fresh sage leaves: Adds an earthy, fragrant note and becomes wonderfully crispy when fried.
- 2 tablespoons butter: Used to sauté mushrooms and add a silky richness.
- 1 lb mushrooms (cremini, shiitake, oyster, or chanterelles): A variety of mushrooms delivers a deep, forest-like umami.
- 1/2 teaspoon fresh thyme leaves: Introduces subtle herbal brightness alongside garlic.
- 3 cloves garlic, chopped: Provides a savory backbone to the mushroom mixture.
- Salt and pepper to taste: Essential for balancing and enhancing all flavors.
- 1/2 cup half and half or heavy cream: Creates a luscious, creamy texture that lightly coats the pasta.
- 1/2 cup toasted walnuts: Adds a delightful crunch and nutty warmth.
- 2 tablespoons fresh parsley, chopped: Brings a fresh, vibrant finish to the dish.
- Shaved parmesan or romano cheese for topping: A salty, cheesy flourish that ties everything together.
How to Make Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe
Step 1: Form and Cook Sausage Meatballs
Start by removing the sweet Italian sausage from its casing, then gently shape the meat into small, bite-sized meatballs. Heat some extra virgin olive oil in a skillet over medium heat, and fry the meatballs until they develop a beautiful browned crust and are fully cooked through. The crisp edges lock in flavor and give a wonderful texture that will contrast nicely with the tender pasta.
Step 2: Cook Pasta and Fry Sage Leaves
Boil a large pot of salted water and cook your choice of short-cut pasta until just al dente. Drain it, but save a little of the pasta water to loosen the sauce later. In the same skillet used for the meatballs, pour in more olive oil and gently fry fresh sage leaves until they get crispy. This step releases an intoxicating fragrance and a punch of savory, herbaceous flavor that will elevate the whole dish.
Step 3: Caramelize the Mushrooms
To the skillet, add butter and toss in your selection of mushrooms along with fresh thyme leaves, chopped garlic, salt, and pepper. Sauté this mixture over medium heat for about 5 to 7 minutes, allowing the mushrooms to caramelize and develop a tender, golden exterior. This transformation brings out the natural umami and richness essential to balancing the sausage meatballs.
Step 4: Finish the Dish
Pour half and half or cream into the skillet with your mushrooms and stir everything together to create a silky base. Add the drained pasta, cooked sausage meatballs, and freshly chopped parsley. Toss everything gently, and adjust the sauce’s consistency using the reserved pasta water, ensuring every bite is coated with that luscious, creamy goodness.
Step 5: Serve and Garnish
Transfer your beautifully tossed pasta into a serving bowl and lavish it with the crispy sage leaves, toasted walnuts, and generous shavings of parmesan or romano cheese. This final flourish brings inviting textures and flavors that make this Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe unforgettable.
How to Serve Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe

Garnishes
The crispy sage leaves are not just a garnish but a highlight that adds an herbal crunch, perfectly complementing the tender meatballs and creamy pasta. Toasted walnuts contribute a rustic nuttiness that contrasts beautifully with the richness of the sauce, while freshly shaved parmesan or romano adds a salty, tangy finish that ties the flavors together elegantly.
Side Dishes
This dish shines on its own, but if you want to build a cozy winter feast, consider serving it alongside a crisp green salad with a lemon vinaigrette or a side of roasted root vegetables. A warm crusty bread helps scoop up any extra sauce and makes the meal feel even more comforting.
Creative Ways to Present
Try serving this pasta in rustic, deep bowls to showcase the colorful ingredients, or create individual portions in small gratin dishes topped with a sprinkle of extra walnuts and cheese, then briefly broil for a golden crust. Adding a sprig of sage on top can make it look effortlessly elegant and inviting.
Make Ahead and Storage
Storing Leftovers
This Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe keeps surprisingly well in an airtight container in the refrigerator for up to three days. Keep garnishes like crispy sage and walnuts separate and add fresh before serving to maintain their textures.
Freezing
You can freeze the cooked meatballs and mushroom sauce separately for up to two months. When ready, thaw overnight in the fridge, reheat gently, and combine with freshly cooked pasta for the best texture and flavor. Avoid freezing the pasta itself to prevent it from becoming mushy.
Reheating
To reheat, gently warm the sauce and meatballs in a skillet over low heat, adding a splash of cream or reserved pasta water to loosen the sauce if necessary. Toss in fresh pasta or reheat the pasta separately, then combine just before serving. Add the crispy garnishes last for that signature crunch.
FAQs
Can I use a different type of sausage for the meatballs?
Absolutely! While sweet Italian sausage is traditional and flavorful, you can swap it for spicy sausage or even a poultry-based sausage to suit your taste or dietary preferences. Just make sure it has enough fat to keep the meatballs juicy.
What types of mushrooms work best in this recipe?
A mix of cremini, shiitake, oyster, or chanterelle mushrooms is ideal because of their varied textures and robust flavors. However, you can use button mushrooms or portobellos if those are what you have on hand.
Is it possible to make this recipe vegetarian?
To create a vegetarian version, replace the sausage meatballs with hearty plant-based meatballs or roasted chickpeas, and use vegetable broth in the sauce. The walnuts and crispy sage still provide wonderful texture and aroma.
Can I prepare parts of this recipe in advance?
Yes! You can shape and cook the sausage meatballs ahead of time and store them refrigerated. The mushrooms can be caramelized earlier too. Just reheat gently and toss with freshly cooked pasta right before serving for the best flavors.
What is the best pasta shape for this recipe?
Short-cut pasta shapes like farfalle or rigatoni are perfect because they capture the sauce and bits of meat and nuts in their crevices, making each bite full of flavor. Penne or rigatoni also work wonderfully.
Final Thoughts
This Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe is a soul-warming celebration of seasonal ingredients and textures that comes together beautifully with minimal fuss. It’s one of those dishes I find myself returning to whenever I want something that feels indulgent, homey, and packed with love. Give it a try on your next cozy night in—you’ll be so glad you did!
Print
Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage Recipe
- Total Time: 45 minutes
- Yield: 4 servings 1x
Description
This Winter Pasta with Mushrooms, Sausage Meatballs, Walnuts & Crispy Sage is a cozy and flavorful dish perfect for chilly evenings. Featuring tender Italian sausage meatballs, caramelized mushrooms, crispy sage, and toasted walnuts, this hearty pasta combines rich textures and warm autumnal flavors in every bite.
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)
Mushrooms and Sauce
- 2 tablespoons butter
- 1 lb mushrooms (such as cremini, shiitake, oyster, or chanterelles)
- 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 sausage from its casing and shape into small meatballs. Heat olive oil in a skillet over medium heat. Fry meatballs until browned, crisp, and fully cooked through, about 8-10 minutes. Once cooked, transfer to a plate and set aside.
- Cook Pasta and Sage: Bring salted water to a boil and cook the pasta until al dente according to package instructions, usually around 10-12 minutes. Reserve some pasta water before draining. In the same skillet, heat a little olive oil and fry sage leaves until crispy and fragrant, about 1-2 minutes. Remove and set aside on paper towels to drain.
- Caramelize Mushrooms: Add butter to the same skillet and melt over medium heat. Add mushrooms, thyme, garlic, salt, and pepper. Sauté for 5-7 minutes until the mushrooms are caramelized and tender, stirring occasionally to avoid burning.
- Finish the Dish: Pour the half and half or heavy cream into the skillet with the mushrooms and stir to combine, allowing the sauce to warm and thicken slightly. Add the cooked pasta, sausage meatballs, and chopped parsley to the skillet. Toss everything together gently, adding reserved pasta water as needed to adjust the sauce consistency and coat the ingredients evenly.
- Serve: Transfer the pasta mixture to a serving bowl. Top with the crispy sage leaves, toasted walnuts, and shaved parmesan or romano cheese. Serve immediately while warm.
Notes
- Choose your favorite variety of mushrooms for best flavor—cremini or shiitake add earthiness, chanterelles offer a delicate floral note.
- To toast walnuts, spread them in a dry skillet over medium heat and stir frequently until fragrant and lightly browned, about 3-5 minutes.
- For a lighter version, substitute half and half with whole milk but expect a thinner sauce.
- If you prefer a spicier dish, use hot Italian sausage instead of sweet.
- Save some pasta water to help loosen and emulsify the sauce for better coating.
- This dish pairs wonderfully with a crisp white wine or a light red like Pinot Noir.
- Prep Time: 15 minutes
- Cook Time: 30 minutes
- Category: Main Dish
- Method: Frying
- Cuisine: Italian