Begin by boiling water in a large pot. Add the pasta and cook according to package instructions until al dente. Reserve about 1/2 cup of pasta water and then drain the rest.

In a large skillet, heat a splash of olive oil over medium heat. Add the diced butternut squash and sauté for about 8-10 minutes, or until it’s tender and slightly caramelized.

Add the minced garlic and sliced beef sausage to the skillet. Continue to cook, allowing the sausage to brown for another 4-5 minutes.

Pour in the heavy cream and add salt and pepper to taste. Stir until everything is combined, then use a masher to slightly mash the squash, giving a creamy texture.

Add the drained pasta and spinach to the skillet, stirring to combine. If the sauce is too thick, add reserved pasta water to reach your desired consistency.

Plate your delicious dish, adding a sprinkling of cheese or fresh herbs if desired. Enjoy warm and relish in the flavors!