In a large, deep skillet, heat 2 Tbsp. olive oil, over medium-high. Add sausage and cook, breaking into large pieces with the back of a spoon. Add in sage, allspice, nutmeg and red pepper flakes. Cook until browned, about 6 minutes.

Add squash, onion, and garlic.. Season with salt and pepper. Cook, stirring occasionally, until the vegetables begin to soften, about 2-3 minutes. Add the white wine and cover. Reduce the heat to medium-low and simmer, stirring occasionally, until the squash is tender, 18-20 minutes.

Meanwhile, in a large pot of boiling salted water, cook pasta until al dente. Drain pasta, reserving 1 cup of cooking water. Add pasta to the skillet with the squash and sausage, along with the reserved cooking liquid and parmesan cheese. Cook over medium-low heat until the sauce is thick and creamy, about 1-2 minutes. Sprinkle with fresh parsley and crumbled goat cheese and serve immediately.