Preheat the oven to 475 F
On a lined sheet pan add the chopped onions and pumpkin (you can use squash too)
Smash the garlic cloves and season everything with all-purpose seasoning or a little salt and black pepper
Toss in oil and place in the oven to bake until the pumpkins are soft and beginning to char
Once charred remove from the oven and set aside
Bring some salted water to boil to cook the pasta to the package’s instructions
Clean and slice the mushrooms
Melt the butter in a large pan and sauté the mushrooms until golden brown
Add shredded garlic, sage,marjoram, tomato paste, garlic paste and anchovy paste
stir to combine then deglaze the pan with ½ cup of pasta water
Add the heavy cream as well as the roasted pumpkin onions and garlic and allow it to thicken
Then add the parmesan cheese allow it to melt then stir in the pasta
Once the pasta is completely coated add the mozzarella cheese and turn off the heat stirring to melt the cheese
Serve hot garnished with extra fresh sage