This time of year is perfect for pumpkin recipes, but I use pumpkin all year round in many savory recipes in place of tomato sauce. Cooked tomatoes seem to cause reflux for our family, so we tend to avoid cooked tomatoes. I started using pumpkin puree as a tomato sauce alternative a couple years ago and I love it! If you want to try using pumpkin in place of tomato sauce but aren’t sure about it, go half-and-half tomato sauce and pumpkin and see if you like it. I usually end up making spaghetti sauce this way, too, and it has made a big difference. If you have regular acid reflux problems, try switching out your tomato sauce with pumpkin puree and see if that helps!
This recipe is tomato free, but it is not completely free of nightshade plants. The red bell pepper is a night shade plant and the seasonings and sausage contain nightshade as well (in the ground chili pepper). If you are very sensitive to nightshades, you can try this recipe without the red bell pepper and replace the seasonings and sausage with diet-appropriate alternatives such as plain ground turkey or another variety of chicken sausage.
Note: This recipe is listed as grain-free because quinoa is not a true grain, but rather a pseudo-grain or seed. While this recipe is grain-free, it is not Paleo, however, as psuedo-grains such as quinoa are not allowed on Paleo diets