Bring a large pot of salted water to a boil and add pasta. Cook according to the instructions on the box.
2 1/2 cups dried orecchiette pasta
In the meantime, brown sausage in a large skillet over medium-high heat. Break into pieces with a wooden spoon.
¾ pounds fresh spicy sausage
When the sausage is done cooking, if there is a lot of fat and oil, feel free to drain.
Whisk pumpkin and mascarpone cheese into the skillet with the sausage and stir until mascarpone cheese has melted completely and the consistency is smooth.
1 cup pumpkin puree, 4 ounces mascarpone cheese
Once pasta is done cooking, scoop it out of the pot with a slotted spoon and add to the skillet with the rest of the ingredients. Toss to coat pasta with the pumpkin, mascarpone and sausage mixture.
Using the pasta liquid, blanch the broccolini for 3-4 minutes and then, using a slotted spoon, add the drained broccolini to the skillet.
2 cups chopped broccolini
Add nutmeg, cinnamon, salt, and pepper to the skillet and toss to incorporate everything.
Pinch of ground nutmeg and ground cinnamon, Salt and pepper