Steps:
- 1.Preheat oven to 350 degrees F 2. Cook pasta in a large pot following package directions. When pasta is done cooking drain and return to pot. 3. While pasta is cooking, in a medium sauce pan, melt butter over medium heat. Stir in flour, salt, and pepper. Add whipping cream and milk all at once. Cook and stir over medium heat until slightly thickened and bubbly. 4. Stir in cheese, pumpkin, and sage until cheese is melted. Stir cheese sauce into pasta to coat. Transfer macaroni and cheese to an ungreased 2-quart rectangular baking dish 5. In a small bowl, combine bread crumbs, parmesan, walnuts, and oil; sprinkle over pasta. 6. Bake, uncovered, for 30 minutes, or until bubbly and top is golden. 7. Let stand 10 minutes before serving
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