Make the sauce: Stir in pumpkin puree and heavy cream until smooth and creamy. Add Parmesan cheese and season with salt, pepper, and extra red pepper flakes to taste. Simmer for 10-15 minutes. Add your pasta to your boiling water while this is simmering. Cook pasta until al dente and reserve 1 cup of pasta water.
4 Combine pasta and sauce: Add reserved pasta water, cooked pasta, and spinach to the sauce. Mix well and allow spinach to wilt. Reduce heat to low.
5 Add feta: Crumble half the feta into the pasta and stir. Top with remaining feta before serving. Enjoy warm!
Note
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Please note that my nutrition label is approximate and has slight rounding.
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