Creating creamy pumpkin pasta is straightforward if you follow these simple steps:

1. Cook the Pasta: Start by boiling a large pot of salted water. Add your pasta and cook according to package instructions until al dente. Drain and set aside.

2. Sauté Garlic: In a large saucepan, heat the olive oil over medium heat. Add the minced garlic and sauté for 1-2 minutes until fragrant, being careful not to burn it.

3. Prepare the Sauce: Stir in the pumpkin puree, heavy cream, dried sage, nutmeg, and salt and pepper. Mix well and let simmer for about 5 minutes, allowing flavors to meld.

4. Add Cheese: Gently fold in the grated Parmesan cheese until it melts into the sauce and creates a creamy texture.

5. Combine Pasta and Sauce: Add the cooked pasta to the sauce. Toss until the pasta is fully coated in the creamy pumpkin sauce.

6. Taste and Adjust: Sample the pasta and adjust the seasoning with more salt and pepper if needed.

7. Serve: Dish out the creamy pumpkin pasta into bowls and garnish with fresh parsley and toasted pine nuts if desired.