Turkey Meatballs Pumpkin Sauce

Featured in: Hearty Family Meals

This comforting dish features juicy turkey meatballs gently browned and simmered in a creamy pumpkin sauce infused with fresh sage, thyme, and garlic. The rich, aromatic sauce blends pumpkin puree with Parmesan and cream to perfectly complement the savory meatballs. Ideal for serving over pasta, mashed potatoes, or polenta, it offers a warm, fall-inspired flavor profile. Key steps include careful mixing to keep meatballs tender, browning for depth, and slow simmering to infuse flavors. Garnish with fresh sage and a sprinkle of Parmesan for added aroma and taste.

Updated on Sun, 23 Nov 2025 11:49:00 GMT
Dish of warm Turkey Meatballs with Pumpkin Sage Sauce, a comforting fall dinner, ready to eat. Save to Pinterest
Dish of warm Turkey Meatballs with Pumpkin Sage Sauce, a comforting fall dinner, ready to eat. | honeyprairie.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 enjoy making these turkey meatballs in the cooler months when the pumpkin sauce fills the kitchen with a warm, inviting aroma that always reminds me of cozy family dinners.

Ingredients

  • For the 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)
  • For the 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 its 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.
Creamy pumpkin sauce covers tender Turkey Meatballs with Pumpkin Sage Sauce served over pasta, a tasty meal. Save to Pinterest
Creamy pumpkin sauce covers tender Turkey Meatballs with Pumpkin Sage Sauce served over pasta, a tasty meal. | honeyprairie.com

This recipe always brings my family together around the table, creating warm memories especially during the fall season.

Allergen Information

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

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).

Nutritional Information

Calories: 355, Total Fat: 20 g, Carbohydrates: 16 g, Protein: 27 g per serving.

Close-up of a bowl of Turkey Meatballs with Pumpkin Sage Sauce with fresh sage garnish, sounds delicious! Save to Pinterest
Close-up of a bowl of Turkey Meatballs with Pumpkin Sage Sauce with fresh sage garnish, sounds delicious! | honeyprairie.com

This dish makes a satisfying, flavorful meal that’s perfect for sharing any time of year.

Questions & Answers

How can I keep the turkey meatballs tender?

Mix the meatball ingredients gently and avoid overworking the mixture to maintain a tender texture.

What is the purpose of browning the meatballs before simmering?

Browning adds depth of flavor and a pleasing texture to the exterior before they simmer in the sauce.

Can I substitute heavy cream in the pumpkin sauce?

Yes, coconut or cashew cream works well for a dairy-free alternative without sacrificing creaminess.

What sides pair well with turkey meatballs in pumpkin sauce?

Pasta, mashed potatoes, or creamy polenta are excellent bases to serve with the meatballs and sauce.

Is it possible to prepare this dish ahead of time?

Both meatballs and sauce can be made in advance and stored separately in the fridge for up to 3 days or frozen for up to 3 months.

Turkey Meatballs Pumpkin Sauce

Savory turkey meatballs in a creamy pumpkin sage sauce with aromatic herbs and spices.

Prep duration
20 minutes
Cook duration
45 minutes
Overall time needed
65 minutes
Recipe by Honey Prairie Abigail Greene


Skill Level Medium

Cuisine type American

Makes 6 Number of portions

Diet specifications None specified

What You'll Need

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 chopped fresh sage
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 pumpkin pie filling)
05 1 cup chicken broth
06 1/2 cup heavy cream
07 1/4 cup grated Parmesan cheese
08 2 tablespoons chopped fresh sage
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 It

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, avoiding overmixing.

Step 02

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

Step 03

Brown Meatballs: Heat olive oil in a large skillet over medium heat. Brown the meatballs in batches, turning to achieve an even golden crust, about 2 to 3 minutes per side. Set aside.

Step 04

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

Step 05

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

Step 06

Incorporate Cream and Seasonings: Reduce heat, then add heavy cream, Parmesan, sage, thyme, nutmeg, salt, and pepper. Simmer gently for 5 to 10 minutes until slightly thickened, stirring frequently.

Step 07

Simmer Meatballs in Sauce: Add browned meatballs to the sauce, submerging them completely. Cover and simmer on low heat for 15 to 20 minutes until meatballs reach an internal temperature of 165°F (74°C) and sauce thickens.

Step 08

Verify Doneness: Cut one meatball to confirm thorough cooking before serving.

Step 09

Serve and Garnish: Plate meatballs and sauce over pasta, mashed potatoes, or polenta. Garnish with fresh sage leaves, extra Parmesan, and optional red pepper flakes.

Essential 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

Allergy Details

Go through all ingredients to spot potential allergies. If unsure, check with a health expert.
  • Contains milk, egg, gluten (unless using gluten-free breadcrumbs)

Nutrition details (per portion)

Details for informational use only — not a substitute for a medical professional.
  • Energy (calories): 355
  • Lipids: 20 g
  • Carbohydrates: 16 g
  • Proteins: 27 g