It is so delicious! I've made this maybe about 10 times and it is so tasty. I have never added water though, and I make my own pumpkin puree out of kabocha (japanese pumpkin). I also add a good bit of freshly grated parmesan to the sauce.
tolerable Needed a recipe to use a free can of pumpkin. Should have read the reviews first, oh well. We ate it, but I will not repeat as is. Suggestion to add sausage sounds good.