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This Butternut Squash and Sausage Orzo Soup is ultra cozy and packed with fall flavor. Itโs hearty, creamy, and filled with tender chunks of squash, spicy sausage, and silky orzo โ basically the soup equivalent of a warm hug.
Try our Minestrone Soup with Sausage and Orzo, Italian Sausage and Orzo Soup or Broccoli Cheddar Orzo Soup next if youโre on an orzo kick!

Why Youโll Love It
This is the kind of soup you make when you want something super satisfying without a ton of effort. It comes together in one pot, makes your kitchen smell amazing, and hits that perfect balance of creamy, savory, and just a little spicy.
- One pot = easy cleanup
- Butternut squash + sausage = flavor match made in heaven
- Orzo makes it cozy and extra satisfying
- Spinach + cream give it the perfect finishing touch

What Youโll Need

Helpful Tips
- Donโt skip toasting the orzo โ it adds a light nutty flavor that really makes a difference.
- Pre-cut butternut squash is a total time saver. If youโre cutting it yourself and find it too hard, you can roast it slightly to soften before cubing.
- Add more stock or water if the soup thickens as it sits โ orzo tends to soak up liquid fast!
- Want extra flavor? A little lemon juice or red wine vinegar at the end brightens everything up.
How to Make Butternut Squash and Sausage Orzo Soup
This is a quick overview. Full step-by-step instructions are in the recipe card below ๐
- Brown the sausage with Italian seasoning, thyme, and red pepper flakes.
- Add garlic and toast the orzo for a couple of minutes.

- Stir in tomato paste, then pour in chicken stock and add the squash and bay leaf.
- Simmer until orzo and squash are tender.

- Add spinach and cook just until wilted.
- Finish with cream, salt, pepper, and Parmesan. Thatโs it!

Substitutions and Variations
- Swap the sausage for chicken sausage or a mix of sausage + ground turkey.
- Use kale instead of spinach if thatโs what youโve got.
- Add white beans for more protein and texture.
- Want it dairy-free? Use full-fat coconut milk instead of cream and skip the Parmesan.

What to Serve It With
We love this soup with crusty garlic bread, a grilled cheese sandwich, or just some warm buttered toast on the side. You could also serve it with a simple green salad if you want something fresh to go with it.
Leftovers & Storage
This soup is great the next day! Just keep in mind the orzo will soak up more broth as it sits.
- Store in the fridge for up to 3 days.
- Reheat gently on the stove, adding a splash of broth or water to loosen it up.
- Not ideal for freezing because of the dairy and pasta, but itโs doable if needed (just freeze before adding the cream).

โFAQs
Yes! Pre-cut fresh or frozen butternut squash works great and saves time. Just make sure the cubes are evenly sized so they cook at the same time.
Spicy Italian sausage adds the most flavor, but you can also use mild Italian sausage, chicken sausage, or even a mix of sausage and ground turkey if you prefer a lighter option.
Absolutely. Swap the heavy cream for full-fat coconut milk or a plain, unsweetened dairy-free alternative. Skip the Parmesan or use a dairy-free version if needed.
Orzo absorbs liquid as it sits, so if youโre making this soup ahead or storing leftovers, add a little extra broth or water when reheating to thin it out again.
Yes! Omit the sausage and use vegetable broth instead of chicken broth. Add white beans or chickpeas for protein and richness.
If you try this Butternut Squash and Sausage Orzo Soup, weโd love to hear what you think โ donโt forget to leave a โญ๏ธ rating and a comment below!
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Butternut Squash and Sausage Orzo Soup
Ingredients
- 1 pound spicy Italian sausage, crumbled
- 1 teaspoon Italian seasoning
- 1 tablespoon fresh thyme leaves
- Red pepper flakes, to taste
- 5 cloves garlic, minced
- 1 cup uncooked orzo
- 1 tablespoon tomato paste
- 5 cups chicken stock
- 2ยฝ cups butternut squash*, peeled and cubed
- 1 small bay leaf, remove before serving
- 5-6 cups baby spinach
- ยฝ cup heavy cream
- โ cup Parmesan cheese, shaved or grated (for garnish)
Instructions
- In a large pot over medium heat, cook the crumbled sausage with Italian seasoning, thyme, and red pepper flakes until the sausage is browned and mostly cooked through.
- Add the garlic and orzo. Stir and toast for 1โ2 minutes, until the orzo is lightly golden and fragrant.
- Stir in the tomato paste and cook for 1 minute more.
- Pour in the chicken stock, add the butternut squash and bay leaf, and stir well. Bring to a boil, then reduce heat, cover, and simmer for 10โ12 minutes, or until the squash and orzo are tender.
- Add the spinach, cover again, and cook for 1โ2 minutes until wilted.
- Remove from heat, stir in the heavy cream, and season with salt and pepper to taste. Add more broth or water if the soup is too thick.
- Serve warm, topped with Parmesan cheese and extra red pepper flakes if desired. Donโt forget to remove the bay leaf before serving.
Notes
- *Raw butternut squash can be tough to cut, so look for pre-cut cubes in the fresh or frozen section to save time. If you’re cutting it yourself and find it difficult, you can roast the squash partially to soften it before cubing โ just donโt let it get too tender before adding to the soup. Aim for evenly sized cubes so they cook through evenly.
- Orzo: Toast it briefly before adding liquid for a nutty flavor. Keep in mind it will continue to absorb broth as it sits, so add extra liquid when reheating leftovers.
- Spinach: Stir in at the end so it wilts gently without overcooking.
- Cream: Add after removing from heat to keep the soup smooth and creamy.
- Make-ahead tip: If youโre prepping ahead, cook the orzo separately and stir it in when serving to avoid it soaking up too much broth.
Nutrition
Nutrition information is automatically calculated, so should only be used as an approximation.
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This soup is pure comfort in a bowl! The butternut squash gets so creamy and pairs perfectly with the sausage. I used spicy Italian sausage and it was amazing. Definitely adding this to my fall rotation!
Hi Sarah! So happy to hear your family loved it! Spicy Italian sausage is such a great choice โ that little kick is perfect with the sweet squash. Thanks for making it! ๐งก
Made this last night and wow! I was skeptical about cutting up the butternut squash but it was totally worth it. The soup has such a cozy, autumn vibe. I topped mine with some crispy sage and parmesan โ game changer! My husband had three bowls and said it’s better than the soup at our favorite bistro.
Michelle, crispy sage and parm on top? You’re speaking my language! ๐ So glad the butternut squash prep was worth it. Three bowls is the ultimate compliment!
Wow, this was pure comfort in a bowl! The sweetness of the squash with the savory sausage and orzo was just perfect. Even better the next day.
Iโm so happy to hear that, Lauren! ๐ Youโre right โ the flavors get even richer overnight. Thanks for sharing your feedback!
Incredible flavor combo! The sweetness of the squash with the savory sausage was spot on. My whole family loved it.
Thank you, Haley! ๐