These healthy Pumpkin and Sage Stuffed Shells are a cozy fall dinner—bright with cinnamon, nutmeg, and fresh sage—yet still light, at under 300 calories per serving.

There’s something about autumn flavors that feels like home: crisp air, warm spices, and the scent of pumpkin and sage. This stuffed-shells recipe captures those familiar tastes in a savory, satisfying meal. Instead of heavy ricotta and lots of cheese, the filling relies largely on pumpkin puree and a touch of pecorino, making the dish lighter but still rich and creamy.
The pumpkin marinara is a standout—balanced with crushed tomatoes, garlic, chicken broth, and herbs—so flavorful you might find yourself sneaking a spoonful while cooking. The combination of nutmeg, cinnamon, and fresh sage gives a subtle sweetness alongside savory notes, creating a comforting dinner that feels special without being complicated.

Pumpkin and Sage Stuffed Shells
Healthy, seasonal, and perfect for cozy weeknights or a simple fall gathering. Make ahead and bake when you’re ready.
Prep Time: 10 mins | Cook Time: 45 mins | Total Time: 55 mins | Servings: 5

Ingredients
- 20 jumbo pasta shells
For the filling:
- 1 (15 oz) can pumpkin puree
- 1 cup grated pecorino cheese
- 1 large egg white
- 1/4 tsp nutmeg
- 1/2 tsp cinnamon
- 1 Tbsp fresh sage, minced
- Pinch of salt and pepper
For the marinara:
- 1 Tbsp olive oil
- 2 cloves garlic, minced
- 1/2 cup chicken broth
- 3/4 cup crushed tomatoes
- 3/4 cup pumpkin puree
- 2 Tbsp pecorino cheese
- 2 tsp fresh sage, minced
- 1/2 tsp dried (or fresh) basil
- Pinch of nutmeg
- 1/2 tsp salt
- 1/4 cup pecorino cheese, for topping
Instructions
- Preheat the oven to 350°F (175°C).
- Cook the jumbo pasta shells according to package directions until al dente. Drain, rinse with cold water to stop cooking, and arrange the shells on a baking sheet so they don’t stick while you prepare the filling.
- In a large bowl, combine the pumpkin puree, grated pecorino, egg white, nutmeg, cinnamon, minced sage, and a pinch of salt and pepper. Mix until smooth and well combined; set aside.
- For the marinara, heat the olive oil in a large skillet over medium heat. Add the minced garlic and sauté briefly until fragrant (about 30–60 seconds), taking care not to brown it.
- Pour in the chicken broth, crushed tomatoes, pumpkin puree, 2 Tbsp pecorino, minced sage, basil, nutmeg, and salt. Stir well, bring to a gentle boil, then reduce the heat to low. Cover and let the sauce simmer for about 15 minutes to meld the flavors.
- When the sauce is simmering, fill each shell with roughly 2 tablespoons of the pumpkin filling. A pastry bag, a small plastic bag with the corner snipped off, or a spoon all work well—the bag is fastest and neatest.
- Spoon about three-quarters of the marinara into the bottom of a 9″ x 13″ baking dish, spreading it into an even layer. Arrange the filled shells in the dish on top of the sauce.
- Cover the dish with foil and bake for about 30 minutes. Remove the foil, sprinkle the remaining 1/4 cup pecorino over the shells, and return to the oven uncovered for 10 more minutes, until the dish is hot and bubbly and the cheese has melted.
- Remove from the oven, spoon the reserved sauce over the shells, let rest a few minutes, and serve warm.
Tips & Variations
- Make-ahead: Assemble the shells and refrigerate, covered, up to two days before baking. When ready, add extra baking time if going straight from cold to hot.
- Vegetarian option: Replace chicken broth with vegetable broth.
- Cheese swaps: If pecorino is unavailable, try a similar hard cheese like Parmesan, keeping in mind flavor differences.
- Make it heartier: Stir chopped cooked spinach or sautéed mushrooms into the filling for extra vegetables and texture.
- Portion control: The recipe yields about five servings; double the ingredients to use a full box of shells if serving a larger crowd.
Nutrition
Serving: 4 stuffed shells | Calories: 298 kcal | Carbohydrates: 39.7 g | Protein: 14.7 g | Fat: 11.6 g | Fiber: 6.5 g | Sugar: 5.8 g
Nutrition information is an approximation and will vary based on exact ingredients and portion sizes.