As the leaves start to turn and the air gets a crisp bite, nothing warms the soul quite like the comforting aroma of home-cooked meals. That’s where my Juicy Turkey Meatballs with Pumpkin Sage Sauce come in—a dish that’s not only a healthy alternative to traditional meatballs but also a creamy, delightful embrace of autumn flavors. With lean turkey and a luscious pumpkin sauce, this recipe transforms weeknight dinners into something special without the fuss. Easy to whip up and versatile enough to pair with pasta, polenta, or enjoy on their own, these meatballs promise to bring smiles and satisfaction to your table. Curious about how to make this seasonal favorite that will have everyone coming back for seconds? Let’s dive in!

Why are Turkey Meatballs so special?
Loaded with Flavor: These turkey meatballs are not just delicious; they burst with the flavors of pumpkin and sage, making each bite a delightful experience.
Healthy Twist: By using ground turkey, you’re embracing a leaner, healthier protein without sacrificing taste.
Versatile Dish: Pair them with pasta, spoon them over polenta, or serve as a stand-alone appetizer. The options are endless!
Perfect for Fall: The creamy pumpkin sage sauce captures the essence of autumn, making it ideal for cozy gatherings and family dinners.
Easy to Prepare: This recipe is designed for home cooks of all skill levels, ensuring you can impress without stress.
Meal Prep Friendly: Make a batch ahead of time, and refrigerate or freeze for quick weeknight meals—an effortless way to enjoy homemade goodness.
Turkey Meatballs Pumpkin Sage Sauce Ingredients
For the Meatballs
- Ground Turkey (1.5 lbs) – A lean protein that keeps these meatballs healthy and hearty.
- Panko Breadcrumbs (1/2 cup) – Provides texture and aids in binding; substitute with gluten-free breadcrumbs for a GF option.
- Grated Parmesan Cheese (1/4 cup) – Enhances flavor and adds savory notes; use nutritional yeast for a dairy-free alternative.
- Large Egg (1) – Acts as a binder to keep meatballs moist.
- Chopped Yellow Onion (1/4 cup) – Adds moisture and depth to the meatballs.
- Minced Garlic (2 cloves) – Infuses aromatic flavor.
- Chopped Fresh Sage (1 tablespoon) – Imparts an herbal freshness; dried sage can be used if fresh is unavailable.
- Dried Thyme (1 teaspoon) – Contributes earthy undertones.
- Salt (1/2 teaspoon) & Black Pepper (1/4 teaspoon) – Essential for seasoning.
For the Sauce
- Olive Oil (2 tablespoons) – Used for browning meatballs and sautéing onions, enhancing overall flavor.
- Pumpkin Puree (1 – 15 ounce can) – The base of the sauce, adding a sweet and earthy flavor; ensure it’s plain puree, not pie filling.
- Chicken Broth (1 cup) – Deepens the sauce and adds richness.
- Heavy Cream (1/2 cup) – Provides creaminess; substitute with coconut cream for a dairy-free version.
- Ground Nutmeg (1/4 teaspoon) – Elevates the fall flavor profile beautifully.
For Garnish
- Fresh Sage Leaves & Grated Parmesan Cheese – Spruce up presentation and add flavor.
- Red Pepper Flakes (optional) – Sprinkle in for a touch of heat.
These Turkey Meatballs with Pumpkin Sage Sauce will transform your weeknight dinners into heartwarming gatherings!
Step‑by‑Step Instructions for Turkey Meatballs Pumpkin Sage Sauce
Step 1: Mix Meatball Ingredients
In a large mixing bowl, combine 1.5 lbs of ground turkey with ½ cup of panko breadcrumbs, ¼ cup of grated Parmesan cheese, 1 beaten egg, ¼ cup of chopped yellow onion, 2 minced garlic cloves, and seasonings including 1 tablespoon of chopped fresh sage, 1 teaspoon of dried thyme, ½ teaspoon of salt, and ¼ teaspoon of black pepper. Mix gently to combine, being careful not to overmix to keep the turkey meatballs tender.
Step 2: Shape Meatballs
Using your hands, form the mixture into 24 small meatballs, approximately 1 inch in diameter. Arrange them neatly on a lined baking sheet to prepare for browning. Make sure each meatball is compact, which helps them hold their shape while cooking. This recipe for Turkey Meatballs Pumpkin Sage Sauce is now ready for the skillet!
Step 3: Brown Meatballs
Heat 2 tablespoons of olive oil in a skillet over medium heat. Once hot, gently place the meatballs in the skillet, making sure not to overcrowd them. Allow to brown for about 2-3 minutes on each side, turning them carefully with tongs until they reach a golden color all around. Once browned, remove the meatballs from the skillet and set aside on a plate.
Step 4: Sauté Aromatics
In the same skillet, add an additional drizzle of olive oil if needed, then introduce ¼ cup of chopped yellow onion. Sauté over medium heat for about 5 minutes, stirring frequently, until the onion becomes translucent and fragrant. Next, add 2 minced garlic cloves and cook for an additional minute until aromatic, ensuring you do not let the garlic burn.
Step 5: Create Sauce
Stir in one 15-ounce can of pumpkin puree and 1 cup of chicken broth into the onion and garlic mixture. Increase the heat slightly and let the mixture come to a gentle simmer. Allow it to simmer for about 5 minutes while stirring occasionally, which will meld the flavors and create a smooth sauce base for the juicy turkey meatballs.
Step 6: Incorporate Cream & Seasonings
Reduce the heat to low, then stir in ½ cup of heavy cream, making sure to blend it evenly. Next, add in ¼ cup of grated Parmesan cheese, 1 tablespoon of chopped fresh sage, 1 teaspoon of dried thyme, and ¼ teaspoon of ground nutmeg. Season with salt and pepper to taste. Allow this luscious sauce to become creamy and flavorful, about 2-3 minutes.
Step 7: Simmer Sauce
Let the sauce gently thicken, which should take around 5-10 minutes. Keep an eye on it as you stir occasionally to prevent sticking. The pumpkin sage sauce should become velvety and aromatic, perfectly complementing the flavors of the Turkey Meatballs Pumpkin Sage Sauce.
Step 8: Combine
Carefully add the browned meatballs back into the sauce, ensuring they are submerged in the creamy mixture. Gently stir to coat each meatball in the sauce. Allow them to absorb the flavor of the sauce while keeping them warm in the skillet.
Step 9: Cook Covered
Cover the skillet with a lid and let the meatballs simmer on low heat for 15-20 minutes. This allows the warm steam to cook through the meatballs, ensuring they reach an internal temperature of 165°F (74°C). The deep flavors will meld beautifully during this cooking time.
Step 10: Serve
Once cooked, serve your Turkey Meatballs with Pumpkin Sage Sauce over a bed of pasta, mashed potatoes, or polenta. Garnish with fresh sage leaves and additional grated Parmesan cheese for an appealing presentation. This comforting dish is ready to enjoy!

Storage Tips for Turkey Meatballs Pumpkin Sage Sauce
Fridge: Store leftover turkey meatballs and sauce in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stove or in the microwave until warmed through.
Freezer: For longer storage, freeze the meatballs and sauce together in a freezer-safe container for up to 3 months. To enjoy later, thaw in the fridge overnight before reheating.
Reheating: When reheating, add a splash of chicken broth to the sauce if it thickens too much, ensuring your turkey meatballs pumpkin sage sauce remains creamy and delicious.
Make Ahead Options
These Turkey Meatballs with Pumpkin Sage Sauce are incredibly convenient for meal prep! You can prepare the meatball mixture and shape it into meatballs up to 24 hours in advance; simply cover and refrigerate to maintain their freshness. Additionally, the sauce can be made up to 3 days ahead. Store it in an airtight container in the fridge to keep it flavorful. When you’re ready to serve, just brown the meatballs and simmer them in the sauce for about 15-20 minutes until fully cooked. This way, you’ll enjoy a delicious homemade meal with minimal effort on busy weeknights, bringing the cozy flavors of fall to your table with ease!
Turkey Meatballs Pumpkin Sage Sauce Variations
Explore exciting twists on this comforting dish that will delight your taste buds and keep dinnertime fresh!
- Gluten-Free: Use gluten-free breadcrumbs instead of panko for a gluten-free option without compromising texture.
- Creamy Alternatives: Replace heavy cream with coconut cream for a dairy-free sauce that still delivers on richness. It’s a delightful change!
- Herb Infusion: Experiment with fresh thyme or rosemary in place of sage to create different herbal notes, adding your unique flair.
- Cheesy Twist: Mix in some shredded mozzarella or cheddar cheese into the meatball mixture for an ooey-gooey surprise with each bite.
- Spicy Kick: Add red pepper flakes or diced jalapeños to the meatball mix to elevate the heat level and excite the palate.
- Vegetable Boost: Incorporate grated zucchini or carrots into the meatball mix for added moisture and nutrients—it’s a sneaky way to boost veggie intake!
- Baked Over Roasted Veggies: Instead of serving over pasta, roast seasonal veggies and place meatballs on top for a colorful, nutritious bowl.
- Stuffed Acorn Squash: For an elegant presentation, nestle the meatballs inside halved, roasted acorn squash, creating a stunning centerpiece for your fall table.
These Turkey Meatballs with Pumpkin Sage Sauce are a canvas for creativity! They pair beautifully with other dishes too; consider exploring options like Homemade Meatballs Savory or adding a fresh touch with Pumpkin Overnight Oats for a complete autumn-inspired meal. Every variation allows you to embrace unique flavors, making each serving a new experience!
What to Serve with Juicy Turkey Meatballs with Creamy Pumpkin Sage Sauce?
There’s nothing quite like a warm, cozy meal that envelops your senses and feels like a hug on a chilly evening.
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Creamy Mashed Potatoes: Perfectly buttery mashed potatoes create a comforting bed for your meatballs, soaking up all that pumpkin sage sauce.
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Garlic Bread: Crunchy garlic bread adds an irresistible aroma and texture, perfect for dipping into the velvety sauce between bites.
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Roasted Vegetables: Colorful roasted seasonal veggies provide a sweet and savory contrast that complements the creamy meatballs beautifully.
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Quinoa Salad: A light and nutty quinoa salad tossed with fresh herbs will brighten the meal, balancing the richness of the sauce while adding fiber.
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Pasta: Serve the meatballs on a bed of al dente pasta, allowing the flavors to cling with each bite for a filling Italian-inspired dish that delights.
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Apple Cider: A warm glass of spiced apple cider invites the essence of fall to the table, enhancing the meal’s cozy sentiment with its sweet and spicy notes.
Indulge in these delightful pairings to create a heartwarming feast worthy of any autumn gathering!
Expert Tips for Turkey Meatballs
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Keep It Tender: Avoid overmixing your meatball mixture to ensure they stay juicy and tender. Overhandling can lead to tough texture.
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Perfect Browning: Brown meatballs in batches without crowding the skillet to achieve that delicious golden crust. This enhances flavor significantly!
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Checking Temperature: Always verify the internal temperature of the meatballs using a meat thermometer, aiming for 165°F (74°C) for safety.
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Creamy Sauce Adjustments: If the sauce gets too thick, whisk in a splash of chicken broth until you reach the desired consistency for your Turkey Meatballs with Pumpkin Sage Sauce.
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Flavor Variations: Feel free to experiment by adding wine or different herbs to the sauce. A touch of red pepper flakes can give it a delightful kick!

Turkey Meatballs with Pumpkin Sage Sauce Recipe FAQs
How do I choose ripe and quality ingredients for this recipe?
Absolutely! For ground turkey, look for fresh meat with a pink hue and no unpleasant odor. When selecting pumpkin puree, make sure it’s labeled as plain puree, not pie filling. Fresh sage should be vibrant green, free of dark spots, and fragrant. Always prefer high-quality parmesan cheese for optimal flavor.
What is the best way to store leftover turkey meatballs and sauce?
Leftover turkey meatballs and pumpkin sage sauce can be stored in an airtight container in the refrigerator for up to 3 days. Just make sure it cools down to room temperature before sealing it. When reheating, do so gently on the stove, and add a splash of chicken broth if the sauce has thickened too much.
Can I freeze turkey meatballs with the pumpkin sage sauce?
Very! To freeze, let the meatballs and sauce cool completely. Then, transfer them into a freezer-safe container, ensuring it’s airtight to prevent freezer burn. You can freeze them for up to 3 months. When ready to enjoy, thaw overnight in the refrigerator, then reheat until steaming.
What should I do if my meatballs turn out dry?
If your meatballs are dry, it could be due to overmixing the meat mixture. In the future, try mixing gently and ensure you’re adding enough moisture through the egg and cheese. You can also incorporate 1-2 tablespoons of extra olive oil into the mix for added richness. If they’re already cooked, serve them generously smothered in the creamy pumpkin sage sauce to enhance moisture.
Are there any dietary considerations for this recipe?
Certainly! This turkey meatballs with pumpkin sage sauce recipe can easily accommodate various dietary needs. For gluten-free options, swap out panko breadcrumbs for gluten-free alternatives. If you’re looking for dairy-free, use nutritional yeast instead of cheese and replace heavy cream with coconut cream. Always double-check with guests regarding allergies, especially since the recipe contains eggs and dairy products.
How long should the meatballs be cooked to ensure they’re safe?
To ensure safety, turkey meatballs should be cooked to an internal temperature of 165°F (74°C). The best way to check this is by using a meat thermometer. Once they reach this temperature, they are safe to eat and will also be perfectly tender when simmered in the delightful pumpkin sage sauce!

Savory Turkey Meatballs in Creamy Pumpkin Sage Sauce
Ingredients
Equipment
Method
- In a large mixing bowl, combine ground turkey, panko breadcrumbs, Parmesan cheese, beaten egg, yellow onion, minced garlic, fresh sage, thyme, salt, and pepper. Mix gently to combine, avoiding overmixing.
- Form the mixture into 24 small meatballs, about 1 inch in diameter, and place on a lined baking sheet.
- Heat olive oil in a skillet over medium heat and brown the meatballs for 2-3 minutes on each side, then remove and set aside.
- In the same skillet, add more olive oil if needed, then add chopped yellow onion and sauté until translucent, about 5 minutes. Add minced garlic and cook for 1 minute.
- Stir in pumpkin puree and chicken broth, bring to a simmer and let cook for 5 minutes to meld flavors.
- Reduce heat to low, add heavy cream, Parmesan cheese, fresh sage, thyme, and nutmeg, and season with salt and pepper. Cook for 2-3 minutes until creamy.
- Let the sauce thicken for about 5-10 minutes, stirring occasionally.
- Add the browned meatballs back into the sauce, ensuring they are submerged, and allow them to warm through.
- Cover and let simmer on low for 15-20 minutes until meatballs reach an internal temperature of 165°F (74°C).
- Serve the meatballs over pasta or polenta, garnished with fresh sage and Parmesan cheese.

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