01 -
In a large bowl, gently mix ground chicken, pumpkin purée, breadcrumbs, egg, grated garlic, onion powder, salt, and pepper until just combined.
02 -
Using damp hands or a small scoop, form the mixture into 1.5-inch meatballs and arrange them on a plate, making approximately 16 meatballs.
03 -
Heat olive oil in a nonstick skillet over medium heat. Cook meatballs in a single layer for 2 to 3 minutes per side until golden brown, working in batches if necessary.
04 -
Melt butter in a small saucepan over medium heat. Add grated garlic and chopped sage, stirring for 30 seconds. Pour in heavy cream, season with salt, pepper, and optional nutmeg. Simmer gently for 3 to 4 minutes.
05 -
Transfer browned meatballs into the prepared sauce and simmer for 5 to 7 minutes until fully cooked and coated with sauce.
06 -
Spoon meatballs and sauce into shallow bowls or plates. Garnish with additional chopped sage leaves and a crack of black pepper.