Bring a pot of salted water to a boil and cook 8 oz. according to package instructions.
Heat a sauté pan on medium heat and add in avocado oil and sage leaves.
Sauté for about 5 minutes or until crispy.
Remove the sage leaves and set aside, leaving the remaining oil in the pan.
Add pumpkin purée and coconut milk to the pan and mix until well combined.
Cook for about 3 minutes.
Then add in all the remaining ingredients (except for the sage) and stir until well combined. Bring to a low simmer for about 15-20 minutes, stirring as you go.
Thinly slice or mince half of the sage leaves and mix into sauce.
Add in the cooked pasta and coat in sauce.
Top with the rest of the crispy sage. Enjoy!