Cook Pasta : In a large pot of salted water, cook pasta until al dente. Reserve ½ cup pasta water before draining.
Fry Sage : Heat olive oil in a skillet. Fry sage leaves until crisp (about 30 seconds). Remove and drain on paper towels.
Make Sauce Base : In the same skillet, melt butter. Add garlic and sauté until fragrant (about 1 minute).
Add Pumpkin : Stir in pumpkin puree and cook for 2 minutes to deepen flavor.
Creamy Mix : Pour in cream, stir, and bring to a gentle simmer. Add Parmesan and whisk until smooth.
Season : Add salt, pepper, and nutmeg (if using). If sauce is too thick, add pasta water or broth.
Combine : Toss drained pasta in the sauce until coated.
Finish u0026 Serve : Plate pasta, top with crispy sage, and sprinkle extra Parmesan.