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Into a pot of boiling salted water, add the pasta and cook as per packet directions.
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While the pasta is cooking, place the cooked pumpkin, cashews and water into a food processor or blender and blend until a smooth paste forms.
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Heat the olive oil in a pan and gently cook the garlic to soften.
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Add the pumpkin puree, nutmeg and season with salt and pepper. Cook gently for 3-4 minutes.
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Toss the ravioli through the sauce and serve with a garnish of sage leaves.
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NOTE: Sage leaves can be fried.