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Start the Traeger on Smoke with the lid open until the fire is established (about 5 minutes).
Pour the cream into a saucepan along with the butter and place on the Traeger grill grate to smoke along with the parmesan cheese.
Smoke for 30 minutes to 1 hour, depending how much smoke flavor you want. Turn the heat on the Traeger up to 300 degrees F.
Shred the parmesan cheese and add it and the sage sprig into the pan with the cream and butter.
Whisk until the cheese has all melted and season to taste with the salt and pepper and a pinch or two of the ground nutmeg.
While warm, pour this sauce on anything. Enjoy!