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Preheat oven to 450°F. In a large microwave-safe bowl, combine vegetables, gravy and sage. Cover with vented plastic wrap; microwave on High for 5 minutes. Add turkey; cover and microwave 4 to 6 minutes more or until the stew is heated through and the vegetables are tender, stirring occasionally. In a small bowl, combine pepper and nutmeg; set aside.
Spoon the stew into four 14- to 16-ounce casseroles. Top with apple and, if desired, fresh sage leaves. Drizzle with melted butter and sprinkle with the nutmeg mixture. Bake, uncovered, for 10 minutes or until bubbly and the apple slices begin to brown.