This is the ultimate autumn comfort food recipe, with sweet butternut squash and savory Italian sausage simmering together to create a rich ragù. A splash of white wine adds extra depth, while caramelized shallots and Pecorino Romano give every bite a delicious savory flavor.
Let's get started!
- Heat 2 tablespoons of olive oil in a large casserole or Dutch oven over medium heat. Add the sausage and brown it, breaking it into small meatball-sized pieces as you go. Cook for about 5 to 7 minutes, until the sausage is nicely browned on all sides. Remove from the pan and set aside.
- Add the remaining 2 tablespoons of olive oil to the same pan. Add the shallots and garlic and season with salt. Reduce the heat to medium-low and cook for about 10 minutes, stirring occasionally, until everything is soft and caramelized. If the bottom of the pan browns too quickly, add a splash of water and scrape up the browned bits.
- Increase the heat to medium-high. Add the butternut squash and season with salt and freshly ground black pepper. Cook for about 5 minutes, stirring occasionally.
- Add the white wine and again scrape up any browned bits from the bottom of the pan. Then stir in the honey.
- Return the sausage to the pan and add the thyme sprigs. Bring to a boil, then reduce the heat to low and cover the pan. Simmer gently for 15 to 20 minutes, until the squash is very tender.
- Meanwhile, bring a large pot of generously salted water to a boil. Cook the orecchiette according to the package directions until al dente. Before draining, reserve 250 ml of the cooking water.
- Remove the thyme sprigs from the sauce. Add the orecchiette and the reserved cooking water to the squash mixture. Return the heat to medium-high and cook, stirring, for another 2 to 3 minutes, until some of the squash breaks down and forms a thick, silky sauce that beautifully coats the pasta.
- Remove the pan from the heat and stir in the grated Pecorino Romano until the cheese has completely melted.
- If desired, spoon some ricotta over the pasta. Finish with chili flakes and a generous drizzle of extra virgin olive oil.



