Pumpkin Chicken Meatballs in Sage Cream Sauce is the kind of cozy, comforting dish that instantly makes your kitchen smell warm, inviting, and full of fall flavors. I remember the first time I made these meatballs , the pumpkin kept them unbelievably soft and tender, the sage cream sauce felt luxurious even though it was so simple, and the golden crust from pan-searing added the perfect depth. It’s one of those recipes that looks fancy but comes together easily, and the creamy sauce brings everything together in the most comforting way. This dish feels like something you’d serve on a cool autumn evening, a Sunday family dinner, or even a special date night. If you love creamy sauces, savory pumpkin recipes, and tender chicken meatballs, this dish becomes one of those recipes you return to again and again.
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Why You’ll Love This Recipe
• The meatballs stay incredibly tender thanks to pumpkin, which adds moisture without making the mixture heavy
• The sage cream sauce is rich and velvety, infused with garlic, parmesan, and fresh herbs for a restaurant-worthy flavor
• Pan-searing the meatballs gives them golden color and extra flavor, making the final dish feel rich and comforting
• Perfect fall flavors without being overly “pumpkin”, the taste is subtle, savory, and beautifully balanced
• Customizable for any dinner, from pasta to rice, mashed potatoes, or crusty bread
• Kid-friendly and adult-approved, because the pumpkin flavor isn’t sweet
• A great make-ahead dish, perfect for meal prep or reheating
• Simple ingredients but layered, complex flavors
• Perfect for chilly weather, offering cozy comfort in every bite
• Works as a main dish or appetizer, depending on presentation
Ingredients
For the Meatballs
• 1 lb ground chicken
• ½ cup canned pumpkin purée
• ½ cup breadcrumbs
• 1 egg
• 2 garlic cloves, minced
• ¼ cup grated parmesan
• 1 tsp onion powder
• 1 tsp dried sage or 1 tbsp fresh chopped sage
• ½ tsp paprika
• ½ tsp salt
• ½ tsp pepper
• 2 tbsp olive oil (for searing)
For the Sage Cream Sauce
• 2 tbsp butter
• 3 garlic cloves, minced
• 1 tbsp fresh chopped sage (or 1 tsp dried)
• 1 ½ cups heavy cream
• ½ cup chicken broth
• ¼ cup grated parmesan
• Salt and pepper to taste
• Optional: pinch of nutmeg
Recommended Tools
Mixing Bowl Set – great for all your mixing and prep work.
Silicone Spoon Set – great for stirring without scratching the pot.
Measuring Cups & Spoons – helps you measure spices and liquids accurately.
Glass Storage Containers – perfect for storing leftovers safely.
Preparation Steps
STEP 1: MIX THE MEATBALLS
• Combine ground chicken, pumpkin purée, breadcrumbs, egg, garlic, parmesan, sage, onion powder, paprika, salt, and pepper in a bowl.
• Mix gently just until combined , overmixing makes meatballs dense.

STEP 2: SHAPE THE MEATBALLS
• Scoop mixture using a tablespoon or cookie scoop.
• Roll into firm, even balls; the mixture will be soft, which means moist meatballs later.
STEP 3: SEAR THE MEATBALLS
• Heat olive oil in a skillet over medium heat.
• Add the meatballs in batches, searing each side until lightly golden.
• They do not need to cook through yet; the sauce will finish them.
• Transfer to a plate.

STEP 4: MAKE THE SAGE CREAM SAUCE
• In the same skillet, melt butter.
• Add garlic and sage; cook 30 seconds to release flavors.
• Pour in heavy cream and chicken broth.
• Add grated parmesan and whisk until smooth.
• Season with salt, pepper, and nutmeg if using.
STEP 5: SIMMER THE MEATBALLS
• Return meatballs to the skillet, nestling them into the sauce.
• Cover and simmer on low for 12–15 minutes until fully cooked and the sauce thickens.
STEP 6: SERVE
• Spoon sauce generously over the meatballs.
• Garnish with fresh sage or parmesan.
• Serve hot over pasta, rice, mashed potatoes, or crusty bread.
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Cooking Notes
• Pumpkin adds moisture, so don’t over-add breadcrumbs
Pumpkin keeps the meatballs soft. Too many breadcrumbs will make them dense and dry. The mixture should feel soft and slightly sticky.
• Use fresh sage for best flavor
Fresh sage perfumes the sauce beautifully and balances the richness of the cream. Dried sage works, but flavor is milder.
• Pan-searing is essential
It creates color, seals in moisture, and adds caramelization to the final dish. It also builds flavor for the sauce since the same pan is used.
• Simmer gently — do not boil the cream sauce
High heat can cause separating or curdling. Keep the burner on LOW or medium-low once the cream is added.
• Adjust sauce thickness easily
Add more parmesan to thicken or a splash of broth to loosen. The sauce naturally thickens as it cools.
• Ground chicken cooks quickly
Overcooking can dry the meatballs, so remove from heat as soon as they reach 165°F internally or look fully set.
Variations
• Classic Pumpkin Chicken Meatballs
Stick to the traditional version with ground chicken, pumpkin purée, sage, parmesan, and creamy sauce. This gives you tender meatballs with a perfect fall flavor that isn’t sweet but deeply savory.
• Turkey Pumpkin Meatballs
Swap ground chicken with ground turkey for an even lighter, leaner version. Turkey pairs beautifully with pumpkin and sage, keeping the flavor mild and comforting.
• Cheesy Stuffed Meatballs
Press a small cube of mozzarella or fontina cheese into the center of each meatball before rolling. When simmered in the sauce, the cheese melts and creates an irresistible gooey center.
• Spicy Pumpkin Meatballs
Add crushed red pepper flakes, chili powder, or cayenne to the meatballs for heat. You can also add a pinch of chipotle powder or smoked paprika to give the sauce smoky richness.
• Herbed Pumpkin Meatballs
Instead of sage, try rosemary, thyme, or Italian seasoning for a different aromatic flavor profile. Each herb brings a different warmth and personality to the sauce.
• Veggie-Boosted Meatballs
Fold finely chopped spinach, zucchini, or grated carrots into the mixture. This adds nutrition and moisture without changing the texture too much.
• Dairy-Free Version
Swap heavy cream for full-fat coconut milk and use nutritional yeast instead of parmesan. The sauce still becomes creamy and flavorful but lighter and dairy-free.
• Gluten-Free Version
Use gluten-free breadcrumbs or almond flour instead of regular breadcrumbs. The meatballs will still hold their shape and remain tender.

Serving Suggestions
• Over Mashed Potatoes
The cream sauce melts beautifully into mashed potatoes, creating a rich, comforting plate perfect for fall.
• With Buttered Egg Noodles or Fettuccine
Pasta pairs wonderfully with the silky sage cream sauce. The noodles soak up every drop.
• Over Rice or Quinoa Bowls
For a lighter option, serve these meatballs over fluffy white rice, brown rice, or quinoa.
• With Crusty Bread or Garlic Bread
This sauce is too good to waste , bread is perfect for dipping and soaking it all up.
• With Roasted Fall Vegetables
Serve alongside roasted Brussels sprouts, carrots, squash, or sweet potatoes to bring out more autumn flavors.
• As a Party Appetizer
Serve the meatballs on toothpicks with a drizzle of sage cream sauce. Elegant, cozy, and unique.
• With a Fresh Green Salad
A light salad (arugula, spinach, or mixed greens) balances the richness of the sauce.
Tips
• Use cold chicken for easier shaping
Cold meat holds shape better and sticks less to your hands.
• Wet your hands when rolling
Pumpkin makes the mixture sticky; wet hands give smooth, even meatballs.
• Don’t overcrowd the skillet
Crowding lowers the heat and prevents browning. Work in batches for best sear.
• Taste your sauce before adding salt
Parmesan already adds saltiness, so always season at the end.
• Let meatballs rest before serving
A few minutes of rest thickens the sauce and deepens the flavor.
• Store leftovers in sauce
It keeps the meatballs tender and prevents drying out.
Prep Time / Cooking Time / Total Time
• Prep Time: 20 minutes
• Cooking Time: 30 minutes
• Total Time: 50 minutes
Nutritional Information (Per Serving)
Approx. 420 calories – 25g protein – 27g fat – 15g carbs
FAQs
Can I freeze the meatballs?
- Yes. Freeze them raw on a tray, then transfer to a freezer bag. Cook from frozen by pan-searing and simmering in sauce longer. You can also freeze the cooked meatballs in sauce; just thaw overnight and reheat gently.
Can I make the sauce lighter?
- You can replace heavy cream with half-and-half or evaporated milk, but keep the heat low to prevent curdling. Add extra broth if the sauce becomes too thick.
Does the pumpkin flavor stand out?
- No , the flavor is extremely subtle. Most people don’t realize pumpkin is in the recipe; it simply adds richness and moisture.
What other herbs work besides sage?
- Rosemary, thyme, basil, or Italian herb blends all work well. Sage is traditional for fall, but you can adapt the dish year-round.
Can I make this dish without parmesan?
- Yes, but the sauce won’t be as thick or savory. Replace with cream cheese, nutritional yeast, or extra cream.
What if my meatballs are falling apart?
- They may need slightly more breadcrumbs or longer searing to form structure. Chilling the mixture for 20 minutes before cooking also helps.
Pumpkin Chicken Meatballs in Sage Cream Sauce is the kind of comforting recipe that makes everyday dinners feel special. The combination of tender pumpkin-infused chicken meatballs and velvety sage cream sauce creates a dish that’s rich, flavorful, and deeply satisfying. It’s perfect for fall evenings, holidays, weeknight meals, or anytime you want something cozy and elegant without spending hours in the kitchen. Once you try it, this recipe becomes a new comfort-food favorite everyone will ask for again.




