Butternut Squash Macaroni & Cheese
Butternut Squash, sweet caramelized onions, hot sausage and gooey cheese makes this perfect comfort food –Butternut Squash Macaroni & Cheese with Hot Sausage, Spinach, & Caramelized Onions will definitely find its way on our table again soon!

Butternut Squash Macaroni & Cheese with Hot Sausage, Caramelized Onions & Spinach
I made this amazing recipe while Grumpy was out in the woods bow hunting.  I knew that he was going to love it too when I saw how creamy and cheesy it was.  As a matter of fact, he loved it so much, I wasn’t sure I would have any leftovers for lunch the next day!
Butternut Squash Macaroni & Cheese
If you feel like splurging a little and want to comfort yourself with a delicious pasta dish, then you will not go wrong with this one.  Definitely give it a try, you will feel all warm and fuzzy inside. Promise 🙂
Butternut Squash Macaroni & Cheese with Hot Sausage, Spinach & Caramelized Onions
Author: Grumpy’s Honeybunch
Prep time:
Cook time:
Total time:
Serves: 12 servings
  • Ingredients
  • 3 cups butternut squash, cubed and peeled
  • 1 tablespoon olive oil, divided
  • 1 tablespoon fresh sage, chopped
  • 1/2 clove Frieda’s elephant garlic (or 4 cloves regular garlic), chopped fine
  • 1/2 teaspoon salt
  • 1/4 teaspoon fresh ground black pepper
  • cooking spray
  • 1 medium onion, vertically sliced
  • 4 cups fresh spinach
  • 2-1/2 cups almond milk
  • 2 thyme sprigs
  • 2-1/2 tablespoons flour
  • 1/2 cup almond milk
  • 8 ounces colby cheese, shredded
  • 1/4 teaspoon grated whole nutmeg
  • 1 lb uncooked pasta, cooked according to directions (I used cavatapi)
  • 1 lb hot italian sausage, crumbled and cooked
  1. Preheat oven to 350.Combine squash, 1/2 tablespoon oil, sage, garlic, 1/2 teaspoon salt, and black pepper in a large bowl; toss to coat. Arrange squash mixture on a baking sheet coated with cooking spray. Bake at 425° for 30 minutes or until squash is tender. While squash is roasting, cook pasta according to package directions. Drain and return to stock pot.
  2. Heat remaining oil in a large Dutch oven over medium-high heat. Add onion, and sauté for 4 minutes. Reduce heat to medium-low; continue cooking for 20 minutes or until golden brown, stirring frequently. Place onion in a bowl.
  3. Heat 2 1/2 cups milk, and thyme in a medium saucepan over medium-high heat. Bring to a boil; remove from heat. Let stand for 10 minutes. Discard thyme. Return pan to medium heat. Combine remaining 1/2 cup milk and flour in a small bowl. Add to pan, stirring with a whisk until blended. Bring to a boil; reduce heat, and simmer for 5 minutes or until thickened, stirring constantly. Remove from heat; stir in teaspoon salt, cheese, and nutmeg.
  4. Add spinach and hot sausage to cooked pasta. Pour cheese sauce over top of pasta mixture and stir to coat.
  5. Place pasta in a large casserole and sprinkle with Italian Seasoned Breadcrumbs. Bake for 30-40 minutes or until hot and bubbly.

About the Author: Shelby Law Ruttan

Shelby is the author/owner of Grumpy's Honeybunch. Established in 2007, she shares and preserves family recipes as well as recipes for cooking light and keto. She is an experienced, self-taught home cook who loves to share recipes with others. You can see her work on websites such as Veal Made Easy, Parade, Community Table, SoFab Food, Yummly, and FoodGawker.


  1. Mandee Pogue October 23, 2014 at 1:56 pm - Reply

    Oh wow! This looks really goood! I have some BNS puree in my freezer that I could make a variation of this with! Thanks for the yummy and creative recipe!

  2. Marye October 23, 2014 at 2:15 pm - Reply

    Just yes. Now.

  3. Catherine October 23, 2014 at 6:02 pm - Reply

    Oh my!! What a delicious mac-n-cheese!!! This meal would make anyone happy!!! Blessings, Catherine

  4. Patsy K October 24, 2014 at 1:43 am - Reply

    Total comfort food! I've got to try this!

  5. Mary Ellen October 24, 2014 at 4:55 am - Reply

    This looks amazing. I have yet to add squash to my mac and cheese. I have to try it now that you've added some caramelized onions and sausage.

  6. Sarah Olson October 24, 2014 at 12:37 pm - Reply

    I love this take on mac and cheese! I love that you added some veggies. 🙂

  7. OakMonster October 24, 2014 at 3:53 pm - Reply

    Hanna and I are DYING here. We shouldn't have looked at this first thing in the morning. LOL

    MY grumpy is out of town too. Perhaps I should make this for dinner tonight. Yep. Definitely will make this for dinner tonight!

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Shelby Welcome! I'm Shelby, author of Grumpy's Honeybunch. I have been sharing family favorite recipes since 2007. I started the Keto Diet in October 2017 and since then I have been creating Keto ... read more

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