Heat a skillet over low-med heat and melt your butter
Add minced garlic and cook 3-4 minutes until fragrant
Add pumpkin puree and nutmeg, bring to med-high heat and bring to a soft boil
Add milk, cream, parmesan, and fresh rosemary and stir to fully combine until creamy
Top with salt and pepper, and add your cooked ravioli, tossing to combine
Serve with crisped sage leaves, grated parmesan, and pepitas