Pumpkin Stuffed with Fontina, Italian Sausage and Macaroni

This Pumpkin Stuffed with Fontina, Italian sausage and Macaroni is basically the macaroni and cheese of your dreams (if you love meat, that is!) This recipe is reprinted with permission from Melt: The Art of Macaroni and Cheese. I was sent a free copy. 
 Pumpkin Stuffed with Fontina, Italian Sausage

Developing recipes for a cookbook is an incredibly intense and time consuming experience, something I learned earlier this year. I was lucky that my first book only involved drink recipes but I still found the entire process very overwhelming!

This is why I have so much respect for Stephanie Stiavetti and Garrett McCord. They recently published Melt: The Art of Macaroni and Cheese. It’s full of decadent macaroni and cheese recipes and I can’t even imagine the amount of work that went into creating this cookbook.

It’s truly a work of art. 

So far I’ve only had a chance to make two recipes: Orzo with Grilled Pears & Humboldt Fog (seen below) and Pumpkin Stuffed with Fontina, Italian Sausage, and Macaroni, which I’m sharing today.

Humboldt Fog with Grilled Peaches and Orzo - a review of Melt from Savory Simple

Both are absolutely delicious and I cant wait to dig further into the book. I never realized there could be so many variations of mac and cheese recipes but Stephanie and Garrett are both so creative!

Print Pin Recipe

Pumpkin Stuffed with Fontina, Italian Sausage and Macaroni

Reprinted with permission from Melt: The Art of Macaroni and Cheese
Course Main Course
Cuisine American, Italian
Prep Time 30 minutes
Cook Time 2 hours
Total Time 2 hours 30 minutes
Servings 6 servings (approximately)
Calories 484
Author Jennifer Farley


  • 1 sugar pumpkin, or other sweet variety (not a carving pumpkin), about 5 pounds
  • Sea salt
  • Freshly ground black pepper
  • 1 tablespoon olive oil
  • 1/4 pound mild Italian pork sausage
  • 4 ounces elbow macaroni
  • 5 ounces Fontina, cut into ¼-inch cubes
  • 2 ounces Gruyère, cut into ¼-inch cubes
  • 3 scallions, diced
  • 1 teaspoon chopped fresh rosemary
  • 1 teaspoon chopped fresh thyme
  • 1 teaspoon chopped fresh sage
  • 1 cup heavy cream


  • Preheat the oven to 350 degrees F/178 degrees C. Cut a circle from the top of the pumpkin at a 45-degree angle, the way you would cut open a pumpkin to make a jack-o’-lantern, and set aside. Scoop out the seeds and strings as best you can. Generously salt and pepper the inside of the pumpkin, pop the top back on it, place it on a rimmed baking dish (since the pumpkin may leak or weep a bit), and bake for 45 minutes.
  • Meanwhile, heat the olive oil in a sauté pan over medium heat. If the sausages are in their casings, remove the meat and discard the casings. Crumble the sausage meat into small chunks and cook until lightly browned. Remove the sausage from the pan with a slotted spoon and set aside to cool. Discard the drippings, or save for gravy or what have you.
  • Also while the pumpkin bakes, cook the pasta in a large pot of salted boiling water until al dente. Drain through a colander and rinse with cool water to stop the cooking process.
  • In a bowl, toss together the Fontina, Gruyère, sausage, pasta, scallions, and herbs. Once the pumpkin is done baking, take it out of the oven and fill it with the macaroni and cheese. Pour the cream over the filling. Place the top back on the pumpkin and bake for 1 hour, taking the top off for the last 15 minutes so the cheese on top of the filling can properly brown. If the top cream still seems a bit too wobbly and liquid, give it another 10 minutes in the oven. The cream may bubble over a bit, which is fine. If the pumpkin splits while baking, as occasionally happens, be thankful you set it in a rimmed baking dish and continue to bake as normal.
  • Allow the pumpkin to rest for 10 minutes before serving. Be careful moving the dish, as the pumpkin may be fragile. You can serve this dish two ways: Cut it into sections and serve them, or just scoop out the insides with scrapings of the pumpkin flesh for each serving. Either way is just dandy. Salt and pepper to taste.


Wine pairings: white Rhône Valley blends, Viognier, oaky Chardonnay, champagne
Additional pairings for the cheese: apples, toasted walnuts, toasted hazelnuts


Calories: 484kcal | Carbohydrates: 30g | Protein: 17g | Fat: 23g | Saturated Fat: 13g | Cholesterol: 106mg | Sodium: 378mg | Potassium: 929mg | Fiber: 1g | Sugar: 7g | Vitamin A: 404.9% | Vitamin C: 26.8% | Calcium: 31.1% | Iron: 13.5%

Recipe Troubleshooting

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About Jennifer Farley

Jennifer graduated from the Culinary Arts program at L’Academie de Cuisine, and has worked professionally as a line cook, pastry chef, and cooking instructor. Her cookbook, The Gourmet Kitchen, was published in 2016 by Simon & Schuster.

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