If you’re yearning for cozy comfort food that’s both delicious and a little unexpected, you absolutely need to try Turkey Meatballs in Pumpkin Sage Sauce. This dish takes tender, juicy turkey meatballs and bathes them in a silky, savory-sweet pumpkin sauce kissed with fragrant sage. Whether you’re serving it up for a dinner party or just elevating your weeknight meals, Turkey Meatballs in Pumpkin Sage Sauce will have everyone asking for seconds—and maybe even thirds!

Ingredients You’ll Need
The beauty of this recipe is its straightforward but thoughtfully chosen ingredients. Each one is essential, lending either flavor, richness, or that irresistible texture to every bite. Gather up these kitchen gems and let’s create something magical together!
- Fresh breadcrumbs: Adds lightness and moisture to keep the meatballs tender (panko is a great alternative for a crispier bite).
- Milk: Soaks into the breadcrumbs, helping bind everything together without drying out the meatballs.
- Finely minced onion: Brings gentle, aromatic sweetness to both the meatballs and the sauce.
- Garlic cloves: Pressed and stirred in for deep, savory depth you’ll taste in every bite.
- Fresh sage: The signature herb of this dish—infuses both the meatballs and the sauce with woodsy, earthy notes.
- Parsley: Adds a bit of brightness and color contrast.
- Italian seasoning: Provides a mix of herbs that tie everything together nicely.
- Grated parmesan: Delivers nutty, salty richness to both the meatballs and the pumpkin sauce.
- Large whole egg + yolk: The perfect duo for binding while keeping things moist.
- Ground turkey (dark meat, 93/7): Makes the meatballs juicier and more flavorful than turkey breast alone.
- Salt and black pepper: Accentuates and balances all the flavors.
- Olive oil or avocado oil: Brushed on and used for frying to achieve that golden exterior.
- Ghee or unsalted butter: Adds a creamy flavor base to the sauce.
- Pumpkin puree (not pie filling): Creates the lush, velvety sauce that makes this dish shine.
- Chicken stock: Thins and enriches the sauce, deepening its savory goodness.
- Heavy cream: Delivers ultimate silkiness and a touch of luxury.
- Maple syrup: Balances out the savoriness and sharpness with a subtle honeyed note.
- Fried sage leaves (optional): For a crisp, beautiful garnish you’ll be tempted to nibble on their own.
How to Make Turkey Meatballs in Pumpkin Sage Sauce
Step 1: Prepare the Breadcrumb Mixture
Start by adding your breadcrumbs to a large bowl, then pour the milk over top. Give it a quick stir and let the mixture soak for a couple of minutes. This little trick ensures your Turkey Meatballs in Pumpkin Sage Sauce turn out ultra-moist and never crumbly.
Step 2: Flavor the Meatball Base
Add the minced onion, pressed garlic, chopped sage, parsley, Italian seasoning, parmesan, egg, and egg yolk into the soaked breadcrumb mixture. Use a fork to mix everything thoroughly—this vibrant medley is where the layers of flavor truly start.
Step 3: Combine with Ground Turkey
Now, add the ground turkey, salt, and pepper to your bowl. Using gentle hands, fold the ingredients until they’re just combined. The mixture will feel sticky and soft, but that’s what makes these meatballs so delightfully tender.
Step 4: Shape and Chill the Meatballs
With a 2-tablespoon scoop, portion out the mixture and set the mounds onto a parchment-lined platter. Pop the tray into the freezer for about 20 to 25 minutes to firm up—this makes shaping much easier and less messy.
Step 5: Roll and Brown the Meatballs
With slightly damp hands (or oiled palms), gently roll each portion into neat meatballs. Lightly brush them all with olive oil, then heat a large skillet with oil of your choice. Sear the meatballs on all sides over medium-high heat, then lower the flame and continue frying them until they’re golden brown and reach 165°F at the center.
Step 6: Create the Pumpkin Sage Sauce
Wipe out your skillet and melt ghee (or butter) with olive oil. Sauté the onion just until soft, then add garlic and Italian seasoning for a fragrant boost. Whisk in the pumpkin puree, salt, pepper, and chicken stock, stirring until the sauce becomes smooth. Simmer for a few minutes to marry the flavors, letting the magic happen.
Step 7: Finish and Assemble
Turn off the heat and whisk in the parmesan, heavy cream, maple syrup, and fresh sage. Slide the turkey meatballs gently into the pumpkin sage sauce and let them warm through. If you like, top with fried sage leaves for something truly restaurant-worthy. Turkey Meatballs in Pumpkin Sage Sauce is now ready for its closeup at your table!
How to Serve Turkey Meatballs in Pumpkin Sage Sauce

Garnishes
For an elegant finish, sprinkle more parmesan over the top and add crispy fried sage leaves. A touch of fresh cracked black pepper or even a smattering of chopped parsley will add color and a final pop of flavor.
Side Dishes
Turkey Meatballs in Pumpkin Sage Sauce absolutely shines over a bed of pillowy gnocchi or silky mashed potatoes. But don’t stop there—they’re equally wonderful with your favorite pasta shapes (like penne or bow ties), buttered rice, or roasted vegetables for a lighter touch.
Creative Ways to Present
Try skewering the meatballs and spooning pumpkin sage sauce over them as tapas-style appetizers. Or, pile them on top of toasted sourdough or garlic bread and serve with a side salad for a hearty, modern twist. Turkey Meatballs in Pumpkin Sage Sauce adapts beautifully to all sorts of creative presentations.
Make Ahead and Storage
Storing Leftovers
Store any extras in an airtight container in the refrigerator for up to 3 days. The flavors meld and develop even further, making leftovers a treat all on their own.
Freezing
If you want to get ahead, freeze the cooked meatballs and cooled sauce separately or together in freezer bags or containers. They’ll keep beautifully for up to 2 months. Thaw overnight in the fridge before reheating for best results.
Reheating
To reheat, gently warm the turkey meatballs in pumpkin sage sauce on the stovetop over low heat, stirring often. Add a splash of chicken stock or cream if needed to loosen the sauce for the perfect texture, and re-season as needed.
FAQs
Can I use ground chicken instead of turkey?
Absolutely! Ground chicken is a fine substitute for turkey in this recipe, though turkey dark meat brings a bit more moisture and richness. Either way, you’ll end up with deliciously tender meatballs nestled in that dreamy pumpkin sage sauce.
Is canned pumpkin the same as pumpkin pie filling?
No, you’ll want to use plain canned pumpkin puree for this recipe, not pumpkin pie filling, which is pre-sweetened and spiced. The natural, earthy flavor of plain pumpkin lets the fresh sage and parmesan really shine through in the sauce.
Can I make the meatballs ahead of time?
Yes! You can form and chill (or even freeze) the raw meatballs ahead of time. Fry and add them to the sauce just before serving for ultimate convenience and freshness.
What type of pasta works best with Turkey Meatballs in Pumpkin Sage Sauce?
Hearty shapes like gnocchi, penne, bow ties, or linguini are perfect picks. Their texture and shape capture every bit of sauce, making each bite luxurious and satisfying.
Is this dish gluten-free?
To make Turkey Meatballs in Pumpkin Sage Sauce gluten-free, opt for gluten-free breadcrumbs and ensure your chicken stock and other ingredients are certified gluten-free. The rest of the dish is naturally gluten-free!
Final Thoughts
If these cozy, flavor-packed Turkey Meatballs in Pumpkin Sage Sauce aren’t already on your dinner list, they should be! This recipe is a hug in a bowl and one you’ll want to make again and again—so set aside some time, gather your ingredients, and enjoy a meal that truly celebrates the comforting side of fall flavors.
PrintTurkey Meatballs in Pumpkin Sage Sauce
Delicious and savory turkey meatballs paired with a creamy pumpkin sage sauce. Perfect for a cozy dinner with family or friends.
- Prep Time: 30 minutes
- Cook Time: 35 minutes
- Total Time: 1 hour 5 minutes
- Yield: Serves 6
- Category: Entree
- Method: Frying, Simmering
- Cuisine: American
- Diet: Gluten Free
Ingredients
Turkey Meatball Ingredients:
- 1 ½ cups fresh breadcrumbs (or panko breadcrumbs)
- 3 tablespoons milk
- ½ cup finely minced onion
- 4 garlic cloves, pressed through garlic press
- 1 tablespoon chopped fresh sage
- 1 tablespoon chopped parsley
- 1 ½ teaspoons Italian seasoning
- ½ cup grated parmesan
- 1 large whole egg plus 1 yolk
- 1 ½ pounds ground turkey (dark meat, 93/7 ratio lean to fat)
- 1 ¼ teaspoon salt
- ¼ teaspoon black pepper
- Olive oil or avocado oil, for brushing over top and lightly frying
Pumpkin Sage Sauce Ingredients:
- 2 tablespoons ghee or unsalted butter
- 1 tablespoon olive oil
- ½ cup finely minced onion
- 6 cloves garlic, pressed through garlic press
- 2 teaspoons Italian seasoning
- 1 (15 ounce) can plus 1 cup organic pumpkin puree (not pumpkin pie filling)
- 1 ½ teaspoon salt (or to your taste)
- ¼ teaspoon black pepper
- 1 ¾ cups chicken stock
- ½ cup grated parmesan cheese
- ¼ cup heavy cream
- 2 tablespoons maple syrup
- 1 tablespoon chopped, fresh sage
- Fried sage leaves, optional garnish
Instructions
- Preparation: Begin by gathering and prepping all of your turkey meatball ingredients according to the ingredient list above to have ready and organized for use.
- To prepare your turkey meatballs: to a large bowl add the breadcrumbs and pour over the milk. Let them sit and soak for 2 to 3 minutes. Then, add in the onion, garlic, sage, parsley, Italian seasoning, parmesan and whole egg plus yolk, and using a fork, mix the ingredients together to thoroughly combined.
- Add to this the ground turkey: plus the salt and pepper, and using a light hand, gently combine all the ingredients just until well combined. (The mixture will be very sticky and moist, this is normal.)
- Then, using a 2 tablespoon scoop: portion out your turkey meatballs, placing them onto a parchment or wax paper-lined large platter. Place the meatballs into the freezer to chill and firm for 20 to 25 minutes, as this will make working with them much easier.
- Once all the turkey meatballs have chilled: lightly wet your palms with water (or a small amount of oil), and gently and quickly roll each meatball between your palms to make them round.
- Brush a small amount of olive oil over each meatball: Then, place a large, heavy bottom skillet over medium-high heat (use non-stick or cast iron for this), and drizzle in about 4 tablespoons of oil.
- Once hot, add in a batch of turkey meatballs: allowing them to sear and brown for a moment. Reduce the heat to medium or medium-low, then continue to cook and fry the meatballs on all sides for about 10 minutes, until cooked through (165° internal temp). Set cooked meatballs onto a clean platter to hold, and repeat with remaining turkey meatballs.
- Once the meatballs are cooked: gather and prep all of your pumpkin sage sauce ingredients according to the ingredient list above to have ready and organized for use.
- Wipe out the skillet from frying the meatballs: and add in the ghee (or butter) and the oil. Once melted together and the skillet is hot, add in the minced onion and saute for about 2 to 3 minutes, until softened.
- Stir in the garlic and the Italian seasoning: and once aromatic, whisk in the pumpkin puree, the salt and pepper, plus the chicken stock until smooth.
- Allow the sauce to very gently simmer: for 2 to 3 minutes to marry the flavors, then turn off the heat and gently whisk in the grated parmesan, the heavy cream, the maple syrup, and the chopped sage.
- Add the meatballs into the sauce: and allow them to sit for few minutes just to warm them through again. Top with fried sage leaves if using, then serve the turkey meatballs with pumpkin sage sauce over your favorite accompaniment such as gnocchi, linguini, penne, bow ties, or mashed potatoes.
Notes
- Make sure to use fresh sage for the best flavor.
- Adjust salt and pepper levels to suit your taste preferences.
- You can substitute ground chicken for turkey if desired.
Nutrition
- Serving Size: 1 serving
- Calories: 658
- Sugar: 8g
- Sodium: 1270mg
- Fat: 38g
- Saturated Fat: 15g
- Unsaturated Fat: 20g
- Trans Fat: 0g
- Carbohydrates: 42g
- Fiber: 6g
- Protein: 32g
- Cholesterol: 148mg