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Ingredients
  • 1 pound pasta
  • 2 tablespoons unsalted butter
  • 1 tablespoon minced garlic
  • 1 ¼ cups heavy cream, at room temperature
  • 1 ¼ cups grated Parmesan
  • ¾ teaspoon kosher salt
  • ½ teaspoon ground black pepper
  • ¼ teaspoon ground nutmeg
  • 1 cup pumpkin puree*
  • Fresh sage, chopped (optional)
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