Heat a large, deep nonstick skillet over medium high heat. Add 1 tbsp. of olive oil to the pan and brown the sausage. Transfer sausage to paper towel-lined plate. Drain fat from skillet and return pan to the stove. Add the remaining tbsp. oil, and then the garlic and onion. Sauté for 3 to 5 minutes until the onions are tender.
Add bay leaf, sage and wine to the pan. Reduce wine by half - about 2 minutes. Add stock and pumpkin and stir to combine, stirring sauce until it comes to a bubble. Return sausage to pan, reduce heat, and stir in cream. Season the sauce with the cinnamon and nutmeg, and salt and pepper, to taste. Simmer mixture for 5 to 10 minutes to thicken sauce.
Return drained pasta to the pot you cooked it in. Remove the bay leaf from sauce and pour the sausage pumpkin sauce over pasta. Combine sauce and pasta and toss over low heat for 1 minute.