Turkey Meatballs Pumpkin Sage Sauce

Category: The Heart of the Meal

Experience ultimate autumn comfort food with juicy turkey meatballs enveloped in a creamy, aromatic pumpkin sage sauce. The subtle sweetness of pumpkin combines seamlessly with earthy sage, while Parmesan adds richness and depth. These meatballs are easy to prepare and perfect for both weeknight dinners and special gatherings. Gentle simmering allows the flavors to meld beautifully, filling your kitchen with an inviting aroma. Serve with extra Parmesan or fresh sage for a truly memorable meal that balances warmth, flavor, and texture in every bite.

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Updated on Sun, 05 Oct 2025 17:28:43 GMT
A bowl of food with meatballs and herbs. Save
A bowl of food with meatballs and herbs. | sweetbyemma.com

This comforting recipe for Turkey Meatballs with Pumpkin Sage Sauce transforms a simple weeknight meal into something extraordinary for fall. Every bite brings together juicy, tender turkey meatballs and a rich velvety sauce infused with earthy sage and the natural sweetness of pumpkin. It fills your kitchen with an incredible autumn aroma that calls everyone to the table.

I first made this on a chilly October night when we were craving something new beyond classic pasta sauce. Now my family requests it as soon as the leaves start turning every year.

Ingredients

  • Ground turkey: Using 93 percent lean gives a juicy texture while keeping it lighter than beef choose high quality fresh turkey for best results
  • Panko breadcrumbs: These make the meatballs especially tender look for Japanese style panko for the crispiest texture
  • Parmesan cheese: Freshly grated adds a savory boost to both the meatballs and sauce go for a wedge and grate it yourself
  • Egg: Acts as the binder so your meatballs hold together well use a large farm fresh egg if possible
  • Yellow onion: Finely chopped for sweetness and depth be sure your onion is fresh and firm
  • Garlic: Minced for bold flavor look for plump tight cloves
  • Fresh sage: Bright earthy and aromatic chop just before adding for fullest flavor
  • Dried thyme: Offers subtle woodsy notes always check your dried herbs for freshness
  • Salt: Essential for bringing everything together use kosher salt for best seasoning control
  • Black pepper: Adds a little peppery backbone try freshly ground
  • Olive oil: For browning meatballs and building flavor pick a fruity extra virgin oil if you have it
  • Pumpkin puree: Brings natural sweetness and creamy consistency go for a pure pumpkin puree not pie filling
  • Chicken broth: Adds depth and helps thin the sauce use a high quality low sodium option
  • Heavy cream: Makes the sauce velvety and indulgent organic cream gives best richness
  • Nutmeg: A dash lifts the pumpkin notes freshly grated packs more aroma
  • Optional garnishes: Fresh sage leaves grated Parmesan and red pepper flakes for pop and finish

Step-by-Step Instructions

Mix and Shape the Meatballs:
Combine ground turkey panko Parmesan egg onion garlic fresh sage dried thyme salt and pepper in a large bowl Mix very gently with your hands just until combined Overmixing makes meatballs tough Form mixture into golf ball sized rounds and place them on a plate
Brown the Meatballs:
Heat olive oil in a large skillet over medium heat Once shimmering add the meatballs in a single layer Cook them without moving for three to four minutes to get a nice brown crust Flip gently and continue cooking until browned on all sides Remove to a plate they will finish cooking in the sauce
Cook the Aromatics for the Sauce:
Lower the heat and add more olive oil to the skillet if needed Add the onion Cook over medium low for about five minutes stirring occasionally until translucent and golden Stir in the garlic and cook just one minute more to keep it fragrant not brown
Build the Pumpkin Sage Sauce:
Add pumpkin puree to onions and garlic Stir to combine then pour in chicken broth Mix well scraping any browned bits from the skillet Bring to a low simmer and cook for four minutes letting the flavors meld
Finish the Sauce and Meatballs:
Stir in heavy cream Parmesan fresh sage dried thyme and nutmeg Add salt and black pepper to taste Nestle the browned meatballs back into the sauce Cover and simmer on low twelve to fifteen minutes until meatballs are thoroughly cooked through and sauce has thickened slightly Carefully turn the meatballs once or twice as they simmer
Garnish and Serve:
Transfer meatballs and sauce to a serving dish Scatter on some fresh sage more Parmesan and a pinch of red pepper flakes if you like Serve hot over pasta polenta or with crusty bread to soak up the sauce
A bowl of meatballs with sauce. Save
A bowl of meatballs with sauce. | sweetbyemma.com

The sage is my favorite ingredient by far Nothing says autumn to me like its earthy aroma and I still remember my kids sneaking into the kitchen just to ask what smelled so good. Every time I make this dish I think of those happy noisy evenings around our old wooden table.

Storage Tips

Let leftovers cool completely then transfer to an airtight container Store in the fridge up to four days For longer storage freeze the meatballs and sauce together defrost overnight in the fridge and reheat gently on the stove or in the microwave stirring occasionally

Ingredient Substitutions

You can easily swap ground chicken for turkey or use a mix of dark and white meat For a dairy free version use coconut cream and nutritional yeast in the sauce Gluten free panko or even rolled oats work if you are out of breadcrumbs And do not be afraid to sub in butternut squash for pumpkin when that is what you have

Serving Suggestions

These meatballs are heavenly over buttered egg noodles creamy mashed potatoes or spooned onto soft polenta If you love veggies serve them with roasted Brussels sprouts or a crisp fall salad For entertaining I add a basket of crusty sourdough bread so everyone can mop up every last bit

Cultural and Historical Context

Meatballs have roots in so many cuisines from Italian polpette to Swedish köttbullar The classic American meatball is usually paired with red sauce but this version blends fall flavors inspired by American harvest traditions and European comfort food The addition of pumpkin and sage gives a unique seasonal twist that stands out at any gathering

Recipe FAQs

→ What type of turkey works best for these meatballs?

Use ground turkey that's about 93% lean for a perfect balance of juiciness and flavor in your meatballs.

→ Can I substitute fresh sage with dried sage?

Yes, you can use dried sage, but reduce the amount to avoid overpowering the sauce. Fresh sage gives the most vibrant flavor.

→ How do I prevent the meatballs from falling apart?

Properly mix the egg, panko, and Parmesan into the turkey mixture. Avoid overworking the meat to keep the texture light.

→ Can I make this dish ahead of time?

Yes, both meatballs and sauce can be prepared in advance. Reheat gently on the stovetop before serving for best results.

→ What are tasty serving suggestions for this dish?

Pair with pasta, mashed potatoes, or crusty bread to soak up the luscious pumpkin sage sauce, and garnish with fresh herbs.

Turkey Meatballs Pumpkin Sage Sauce

Juicy turkey meatballs coat in a creamy pumpkin sage sauce for a warming, autumn-inspired dinner.

Prep Time
20 min
Cook Time
30 min
Total Time
50 min
By: Emma

Category: Main Courses

Skill Level: Moderate

Cuisine: American

Yield: 4 Servings

Dietary Preferences: ~

What You'll Need

→ Turkey Meatballs

01 1.5 lbs ground turkey (93% lean preferred)
02 0.5 cup panko breadcrumbs
03 0.25 cup grated Parmesan cheese
04 1 large egg, lightly beaten
05 0.25 cup finely chopped yellow onion
06 2 cloves garlic, minced
07 1 tablespoon chopped fresh sage
08 1 teaspoon dried thyme
09 0.5 teaspoon salt
10 0.25 teaspoon black pepper
11 1 tablespoon olive oil (for browning)

→ Pumpkin Sage Sauce

12 1 tablespoon olive oil
13 1 small yellow onion, finely chopped
14 2 cloves garlic, minced
15 1 (15 ounce) can pumpkin puree (not pumpkin pie filling)
16 1 cup chicken broth
17 0.5 cup heavy cream
18 0.25 cup grated Parmesan cheese
19 2 tablespoons chopped fresh sage
20 1 teaspoon dried thyme
21 0.25 teaspoon nutmeg
22 Salt and pepper to taste

→ Optional Garnishes

23 Fresh sage leaves
24 Grated Parmesan cheese
25 Red pepper flakes

How to Make It

Step 01

In a large bowl, combine ground turkey, panko breadcrumbs, Parmesan cheese, egg, onion, garlic, sage, thyme, salt, and black pepper. Mix gently until ingredients are evenly incorporated, being careful not to overmix.

Step 02

Shape the meatball mixture into approximately 1.5-inch balls. Heat 1 tablespoon of olive oil in a large skillet over medium heat. Add the meatballs and brown on all sides, working in batches if necessary. Remove and set aside.

Step 03

In the same skillet, heat 1 tablespoon of olive oil over medium heat. Add the onion and garlic, cooking until softened, about 3 minutes. Stir in the pumpkin puree, chicken broth, heavy cream, Parmesan cheese, sage, thyme, nutmeg, and season with salt and pepper to taste. Simmer for 5 minutes, stirring occasionally.

Step 04

Return the browned meatballs to the skillet with the sauce. Cover and simmer on low heat for 10-12 minutes, or until the meatballs are fully cooked and the sauce has thickened.

Step 05

Serve the meatballs with the pumpkin sage sauce. Garnish with fresh sage leaves, grated Parmesan cheese, and red pepper flakes, if desired.

Additional Notes

  1. To avoid overmixing the meatball mixture, use a gentle folding motion to combine ingredients. This helps retain a tender texture.
  2. The sauce can be made ahead of time and reheated for easier meal prep.

Tools Required

  • Large mixing bowl
  • Large skillet
  • Wooden spoon
  • Measuring cups and spoons

Allergen Information

Double-check each ingredient for allergens and reach out to a healthcare professional if you're unsure.
  • Contains dairy (Parmesan cheese, heavy cream)
  • Contains gluten (panko breadcrumbs)
  • Contains eggs (in meatball mixture)

Nutritional Information (Per Serving)

These nutrition details are provided as a guide and are not a substitute for professional medical advice.
  • Calories: 350
  • Fats: 20 g
  • Carbohydrates: 12 g
  • Proteins: 30 g