When the leaves turn golden and the air gets a little crisper, there’s nothing quite like a warm, comforting meal that whispers “autumn” in every bite. Enter Pumpkin Chicken Meatballs in Sage Cream Sauce — juicy ground chicken meatballs enriched with creamy pumpkin, bathed in a fragrant sage‑and‑cream sauce. This dish strikes the perfect balance between cozy and elegant, making it just as suitable for a weeknight supper as for a dinner with friends.
Why this recipe works
By incorporating pumpkin purée into the meatballs, you get added moisture and subtle earthy sweetness, which keeps lean ground chicken tender and juicy. The breadcrumb binder absorbs some of that moisture so you end up with meatballs that hold their shape instead of falling apart. The sage cream sauce brings in herbaceous warmth, garlic depth, and richness that complements the pumpkin without letting it dominate. These flavor layers add up to a dish that feels elevated but accessible.
Key highlights
- The pumpkin inside the meatballs keeps things really moist and gives a touch of seasonal character.
- Fresh sage in the sauce gives a sophisticated, woodsy aroma that pairs beautifully with chicken.
- The cream in the sauce makes the whole dish feel rich and comforting — perfect when you want more than just a plain meatball dinner.
- Despite the rich feel, the ingredient list is straightforward — you likely already have most of what you need.
At a glance
- Prep time: approx. 10‑15 minutes
- Cook time: approx. 20‑25 minutes
- Serves: 4
- Total time: about 35 minutes
- Feel‑good fall dinner, great for pairing with simple starches or greens.
What you’ll need
For the meatballs:
- 1 lb (about 450 g) ground chicken
- ½ cup canned pumpkin purée
- ⅓ cup plain breadcrumbs
- 1 egg
- 1 garlic clove, finely grated
- ½ tsp onion powder
- ½ tsp salt
- ¼ tsp black pepper
- 1 Tbsp olive oil (for pan‑frying)
For the sage cream sauce:
- 1 Tbsp unsalted butter
- 1 garlic clove, finely grated
- 1 Tbsp finely chopped fresh sage (or more to taste)
- ¾ cup heavy cream
- Salt & pepper, to taste
- Optional: a pinch of nutmeg
Step‑by‑step instructions
- Mix the meatball ingredients. In a large bowl, combine the ground chicken, pumpkin purée, breadcrumbs, egg, garlic, onion powder, salt and pepper. Mix gently just until combined — over‑mixing can lead to tougher meatballs.
- Shape the meatballs. With damp hands (to prevent sticking) or using a small scoop, form into meatballs around 1½‑inch (≈3.5 cm) diameter — you should get about 16 meatballs.
- Brown the meatballs. Heat the olive oil in a non‑stick skillet over medium heat. Add the meatballs in a single layer (do them in batches if necessary), and cook 2‑3 minutes per side until golden brown. Transfer to a plate.
- Make the sage cream sauce. In a small saucepan over medium heat, melt the butter. Add the garlic and chopped sage, cook for about 30 seconds until fragrant. Pour in the heavy cream, season with salt, pepper, and a pinch of nutmeg (if using). Let it simmer gently for about 3‑4 minutes until slightly thickened.
- Finish cooking the meatballs in the sauce. Return the browned meatballs into the saucepan, nestling them into the cream. Simmer for another 5‑7 minutes until the meatballs are cooked through (internal temperature ~165°F / 74°C) and the sauce coats them beautifully.
- Serve. Spoon the meatballs and sauce into shallow bowls or plates. Finish with a few chopped fresh sage leaves or a crack of black pepper for extra visual appeal and freshness.

What to serve with
This dish is versatile:
- Buttered egg noodles or tagliatelle are a cozy option that lets the sauce shine.
- Garlic mashed potatoes soak up the sauce wonderfully.
- For something lighter: toasted sourdough or focaccia plus a bright arugula salad with lemon vinaigrette.
- Roasted broccolini or steamed green beans add color and texture contrast.
Pro tips & troubleshooting
- Don’t overmix the meatball mixture. Overworking the chicken will make the meatballs dense rather than tender.
- Use breadcrumbs. They absorb the pumpkin’s moisture so the meatballs hold together rather than falling apart.
- Control your pan heat. Too high, and the outside may burn before the inside cooks through. Medium heat is key when browning.
- Simmer the cream gently. Boiling the cream can cause it to separate or scorch — gentle simmering preserves the smooth texture.
- Make‑ahead friendly: You can form the meatballs ahead of time and refrigerate up to 24 hours; the sauce can also be made ahead and reheated gently.
- Freezer tip: The uncooked meatballs can be frozen (spread out first so they don’t stick together) for up to 2 months. The finished dish also freezes, but cream‑based sauces sometimes change texture slightly when thawed.
Variations & substitutions
- Gluten‑free: Use gluten‑free breadcrumbs.
- Lower fat: Use half & half instead of heavy cream, or a light cream alternative.
- Cheesy twist: Stir in some grated Parmesan into the meatball mixture for extra flavor.
- Herb swap: If you don’t have sage, try thyme or rosemary — each will give a slightly different herb character.
- Pumpkin substitution: If you have butternut squash purée (or roasted + blended squash), you can swap for pumpkin for a twist very similar in feel.
- Make it dairy‑free: Use a plant‑based “cream” (oat, cashew etc.) and olive oil instead of butter. The flavor will shift slightly, but still delicious.
Why you’ll love it
This recipe brings together that magical combo of comfort + sophistication: meatballs are a classic comfort food, elevated here by pumpkin and sage in a silky cream sauce. It’s warming and satisfying on a chilly evening, yet it doesn’t feel heavy or over‑the‑top. And because the ingredient list is simple, it doesn’t demand an all‑day effort. Pair with your favourite sides, add a glass of crisp white wine or a warming cider, and you’ve got yourself a fall favourite for the dinner table.
Final thoughts
If you’re looking for a change from the usual meatballs, this version offers a refreshing twist while staying familiar. The pumpkin gives subtle sweetness and moisture; the sage cream sauce offers herbaceous richness. Whether you’re cooking for family, friends, or simply want a dinner that makes you feel cozy and content, this recipe hits that sweet spot. Give it a try — and let your kitchen fill with that autumn fragrance of sage and pumpkin. Happy cooking!