In a medium saucepan heat butter with garlic.

Add in pumpkin puree, marinara sauce, and heavy cream, milk, and whisk until smooth.

When sauce comes to a boil over medium heat stir in parmesan cheese, salt and pepper.

If you prefer it cheesier add an additional 1/4 cup parmesan cheese.

If you don't prefer your sauce too sweet, add in 1/4 cup marinara sauce.

Stir over 1 lb cooked pasta and garnish with additional cheese, basil, and nutmeg.