Creamy Pumpkin Alfredo - Recipes | Go Bold With Butter

Ingredients

• 12 ounces fettuccine pasta
• 1/4 cup + 1 tablespoon butter, divided
• 1 cup heavy cream
• 3/4 cup canned pumpkin puree
• 1/2 cup parmesan cheese, plus more for serving
• 1 teaspoon salt, or to taste
• 1/2 teaspoon ground black pepper, or to taste
• 1/4 teaspoon freshly grated nutmeg
• 1/2 cup pine nuts
• 1/4 cup fresh sage leaves