Cook pasta according to the package.
Bring medium sized sauce pan to low heat, then add olive oil (or your preferred cooking oil/fat), sage, and minced garlic. Sauté for a minute.
Stir in coconut cream, pumpkin puree, and salt.
Continue to heat on low, stirring occasionally, until sauce is heated through. If you prefer a thinner sauce, you can add a touch of water, chicken stock, or coconut water.
Toss pasta in sauce. Add salt and black pepper to taste.