As the crisp air of fall settles in, I find myself drawn to the kitchen, ready to embrace the season’s warming flavors. Today, I want to share my beloved recipe for Turkey Meatballs in Pumpkin Sage Sauce, a delightful dish that brings comfort to chilly evenings. These tender meatballs, infused with aromatic sage and nestled in a creamy pumpkin sauce, not only deliver a nutritious punch but also take just a short time to prepare. Perfect for gathering loved ones around the dinner table, this dish will make your home feel like a cozy autumn retreat. Are you ready to discover how to create this comforting meal that showcases seasonal ingredients?

Why Are Turkey Meatballs So Comforting?
Heartwarming Flavor: The combination of juicy turkey meatballs and rich pumpkin sage sauce creates a cozy experience that warms every bite.
Seasonal Ingredients: Using fresh, seasonal fall ingredients elevates the dish, making it a perfect choice for autumn dining.
Quick & Easy: With a simple preparation process, you can whip up this dish in no time, perfect for busy weeknights.
Nutritional Balance: Packed with lean protein and nutritious pumpkin, this recipe supports a wholesome lifestyle without sacrificing flavor. For additional autumnal inspiration, check out my Pumpkin Cupcakes Moist!
Crowd-Pleasing Appeal: Whether it’s a family dinner or a cozy gathering, this dish is sure to impress everyone at the table.
Turkey Meatballs in Pumpkin Sage Sauce Ingredients
For the Meatballs
- Ground Turkey – Provides lean protein base; using ground beef will alter flavor and texture.
- Fresh Breadcrumbs – Adds moisture and lightness; panko can be substituted if needed.
- Milk – Soaks breadcrumbs for added moisture.
- Onion – Offers sweetness and depth of flavor; use finely minced.
- Garlic – Enhances overall flavor; fresh is preferred.
- Fresh Sage – Aids in flavor profile—key herb for fall.
- Italian Seasoning – Adds balanced herb flavors; can be substituted with your favorite blend.
- Egg – Binds the meatball ingredients together.
- Parmesan Cheese – Provides richness and flavor; can replace with a lighter cheese for a healthier version.
For the Pumpkin Sage Sauce
- Organic Pumpkin Puree – Base of the sauce; creates richness and seasonal flavor; canned or homemade can be used.
- Heavy Cream – Adds creaminess to the sauce; substitute with half-and-half for a lighter option.
This Turkey Meatballs in Pumpkin Sage Sauce recipe is sure to become a fall favorite in your home!
Step‑by‑Step Instructions for Turkey Meatballs in Pumpkin Sage Sauce
Step 1: Prepare Meatball Mixture
Start by soaking fresh breadcrumbs in milk for about 5 minutes in a large mixing bowl; this adds moisture. Then, add the ground turkey, finely minced onion, minced garlic, fresh sage, Italian seasoning, egg, and Parmesan cheese. Use your hands to mix gently until just combined, taking care not to overwork the mixture to avoid tough meatballs.
Step 2: Form Meatballs
Lightly moisten your hands and scoop out portions of the turkey mixture, shaping them into even meatballs, about 1 inch in diameter. Aim for uniform size so they cook evenly. Place the meatballs on a lined baking sheet as you form them, ensuring they are spaced apart to promote even cooking when frying later.
Step 3: Cook Meatballs
Heat a large skillet over medium heat and add a drizzle of oil. Once shimmering, place the meatballs in the skillet, leaving enough space between them. Cook for about 10–15 minutes, turning occasionally, until they develop a golden-brown crust on all sides. Use a meat thermometer to ensure they reach an internal temperature of 165°F for safe consumption.
Step 4: Make Pumpkin Sage Sauce
In a separate saucepan, combine the organic pumpkin puree and heavy cream. Stir in freshly chopped sage and a bit of Parmesan cheese over medium-low heat. Allow the mixture to gently simmer for about 5–7 minutes, stirring occasionally until it is creamy and well blended, creating a luscious pumpkin sage sauce that complements the meatballs perfectly.
Step 5: Combine
Once the meatballs are cooked, transfer them to the pumpkin sage sauce in the saucepan. Carefully stir to coat each meatball with the rich sauce, letting them simmer together on low heat for about 3–5 minutes. This allows the flavors to meld beautifully, creating a comforting dish that embodies the essence of fall and is sure to be a hit at your dinner table.

Storage Tips for Turkey Meatballs in Pumpkin Sage Sauce
Fridge: Store cooked turkey meatballs in pumpkin sage sauce in an airtight container for up to 3 days for optimal freshness and flavor.
Freezer: If you want to keep meatballs for longer, freeze them in a single layer on a baking sheet before transferring to an airtight container or freezer bag for up to 3 months.
Reheating: Gently reheat the turkey meatballs in pumpkin sage sauce on the stovetop over low heat, stirring occasionally until warmed through. Avoid boiling to maintain creaminess.
Pre-Made Convenience: You can also freeze uncooked meatballs, laying them flat on a tray to prevent sticking. Simply cook from frozen when ready to enjoy!
Expert Tips for Turkey Meatballs in Pumpkin Sage Sauce
- Use Fresh Ingredients: Fresh herbs and ingredients greatly enhance the flavors. Opt for fresh sage and minced garlic for the best results.
- Avoid Overmixing: When mixing your turkey meatball ingredients, be gentle to prevent tough meatballs. Over-mixing leads to a dense texture which we want to avoid!
- Perfectly Even Sizes: Shape your meatballs uniformly to ensure they cook evenly. This helps each meatball achieve that golden crust we all love.
- Customize Your Sauce: Feel free to adjust the creaminess of the sauce. For a lighter version of the Turkey Meatballs in Pumpkin Sage Sauce, switch heavy cream for half-and-half.
- Make-Ahead Storage: For convenience, prepare meatballs and sauce separately, then refrigerate. Reheat gently before serving to maintain the sauce’s creamy texture.
- Check Temperature: Use a meat thermometer to ensure meatballs are cooked thoroughly. Ideal internal temperature is 165°F for safe and juicy meatballs.
Turkey Meatballs in Pumpkin Sage Sauce Variations
Feel free to explore these delightful twists and substitutions to make this dish uniquely yours!
- Beef or Chicken: Substitute ground turkey with ground beef or chicken for a slightly different flavor experience. This small change can create a wonderfully new dish!
- Dairy-Free: Swap heavy cream for full-fat coconut milk to create a dairy-free pumpkin sage sauce that is still creamy and delicious. The coconut flavor adds a delightful hint of sweetness!
- Cheese Lovers: Incorporate crumbled feta or goat cheese for an added tangy flavor in the meatballs. This twist brings an unexpected zest that pairs wonderfully with pumpkin!
- Pumpkin Spice Kick: Add a pinch of nutmeg or cinnamon to the sauce for extra warmth and depth, evoking all the cozy fall vibes. Your kitchen will smell heavenly while you cook!
- Vegetarian Option: For a vegetarian dish, substitute meatballs with lentil or chickpea patties. Serve them in the pumpkin sage sauce for a hearty and delicious meal.
- Grain-Free: Replace breadcrumbs with almond flour or crushed nuts for a gluten-free meatball option that keeps them moist while adding extra flavor.
- Extra Veggies: Add chopped spinach or kale to the sauce for an extra layer of nutrition and color. The greens will meld beautifully with the flavor of the pumpkin.
- Spicy Twist: Enhance the heat by adding crushed red pepper flakes to the meatballs or sauce. Just a little pinch can elevate the dish and make it exciting!
For more cozy fall recipes that celebrate the best flavors of the season, check out my Homemade Pumpkin Coffee or indulge in the rich flavors of Brown Butter Pumpkin desserts!
What to Serve with Turkey Meatballs in Pumpkin Sage Sauce
When the flavors of autumn fill your kitchen, it’s time to create a comforting meal that nourishes the soul.
- Creamy Mashed Potatoes: The smooth, buttery taste complements the savory meatballs, making every bite melt in your mouth.
- Garlic Roasted Brussels Sprouts: These crispy sprouts add a delightful crunch and earthy flavor, perfectly balancing the richness of the sauce.
- Sautéed Spinach: Fresh spinach provides a burst of color and nutrients, perfectly lightening up the hearty meatballs for a well-rounded meal.
- Cranberry Sauce: The tangy sweetness of cranberry sauce contrasts beautifully with savory flavors, creating a delightful harmony on your plate.
- Cheesy Polenta: Creamy polenta serves as a comforting base, soaking up all the delicious pumpkin sage sauce, making it a satisfying option.
- Mixed Green Salad: A refreshing salad with nuts and apples adds a crisp texture and hints of sweetness to this autumnal feast.
- Garlic Bread: This classic side is perfect for mopping up the rich sauce, providing a warm, satisfying crunch to each meal.
- Honey-Glazed Carrots: Roasted carrots bring subtle sweetness and a vibrant pop of color, enhancing the cozy atmosphere of the table.
- Chardonnay: A glass of this white wine’s crisp acidity pairs beautifully with the creamy sauce, enhancing the overall dining experience.
- Pumpkin Pie: End the meal on a sweet note with this classic dessert, bringing the essence of fall to your table.
Make Ahead Options
These Turkey Meatballs in Pumpkin Sage Sauce are a fantastic choice for meal prep, ensuring you can savor your favorite fall flavors even on the busiest of nights! You can prepare the meatballs up to 24 hours in advance by shaping them, placing them in an airtight container, and refrigerating. Additionally, the pumpkin sage sauce can be made up to 3 days ahead; simply store it in the fridge. When you’re ready to enjoy, reheat the meatballs in a skillet over medium heat until warmed through, then gently stir them into the warmed sauce for a cozy, delicious meal that tastes just as fresh as when you first made it.

Turkey Meatballs in Pumpkin Sage Sauce Recipe FAQs
How do I choose the best ground turkey for meatballs?
Absolutely! Look for ground turkey that is labeled as “lean” or “extra lean” for a healthy option. Fresh ground turkey should have a light pink color and minimal dark spots. It’s best to avoid frozen blocks, as they can often have added preservatives.
How long can I store leftover turkey meatballs in the fridge?
You can store cooked turkey meatballs in pumpkin sage sauce in an airtight container for up to 3 days. Be sure to let them cool to room temperature before sealing to prevent condensation, which can affect the sauce’s texture.
Can I freeze turkey meatballs in pumpkin sage sauce?
Yes, you can! Freeze turkey meatballs in pumpkin sage sauce by first allowing them to cool completely. Transfer them to an airtight container or freezer bag. They can be stored for up to 3 months. To reheat, gently warm them in a saucepan over low heat, stirring gently to keep the sauce creamy and smooth.
What should I do if my meatballs are too dry?
If your meatballs turn out dry, it could be due to overmixing or cooking them too long. To remedy this, add a touch more milk or cream to the mixture before cooking; it should help with moisture. For future attempts, mix the ingredients gently and keep an eye on the cooking time to create the perfectly moist bite.
Is this recipe suitable for those with dairy allergies?
Certainly! To make the Turkey Meatballs in Pumpkin Sage Sauce dairy-free, you can substitute the milk and heavy cream with almond or oat milk. Additionally, use a dairy-free cheese alternative for a similar creaminess and flavor. Always double-check the ingredient labels to avoid hidden allergens.
What can I serve with turkey meatballs in pumpkin sage sauce?
Very! This dish pairs wonderfully with mashed potatoes, gnocchi, or a light pasta. For a nutritious touch, consider a side of sautéed spinach or a fresh salad to balance out the richness of the sauce. Enjoy the comforting combination and feel free to get creative with your side dishes!

Delicious Turkey Meatballs in Pumpkin Sage Sauce for Fall Comfort
Ingredients
Equipment
Method
- Soak fresh breadcrumbs in milk for about 5 minutes, then add the ground turkey, onion, garlic, sage, Italian seasoning, egg, and Parmesan cheese. Mix gently until just combined.
- Lightly moisten your hands and scoop out portions of the mixture, shaping them into even meatballs about 1 inch in diameter. Place the meatballs on a lined baking sheet.
- Heat a large skillet over medium heat with a drizzle of oil. Cook the meatballs for about 10–15 minutes, turning occasionally, until golden-brown and cooked through.
- In a saucepan, combine pumpkin puree and heavy cream, stirring in chopped sage and Parmesan. Simmer for about 5–7 minutes until creamy.
- Add the cooked meatballs to the sauce, stir to coat, and let simmer on low heat for about 3–5 minutes.

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