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    Home » Casseroles

    Butternut Squash Macaroni & Cheese with Hot Sausage, Spinach & Caramelized Onions

    Published: Oct 23, 2014 Last updated: Aug 12, 2021 by Shelby Law Ruttan · As an Amazon Associate I earn from qualifying purchases.

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    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: 30 mins
    Cook time: 40 mins
    Total time: 1 hour 10 mins
    Serves: 12 servings
    Ingredients
    • Ingredients
    • 3 cups butternut squash, cubed and peeled
    • 1 tablespoon olive oil, divided
    • 1 tablespoon fresh sage, chopped
    • ½ clove Frieda's elephant garlic (or 4 cloves regular garlic), chopped fine
    • ½ teaspoon salt
    • ¼ teaspoon fresh ground black pepper
    • cooking spray
    • 1 medium onion, vertically sliced
    • 4 cups fresh spinach
    • 2-½ cups almond milk
    • 2 thyme sprigs
    • 2-½ tablespoons flour
    • ½ cup almond milk
    • 8 ounces colby cheese, shredded
    • ¼ teaspoon grated whole nutmeg
    • 1 lb uncooked pasta, cooked according to directions (I used cavatapi)
    • 1 lb hot italian sausage, crumbled and cooked
    Instructions
    1. Preheat oven to 350.Combine squash, ½ tablespoon oil, sage, garlic, ½ 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 ½ 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 ½ 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.
    3.5.3208

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    About 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 has authored the One-Pot Paleo Cookbook and The Pescatarian Keto Cookbook. She is an experienced, self-taught home cook who loves to share recipes with others. She also authors the websites Honeybunch Hunts and The Best Vegetarian Recipes. You can see her work on websites such as Veal Made Easy, Parade, Community Table, SoFab Food, Yummly, and FoodGawker.

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    Reader Interactions

    Comments

    1. OakMonster

      October 24, 2014 at 3:53 pm

      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!

      Reply
    2. Sarah Olson

      October 24, 2014 at 12:37 pm

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

      Reply
    3. Mary Ellen

      October 24, 2014 at 4:55 am

      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.

      Reply
    4. Patsy K

      October 24, 2014 at 1:43 am

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

      Reply
    5. Catherine

      October 23, 2014 at 6:02 pm

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

      Reply
    6. Marye

      October 23, 2014 at 2:15 pm

      Just yes. Now.

      Reply
    7. Mandee Pogue

      October 23, 2014 at 1:56 pm

      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!

      Reply

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    Welcome! I'm Shelby Law Ruttan, I'm a mom, grandmother, and cookbook author for HoneyB's Kitchen who started blogging family recipes in 2007 for.... 

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