Butternut Squash and Prosciutto Pasta with Lemon Garlic and Sage

Butternut Squash and Prosciutto Pasta with Lemon Garlic and Sage is a nutritious and delicious paleo dinner recipe that is packed with nutrients! Whole30, grain-free and gluten-free, the butternut squash pasta is absolutely amazing!

Welcome back to solid food! Last week’s detox beverages went down so smoothly, that I just haaaad to retox over the weekend.

 Butternut Squash and Prosciutto with Lemon Garlic and Sage | theroastedroot.net @roastedroot #glutenfree #pasta #recipe #paleo

Happy second week of January! How are your resolutions coming along?

One of my goals for the year is to travel as much as possible (if only for the weekend), and spend more time with friends and family.

I figure we have to make time for the things that matter in life in spite of how busy we get. Things that matter: memorable experiences, laughing with others, maintaining tight-knit connections to loved ones.

This weekend, I took a little road trip to Murphys, CA (which is in the Sierra Nevada Foothills) to visit friends at a winery I used to work at.

It was so nice having a change of scenery, enjoying some warm sunny weather, and catching up with people who are near and dear to my heartstrings. And retoxing. Because: when in wine country, do as the winos do, right?

Which is drink wine, right? And what’s wine without a little cheese, what’s cheese without a little cheesecake, and what’s life without chocolate…right? Thank you for validating my retox.

 Butternut Squash and Prosciutto with Lemon Garlic and Sage | theroastedroot.net @roastedroot #glutenfree #pasta #recipe #paleo

In other news, I’m certifiably obsessed with my new Paderno Spiral Slicer.  I can’t guarantee we won’t be eating vegetable noodles for the next four months straight, BUT, I can promise it’ll be healthy and delicioso.

So far, butternut squash noodles are my favorite of all the vegetable noodles – they’re hearty and filling and add a subtle sweet flavor to the meal. If you’re new to spiralizing, follow my tutorial on How to Spiralize Butternut Squash.

 Butternut Squash and Prosciutto with Lemon Garlic and Sage | theroastedroot.net @roastedroot #glutenfree #pasta #recipe #paleo

Have you heard?: Butternut squash, prosciutto, and sage are a trifecta of divine serendipity. The three just jive so very well together.

For this recipe, I combined the serendipitous trinity with lemon zest and garlic to make a super simple yet flavor-packed pasta meal that just so happens to be gluten free (and paleo). To me, there’s nothing more comforting than a hearty, carby, vegetable-and-meat recipe, so this one was pure pleasure to consume.



Butternut Squash and Prosciutto with Lemon Garlic and Sage | theroastedroot.net @roastedroot #glutenfree #pasta #recipe #paleo

Butternut Squash and Prosciutto Pasta with Lemon Garlic and Sage

Course: Main Course
Cuisine: American
Keyword: butternut squash, gluten free, grain free, low-carb, paleo
Prep Time: 25 minutes
Cook Time: 20 minutes
Total Time: 45 minutes
Servings: 2 to 3 servings
Author: Julia

Butternut Squash and Prosciutto Pasta with Lemon Garlic and Sage is a healthy paleo dinner recipe



  • 1 cups large butternut squash peeled and spiralized (about 6 worth)
  • 3 tablespoons grapeseed or olive oil
  • 1 tablespoon salted butter
  • 6 cloves garlic minced
  • ¼ cup fresh sage leaves chopped
  • 4 ounces prosciutto chunked
  • Zest of 2 lemons
  • 2 tablespoons fresh lemon juice
  • sea salt


  1. Spiralize your butternut squash and set noodles aside until ready to use.
  2. Heat the olive oil and butter over medium-low heat in a large non-stick skillet.
  3. Add the garlic and sage and saute until very fragrant, about 2 to 3 minutes. Add the prosciutto, lemon zest, lemon juice, and butternut squash noodles. Saute, stirring occasionally, until butternut squash noodles are soft, but still al dente, about 12 to 15 minutes. Note: if you are having a difficult time getting your noodles to soften up, cover the skillet for a few minutes to allow the noodles to steam.
  4. Serve and enjoy!

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  1. Lisa @ Healthy Nibbles & Bits

    That Paderno spiralizer is def one of my favorite tools in the kitchen! I’ve bought an imitation one before and it’s really NOT the same!

    Toxing with friends at a winery is so much fun! I’m looking to go to a few more wineries this year outside of Napa Valley. I should definitely check out Murphys one day, but if you have any other recommendations, let me know!

  2. Sarah @ Making Thyme for Health

    Aw, I’m so happy to hear that you had some good Q-time with friends and wine. I agree, you have to make time for those things no matter how busy you are because that is what it’s all about. I just added that one to my resolution list. Thanks! 🙂

    And I reeaaalllly want to upgrade my Spirelli to a Paderno so that I can spiralize some butternut! It looks so dreamy and delicious!!

  3. Susan

    So you really did say ‘retox’. At first I thought I misread ‘relax’. Wine and chocolate is a regular snack in our house, so I guess you could say that we approve of ‘retox’.

    I keep buying butternut squash, so one of these days I’ll have to spiralize one.

    1. Julia Post author

      Haha, yup, a weekend of relaxing and retoxing. So glad you approve! Cheers to wine and chocolate! Let me know when you try our the butternut squash noodles!

  4. Isadora

    You used to work at a winery??! That sounds both awesome and dangerous! I just went to a few Arizona wineries this weekend and it was so much fun! Butternut squash and sage are the perfect combo and I’m loving these butternut squash noodles! I have the smaller spiralizer, but it sure doesn’t fit a whole butternut squash into it! I think it is time to go shopping 🙂

  5. Angeleah

    This was time consuming.(Much longer than they say) but it was delicious and I would make it again. You could also use pre cubed butternut squash to speed things up although I don’t think it would mix together as nicely that way.

  6. Anyua

    Thank you for this excellent recipe! We loved it! I found very interesting the mix of fragrant garlic and freshly picked lemons.

  7. Christina

    For our vegetarian/kosher/halal/non-pork loving friends, I made this substituting light feta cheese for the prosciutto. It was delicious! You get the same saltiness from the feta mixing with the sweetness of the squash. Crumble it on top just before serving & it will soften up. Delicious!


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