• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

Fed and Fulfilled

An always gluten-free, mostly Paleo and AIP food blog.

  • Home
  • About
    • About Fed and Fulfilled
    • Disclosure and Privacy
  • Life and Health
  • Recipe Index
    • AIP
    • Apps and Snacks
    • Breakfast
    • Condiments
    • Drinks
    • Dessert
    • Main Course
    • Salads
    • Sides
  • Shop
  • Resources
  • Contact

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo)

October 19, 2017 by Joanna 6 Comments

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo) - a delicious Fall comfort food meal that's actually healthy, thanks to a dairy-free pumpkin sauce! | fedandfulfilled.comReason #2,641 why I love Fall:  All. The. Comfort. Food.

Seriously.  Fall food is synonymous with warm, cozy, comforting meals that you’d probably feel a little guilty eating during swimsuit season.  Pumpkin pie, apple crisp, beef stew, mac & cheese…  But the great thing about being on a Paleo or AIP diet is that the comfort food recipes are actually guilt-free, too!  The best of both worlds, right?

Today’s Instant Pot Pumpkin Alfredo with Apple Sage Meatballs is healthy Fall comfort food at its finest!  It has the richness of a traditional alfredo, but without the heaviness of dairy or cheese, thanks to creamy pumpkin, cauliflower, white sweet potato, and coconut milk!  And the meatballs are super flavorful and tasty, even without added fillers like flour or breadcrumbs.

And the best part of all is that this meal can be made on a weeknight, thanks to the speedy Instant Pot!  Wow, so many things I love all in one recipe!  Don’t just take my word for it – add my Instant Pot Pumpkin Alfredo with Apple Sage Meatballs to your Fall dinner menu this month and try it for yourself!

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo) - a warm, cozy, comforting Fall meal that is perfect over spaghetti squash or your favorite pasta or rice! | fedandfulfilled.com
Are you sick of pumpkin recipes yet?  Me either.  🙂  Now that “Aug-tober” (as nicknamed by the Weather Channel) is feeling more like Fall and less like Summer, I can finally share this recipe with you!  It’s a warm, hearty, feel-good meal that you could eat over your favorite pasta, rice, or really, even on its own.  Since I was in the pasta mood when I created this, I went with my favorite veggie pasta – spaghetti squash.  We’re in prime squash season, so you can find these gems at most grocery stores for a reasonable price.

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo) - rich, creamy pumpkin alfredo sauce is combined with apple herb pork meatballs for a decadent yet healthy dinner! | fedandfulfilled.comIf you’re following my lead and also trying a veggie-based pasta substitute, I recommend preparing it ahead, if possible.  I roasted my spaghetti squash and shredded it a day before so that the dinner prep would be much simpler.  It’s these little shortcuts that make living on an AIP or Paleo diet much more manageable!

If you’d rather not go to the trouble with spaghetti squash, I highly recommend checking your grocery store’s produce section for already spiralized veggies, like sweet potato, zucchini, carrot, and parsnip.  Trader Joe’s also has a wonderful array of ready-made veggie noodles, and you can even find cauliflower rice and carrot noodles in their freezer section!  Endless easy possibilities! 🙂

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo) - serve this creamy pumpkin alfredo and pork meatballs over spaghetti squash for a feel-good Fall meal! | fedandfulfilled.comSince I’m still currently nightshade-free, this Instant Pot Pumpkin Alfredo is completely tomato-free.  Instead, it features the Fall flavors of pumpkin, apple, sage, and a touch of cinnamon.  The Apple Sage Meatballs make a perfect compliment to the autumnal sauce, thanks to the combination of savory herbs, sweet apple, and juicy pork.  (You could also substitute ground turkey, beef, or chicken, if need be.)

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo) - creamy, dairy-free pumpkin sauce combines with juicy pork meatballs to create a decadent, yet healthy dinner! | fedandfulfilled.comI should also note that if you’re sensitive to onions (as they can be hard to digest), just omit them.  Otherwise, chop them finely (unlike I did – oops!), since you don’t precook them before mixing them into the meatballs.  If you prefer a sweeter onion flavor, you can caramelize the chopped onions before adding them to the meatball mixture.  Once the meatballs are formed, they simply bake in the oven while the sauce cooks easily in the Instant Pot!

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo) - creamy pumpkin alfredo sauce compliments sweet and savory pork meatballs for a winning Fall dinner! | fedandfulfilled.comIf you don’t have an Instant Pot yet, add this recipe to a long list of reasons to buy one!  And great news-  they almost ALWAYS go on sale for Black Friday, so keep an eye out and snag it for an amazing Christmas gift!  (My Instant Pot is now a year old and I haven’t had any issues with it.   And I use it at least 2-3 times per week!  I can’t recommend it highly enough!!)

In addition to my beloved Instant Pot, you might have spotted another kitchen gadget that keeps reappearing in my recipes:  the Cuisinart hand blender.  This handy appliance allows you to blend my Pumpkin Alfredo sauce directly in the Instant Pot after it’s finished cooking.  If you’re hand blender-less, not to worry!  You can still blend up this yummy sauce with a traditional blender, but it’ll be messier!  So, while you’re Instant Pot shopping, grab an inexpensive hand blender on Amazon, too!

The result of the Instant Pot and hand blender is this silky smooth, dairy-free Pumpkin Alfredo sauce that you could really use as a versatile sauce for any pasta or even pizza!  One batch of this sauce goes a long way, too!

Well, I better let you get started on my new Fall dinner favorite, so you can join me in savoring mouthfuls of creamy Instant Pot Pumpkin Alfredo with Apple Sage Meatballs!  This tastes even better when eaten in front of a cozy, candlelit table or crackling fire with a mug of hot cider!  And it’s perfect served along with one of my Fall salads – either this one or that one.  🙂 Happy eating, friends!

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo) - a warm, cozy Fall dinner recipe with sweet and savory flavors, made easily in the Instant Pot! | fedandfulfilled.com

Instant Pot Pumpkin Alfredo with Apple Sage Meatballs (AIP, Paleo)
 
Print
Created by: Joanna Smith
Serves: 6-8
Ingredients
For the Apple Sage Meatballs:
  • 2 lbs ground pork (or turkey)
  • 1 onion, finely diced
  • 1 tablespoon minced garlic
  • 1 tablespoon chopped fresh sage
  • 1 tablespoon maple syrup
  • 1 teaspoon dried thyme
  • 1 teaspoon ginger
  • 1 teaspoon cinnamon
  • 1 apple, peeled, cored, diced
  • ½ teaspoon salt

For the Pumpkin Alfredo Sauce:
  • ½ head cauliflower, chopped (about 4 cups florets)
  • 1-15 oz. can of pumpkin
  • 2 white sweet potatoes, peeled and chopped
  • 1 onion, chopped
  • 1 apple, peeled, cored, chopped
  • 2-14 ounce cans full-fat coconut milk, divided
  • 1 tablespoon chopped sage
  • 2 teaspoons garlic powder
  • 1 teaspoon minced garlic
  • 1 teaspoon apple cider vinegar
  • 1 teaspoon dried thyme
  • ½ teaspoon cinnamon
  • ½ teaspoon sea salt, plus extra to taste
  • 1 tablespoon extra chopped sage for garnish
Instructions
  1. Preheat oven to 400 degrees. Line a baking sheet with parchment paper.
  2. Combine Apple Sage Meatball ingredients together in a large bowl. Mix thoroughly, using your hands. Form golf ball-sized meatballs and place on prepared baking sheet. Bake for 25 minutes, or until cooked through.
  3. Meanwhile, add all of the Pumpkin Alfredo Sauce ingredients to the Instant Pot, except for the second can of coconut milk and extra sage. Select the "Steam" setting on high pressure for 4 minutes. Quick release the steam after time is up, then blend with a hand blender or transfer mixture to a full-size blender, adding an additional ¾ - 1 cup of coconut milk to thin down sauce.
  4. Sprinkle extra sage over the sauce.
  5. Serve sauce and meatballs over your favorite pasta or rice. I recommend spaghetti squash!
3.5.3226

**This post contains affiliate links to which I may receive a small commission if an item is purchased.  Please know that I only share about products I love and am passionate about!  For more info, see my full disclosure.**

Share this:

  • Click to share on Pinterest (Opens in new window)
  • Click to share on Facebook (Opens in new window)
  • Click to share on Twitter (Opens in new window)
  • Click to share on LinkedIn (Opens in new window)
  • Click to share on Tumblr (Opens in new window)
  • Click to email a link to a friend (Opens in new window)
  • Click to print (Opens in new window)

Filed Under: AIP, All Recipes, Main Course Tagged With: AIP, alfredo, apple, dairy-free, dinner, egg-free, Fall, gluten-free, main course, meatballs, nightshade-free, nut-free, paleo, pork, pumpkin, sage, soy-free, spaghetti squash

Previous Post: « Fall Harvest Salad with Creamy Pumpkin Dressing (AIP, Paleo) + Transitions
Next Post: Paleo Pumpkin Pie Mousse Cups (AIP) »

Reader Interactions

Comments

  1. Jan Vermilya says

    October 19, 2017 at 1:29 pm

    This looks divine!! I’ve been considering an instant pot…this might push me over the edge. Thanks for posting, your blog always makes me feel like meal planning with limitations is more doable than I’m making it out to be.

    Reply
    • Joanna says

      October 19, 2017 at 3:50 pm

      Aw, thank you, Jan! It’s amazing how many great recipes can still be created, even on a limited diet! My goal is never to feel restricted! 🙂 And YES YES YES to the Instant Pot! It’s my favorite appliance, hands-down!

      Reply
  2. Lauren says

    October 19, 2017 at 5:29 pm

    I’m dying to make this but I don’t own an instant pot! 🙁 Is there any way around it? I may try to come up with something!

    Reply
    • Joanna says

      October 19, 2017 at 8:35 pm

      Hey Lauren! It’s definitely worth experimenting with! You should be able to hopefully get similar results if you cook the cauliflower and sweet potatoes on the stove in boiling water or steam them in the microwave. Then, saute the onion and apple together until cooked and add the pumpkin, coconut milk, and spices to that mixture. Once all the components are cooked mix everything together in a large pot and blend with a hand blender or transfer to a large blender. You may require more or less coconut milk (depending on how thick or thin the sauce is when it’s blended). This is me guessing with the method and amounts, so play around with it and I’m sure you’ll find something that works for you! The meatballs don’t require the Instant Pot, so you should be good to go there! 🙂 Happy cooking!

      Reply
  3. Angela says

    March 2, 2020 at 9:25 am

    Can I used frozen riced cauliflower to make this?

    Reply
    • Joanna says

      March 2, 2020 at 10:22 am

      Hi Angela,
      I haven’t personally tried using the frozen riced cauliflower in place of the raw florets, but I don’t see why that wouldn’t work since it’s ultimately getting blended into a sauce anyway. Hope it turns out well for you!

      Reply

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Recipe Rating




Rate this recipe:  

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Primary Sidebar

Hi! Welcome to Fed and Fulfilled!

I'm Joanna, a passionate foodie and developer of gluten-free, Paleo, & AIP recipes. I hope my blog will help to feed your body and fulfill your soul! Read More…

  • Email
  • Facebook
  • Instagram
  • Pinterest

Search Fed and Fulfilled

Never Miss a Post!

Sign up to receive news, updates, and recipes from Fed and Fulfilled!

Categories

Archives

Most Popular Posts

Egg-Free Breakfast Casserole (AIP, Paleo)
Turkey Apple Breakfast Hash (AIP)
Frosted Cut-Out Sugar Cookies (AIP, Paleo, Vegan)
Citrus Fennel Salad with Grapefruit Vinaigrette (AIP)
Paleo Triple Berry Trifle (AIP)
Easy Paleo Drop Biscuits (AIP)

Follow Fed and Fulfilled on Pinterest!

Footer

Connect with Me

  • Email
  • Facebook
  • Instagram
  • Pinterest

Never Miss a Post!

Sign up to receive the latest news, updates, posts, and recipes from Fed and Fulfilled!

Search Fed and Fulfilled

COPYRIGHT

At Fed and Fulfilled, we work hard to create original, unique content. We appreciate your discretion when sharing any of our property, including links, pages, recipes, and photos. If you are using more than 2 of our photos and/or copying more than 2 lines of text, please contact Fed and Fulfilled and receive consent before publishing. Photos or recipes used must link back to the original post on our site and must reference Fed and Fulfilled in your post. Thank you!

Copyright © 2025 · Foodie Pro Theme by Shay Bocks · Built on the Genesis Framework · Powered by WordPress