1/2 cup grated Parmesan cheese — for serving
Pinch ground cayenne pepper
1/8 tsp. ground nutmeg
1/8 tsp. ground cinnamon
1/4 tsp. black pepper
1/2 tsp. kosher salt
1 tbsp. chopped fresh sage leaves — divided
3 oz. reduced-fat cream cheese — cut into chunks and at room temperature (do not use fat free)
1 cup pumpkin puree — not pumpkin pie filling
2 cups nonfat milk
2 cloves garlic — minced
1 tbsp. all-purpose flour
1 tbsp. unsalted butter
8 oz. whole wheat fettuccini — or any other long, thin noodle, such as linguine or spaghetti