Turkey Meatballs Pumpkin Sage

Featured in: Seasonal Family Dinners

These tender turkey meatballs are gently browned and simmered in a rich, creamy pumpkin and fresh sage sauce. The sauce is enhanced with garlic, thyme, and Parmesan, creating a comforting fall-inspired blend of flavors. Serve warm over your choice of pasta, mashed potatoes, or creamy polenta for a satisfying meal. This dish balances savory spices with a smooth, velvety texture that highlights seasonal ingredients.

Updated on Sun, 23 Nov 2025 09:36:00 GMT
A cozy scene: Turkey Meatballs with Pumpkin Sage Sauce served over creamy mashed potatoes. Save
A cozy scene: Turkey Meatballs with Pumpkin Sage Sauce served over creamy mashed potatoes. | pumpkinvale.com

Juicy turkey meatballs are simmered in a creamy, aromatic pumpkin sage sauce, capturing the essence of fall. Serve over pasta, mashed potatoes, or polenta for the ultimate comfort meal.

I have always loved how the pumpkin sage sauce adds a rich and creamy touch to lean turkey meatballs, making it a perfect cozy meal for cooler days.

Ingredients

  • Meatballs: 1.5 lbs (680 g) ground turkey (preferably 93% lean), 1/2 cup (30 g) panko breadcrumbs, 1/4 cup (25 g) grated Parmesan cheese, 1 large egg lightly beaten, 1/4 cup (35 g) 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 oz / 425 g) can pumpkin puree (not pumpkin pie filling), 1 cup (240 ml) chicken broth, 1/2 cup (120 ml) heavy cream, 1/4 cup (25 g) grated Parmesan cheese, 2 tablespoons chopped fresh sage, 1 teaspoon dried thyme, 1/4 teaspoon ground nutmeg, salt and pepper to taste
  • For Serving and Garnish: Fresh sage leaves, grated Parmesan cheese, red pepper flakes (optional)

Instructions

Prepare the Meatballs:
In a large bowl gently combine ground turkey panko breadcrumbs Parmesan egg onion garlic sage thyme salt and pepper. Mix until just combined do not overwork.
Form the Meatballs:
Shape the mixture into about 24 meatballs (1-inch diameter). Place on a parchment-lined plate or baking sheet.
Brown the Meatballs:
Heat 1 tablespoon olive oil in a large skillet over medium heat. Brown the meatballs in batches turning to brown all sides about 2–3 minutes per side. Remove and set aside.
Sauté Aromatics:
In the same skillet add 1 tablespoon olive oil. Sauté chopped onion over medium heat until soft about 5 minutes. Add garlic cook for 1 minute until fragrant.
Make the Sauce:
Stir in pumpkin puree and chicken broth. Bring to a simmer and cook 5 minutes stirring occasionally.
Add Cream and Seasonings:
Lower heat add heavy cream Parmesan chopped sage thyme and nutmeg. Season with salt and pepper. Simmer 5–10 minutes stirring until slightly thickened.
Simmer Meatballs in Sauce:
Gently add browned meatballs to the sauce submerging them. Cover and simmer on low for 15–20 minutes until meatballs reach 165°F (74°C) internally and sauce thickens.
Check for Doneness:
Cut one meatball to ensure it is cooked through.
Serve:
Spoon meatballs and sauce over pasta mashed potatoes or polenta. Garnish with fresh sage extra Parmesan and red pepper flakes if desired.
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| pumpkinvale.com

My family gathers around this dish every fall, enjoying the warm flavors and cozy atmosphere it brings to the table.

Notes

Browning meatballs before simmering adds depth of flavor. For gluten-free use GF breadcrumbs. For dairy-free substitute heavy cream with coconut or cashew cream and Parmesan with a dairy-free alternative. Both meatballs and sauce can be made ahead and stored separately in the fridge up to 3 days or freezer up to 3 months.

Required Tools

Large mixing bowl Large skillet with lid Wooden spoon or spatula Baking sheet or plate Measuring cups and spoons Small cookie scoop (optional) Instant-read thermometer (recommended)

Allergen Information

Contains Milk (Parmesan cheese heavy cream) Egg Gluten (panko breadcrumbs unless using gluten-free) Always check labels for hidden allergens if substituting ingredients.

Tender turkey meatballs swim in rich pumpkin sage sauce, perfect for a warming autumn meal. Save
Tender turkey meatballs swim in rich pumpkin sage sauce, perfect for a warming autumn meal. | pumpkinvale.com

This recipe brings a perfect balance of savory and seasonal flavors that will quickly become a family favorite.

Recipe FAQs

How can I prevent the meatballs from becoming tough?

Mix the meatball ingredients gently and avoid overworking the mixture to keep them tender and juicy.

What pumpkin product should I use for the sauce?

Use plain pumpkin puree, not pumpkin pie filling, to maintain the right flavor and consistency in the sauce.

Can I make this dish gluten-free?

Yes, substitute regular panko breadcrumbs with gluten-free breadcrumbs to keep the texture without gluten.

How do I know when the meatballs are fully cooked?

Ensure meatballs reach an internal temperature of 165°F (74°C) and cut one to check for no pink inside.

What are some suitable substitutes for dairy ingredients?

Use coconut or cashew cream instead of heavy cream and dairy-free cheese alternatives in place of Parmesan.

Turkey Meatballs Pumpkin Sage

Tender turkey meatballs in a creamy pumpkin sage sauce, ideal with pasta or mashed potatoes.

Prep Time
20 minutes
Cook Time
45 minutes
Time Needed
65 minutes
Created by Emma Wallace


Skill Level Medium

Cuisine Type American

Makes 6 Serving Size

Diet Information None specified

Ingredient List

Meatballs

01 1.5 lbs ground turkey (93% lean)
02 1/2 cup panko breadcrumbs
03 1/4 cup grated Parmesan cheese
04 1 large egg, lightly beaten
05 1/4 cup finely chopped yellow onion
06 2 cloves garlic, minced
07 1 tablespoon fresh sage, chopped
08 1 teaspoon dried thyme
09 1/2 teaspoon salt
10 1/4 teaspoon black pepper
11 1 tablespoon olive oil (for browning)

Pumpkin Sage Sauce

01 1 tablespoon olive oil
02 1 small yellow onion, finely chopped
03 2 cloves garlic, minced
04 1 can (15 oz) pumpkin puree (not pie filling)
05 1 cup chicken broth
06 1/2 cup heavy cream
07 1/4 cup grated Parmesan cheese
08 2 tablespoons fresh sage, chopped
09 1 teaspoon dried thyme
10 1/4 teaspoon ground nutmeg
11 Salt and pepper, to taste

Serving and Garnish

01 Fresh sage leaves
02 Grated Parmesan cheese
03 Red pepper flakes (optional)

How to Make

Step 01

Combine meatball ingredients: In a large bowl, gently mix ground turkey, panko, Parmesan, egg, onion, garlic, sage, thyme, salt, and pepper until just combined without overworking.

Step 02

Shape meatballs: Form mixture into approximately 24 meatballs, about 1 inch in diameter, and place on a parchment-lined plate or baking sheet.

Step 03

Brown meatballs: Heat 1 tablespoon olive oil in a large skillet over medium heat and brown meatballs in batches, turning to evenly brown all sides, about 2 to 3 minutes per side. Remove and set aside.

Step 04

Sauté aromatics: In the same skillet, add 1 tablespoon olive oil. Sauté chopped onion over medium heat until softened, about 5 minutes. Add garlic and cook 1 minute until fragrant.

Step 05

Prepare pumpkin sauce base: Stir in pumpkin puree and chicken broth. Bring to a simmer and cook for 5 minutes, stirring occasionally.

Step 06

Add cream and seasonings: Reduce heat and stir in heavy cream, Parmesan, fresh sage, thyme, nutmeg, salt, and pepper. Simmer 5 to 10 minutes until sauce thickens slightly, stirring occasionally.

Step 07

Simmer meatballs in sauce: Gently nestle browned meatballs into the sauce, cover, and simmer on low for 15 to 20 minutes, until meatballs reach an internal temperature of 165°F.

Step 08

Verify doneness: Cut one meatball to ensure it is cooked through.

Step 09

Serve and garnish: Serve meatballs and sauce over pasta, mashed potatoes, or polenta. Garnish with fresh sage, extra Parmesan, and red pepper flakes if desired.

Equipment Needed

  • Large mixing bowl
  • Large skillet with lid
  • Wooden spoon or spatula
  • Baking sheet or plate
  • Measuring cups and spoons
  • Small cookie scoop (optional)
  • Instant-read thermometer

Allergy Details

Review ingredients for allergens and ask a healthcare expert if unsure.
  • Contains milk (Parmesan, heavy cream), egg, and gluten (panko breadcrumbs unless substituted).

Nutritional Breakdown (per serving)

Details shown are for general guidance and aren't a medical substitute.
  • Caloric Content: 355
  • Fats: 20 g
  • Carbohydrates: 16 g
  • Proteins: 27 g