Preheat the oven to 400°F.
In a large bowl, toss the butternut squash with olive oil, salt, pepper, and nutmeg until evenly coated.
Spread the squash out on a baking sheet and roast for 25-30 minutes, or until tender and lightly browned.
While the squash is roasting, cook the orecchiette pasta according to package instructions until al dente.
Reserve 1/2 cup of the pasta cooking water, then drain the pasta and set it aside.
In a large skillet, heat 2 tablespoons of olive oil over medium heat.
Add the chopped sage leaves and cook for 1-2 minutes, or until fragrant.
Add the roasted butternut squash to the skillet and toss to combine with the sage.
Add the cooked pasta to the skillet and toss to combine with the squash and sage.
If the pasta seems dry, add some of the reserved pasta cooking water to loosen it up.
Serve the pasta hot, topped with toasted pine nuts and grated Parmesan cheese (if desired). Enjoy!