Creamy Pumpkin Pasta Sauce

Ingredients (14)

• 8 ounces whole wheat fettuccini
• 1 tablespoon unsalted butter
• 1 tablespoon all-purpose flour
• 2 cloves garlic
• 2 cups nonfat milk
• 1 cup pumpkin puree
• 3 ounces reduced-fat cream cheese
• 1 tablespoon chopped fresh sage leaves
• 1/2 teaspoon kosher salt
• 1/4 teaspoon black pepper
• 1/8 teaspoon ground cinnamon
• 1/8 teaspoon ground nutmeg
• Pinch ground cayenne pepper
• 1/2 cup grated Parmesan cheese