
Creamy sage sauce transforms ordinary butternut squash ravioli into a restaurant-quality meal with minimal effort. This velvety sauce strikes the perfect balance – rich and indulgent with aromatic sage and garlic that perfectly complement the natural sweetness of butternut squash filling. Ready in just minutes, it elevates store-bought or homemade ravioli into something truly special that feels like dining out.
I discovered this sauce recipe years ago when hosting a fall dinner party. Everyone assumed I'd spent hours in the kitchen, but it was actually the simplest part of the meal. Now it's my go-to for transforming ordinary weeknight dinners into something special without any fuss. My husband claims he could drink this sauce straight from a cup!
Key Ingredients for a Creamy Sage Sauce
- Unsalted Butter (2 tbsp): Forms a rich foundation and carries the sage flavor throughout the sauce.
- Garlic (2 Cloves, Minced): Provides depth and aromatic flavor that complements the squash.
- Fresh Sage Leaves (6-8): Contributes a distinctive herbal note that pairs beautifully with butternut squash.
- Heavy Cream (1 Cup): Creates a luxurious, velvety texture for the sauce.
- Parmesan Cheese (½ Cup, Freshly Grated): Adds nutty saltiness while helping to thicken the sauce.
- Salt (½ tsp): Enhances all the other flavors and balances the richness.
- Black Pepper (¼ tsp): Provides subtle warmth and depth to round out the dish.
Step-by-Step Instructions
Follow these steps to create a rich and creamy sage sauce:
- Prepare the Aromatics
- Melt butter over medium heat until it begins to foam. Add minced garlic and sage, stirring frequently. Cook for 1-2 minutes until fragrant but not browned.
- Create the Sauce Base
- Reduce heat to low and pour in heavy cream, whisking gently. Simmer for 5-7 minutes, stirring occasionally.
- Add Cheese and Seasonings
- Stir in Parmesan cheese, salt, and pepper. Mix until smooth. If the sauce thickens too much, add a small splash of pasta water or vegetable broth.
- Combine with Ravioli
- Cook butternut squash ravioli according to package instructions. Transfer directly to the sauce, gently tossing to coat.
- Serve and Garnish
- Plate ravioli and garnish with extra Parmesan cheese, toasted nuts, or a sprinkle of red pepper flakes.

Perfect Pairings
This creamy ravioli dish pairs beautifully with a simple arugula salad dressed with lemon vinaigrette. The peppery greens and bright acidity cut through the richness of the cream sauce and create a perfectly balanced meal. For special occasions, a glass of buttery Chardonnay or light Pinot Noir complements the flavors wonderfully. Crusty artisan bread is also a great addition for soaking up every bit of the luxurious sauce, and roasted vegetables like Brussels sprouts or asparagus make excellent side dishes.
Make It Your Own
What I love about this sauce is how easily it can be customized. For a more complex flavor profile, add a pinch of nutmeg or a touch of lemon zest. If you prefer a bit of heat, a sprinkle of red pepper flakes livens things up. During autumn, I sometimes add a tablespoon of pure maple syrup for a subtle sweetness that enhances the squash filling.

I remember the first time I made this sauce, I was nervous about it separating, so I kept the heat too low and ended up with a sauce that wouldn't thicken. After some experimentation, I found that the key is moderate heat when reducing the cream, then very low heat once the cheese is added. Now I make this sauce with complete confidence, and it's become one of those recipes I can prepare without even measuring – the mark of a truly beloved kitchen staple.
Frequently Asked Questions
- → Can I use dried sage instead of fresh sage leaves?
- While fresh sage provides the best flavor, you can substitute with 1-2 teaspoons of dried sage if necessary. Add it at the same time as the garlic, but expect a slightly less vibrant herb flavor in the final sauce.
- → How can I make this sauce lighter?
- For a lighter version, substitute half of the heavy cream with half-and-half or whole milk. The sauce won't be quite as rich but will still have a lovely creamy texture. You can also reduce the butter to 1 tablespoon if desired.
- → What pasta shapes work best with this Sage Butter Cream Sauce?
- This sauce pairs beautifully with filled pasta like ravioli or tortellini, especially butternut squash or pumpkin varieties. It also works well with ribbon pastas like fettuccine, pappardelle, or tagliatelle that can hold the creamy sauce.
- → Can I make this sauce ahead of time?
- This sauce is best made fresh, but you can prepare it up to 24 hours ahead and refrigerate. When reheating, do so gently over low heat, whisking occasionally. You may need to add a splash of cream or milk if it's too thick after refrigeration.
- → What can I add to this sauce for variations?
- For different flavor profiles, try adding: a pinch of nutmeg for warmth; a tablespoon of lemon juice for brightness; crispy pancetta or bacon bits for a savory element; or a handful of toasted pine nuts or walnuts for texture. You can also substitute the Parmesan with Pecorino Romano for a stronger flavor.