Prepare pasta according to package, drain. Set aside.
In a large sauce pan or dutch oven, heat avocado oil over medium high heat.
Add in onion, mushrooms, garlic, and sage. Saute until mushrooms and onions are cooked through, about 6-8 minutes.
Add in can of coconut milk and can of pumpkin, then stir in all of the spices. Taste a little and add more spices to your taste. Let simmer over low heat for 10 minutes, then turn off heat.
Pour your cooked pasta into the pan, and stir until well combined. If you are adding cheese, now would be the perfect time!
Serve immediately. Store in fridge for up to 5 days or freezer for 3 months.