Creating Creamy Pumpkin Fettuccine is straightforward. Follow these simple steps for a delectable outcome:

1. Cook the Fettuccine: In a large pot, bring salted water to a boil. Add the fettuccine and cook according to package instructions until al dente. Reserve 1 cup of pasta water and drain the rest.
2. Prepare the Sauce: In a large skillet, heat olive oil over medium heat. Add the minced garlic and sauté until fragrant, about 1 minute.
3. Add Pumpkin: Stir in the canned pumpkin puree and mix well with the garlic. Cook for 2-3 minutes until heated through.
4. Incorporate Cream: Gradually pour in the heavy cream while stirring constantly. Allow the mixture to simmer for 3-5 minutes, letting it thicken slightly.
5. Season the Sauce: Add ground cinnamon, nutmeg, salt, and pepper. Taste and adjust seasoning as needed.
6. Combine with Pasta: Add the drained fettuccine to the skillet, tossing it in the sauce. If the sauce appears too thick, gradually add reserved pasta water until you reach your desired consistency.
7. Add Cheese: Stir in the grated Parmesan cheese until melted and loved throughout the pasta.
8. Garnish and Serve: Garnish with fresh thyme or sage, and add crushed red pepper flakes if desired for an extra kick.

Follow these steps, and you will create a plate of Creamy Pumpkin Fettuccine that will impress everyone at your table!