Fettuccine Alfredo Creamy Parmesan

Featured in: Family Table Favorites

Experience the ultimate comfort of silky fettuccine noodles coated in a velvety homemade sauce made with melted butter, heavy cream, and freshly grated Parmesan cheese. This Italian-American favorite delivers restaurant-quality results in your own kitchen, ready in just 30 minutes from start to finish.

The creamy sauce comes together with simple pantry staples—butter, cream, garlic, and aged Parmesan—creating that irresistible smooth texture and rich, savory flavor that makes this dish so beloved. For added protein, tender pan-seared chicken breast slices complement the indulgent pasta perfectly.

Customize your bowl with sautéed mushrooms, sweet peas, or a pinch of nutmeg for depth. The dish pairs beautifully with crisp Pinot Grigio and finishes elegantly with fresh parsley and extra cheese sprinkled on top.

Updated on Wed, 14 Jan 2026 08:28:00 GMT
Creamy Fettuccine Alfredo twirls on a fork with a glistening, rich Parmesan sauce. Save to Pinterest
Creamy Fettuccine Alfredo twirls on a fork with a glistening, rich Parmesan sauce. | mesaisli.com

Last winter, after a particularly brutal day at work, I found myself craving something absurdly comforting. No fancy techniques, no obscure ingredients, just pure unapologetic richness. I stood in my kitchen at 9 PM, slowly melting butter into cream, watching the sauce thicken while snow fell outside my window. Sometimes the simplest food hits the hardest.

My sister visited last month and practically hovered over the pan, watching me whisk the Parmesan into the cream. She texted me two days later saying she had made it three times already. Thats when I knew this wasnt just dinner anymore, it was becoming part of her regular rotation.

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Ingredients

  • 400 g fettuccine: Fresh pasta works beautifully, but good quality dried fettuccine holds up perfectly to the rich sauce
  • 60 g unsalted butter: Let it melt slowly over medium-low heat, you want it gentle, not browned or bubbling aggressively
  • 250 ml heavy cream: Do not use half-and-half or milk, you need that full fat content for proper sauce consistency
  • 120 g freshly grated Parmesan: Pre-grated cheese has anti-caking agents that make sauce grainy, grate it yourself right before adding
  • 1 garlic clove: Mince it finely if you want that subtle background note, but authentic Alfredo often skips garlic entirely
  • Salt and pepper: Go easy on salt initially since Parmesan is naturally salty, adjust at the end
  • Pinch of nutmeg: Just a tiny amount deepens the creaminess without making it taste like dessert
  • 2 chicken breasts: Pound them to even thickness so they cook uniformly and stay juicy
  • 2 tbsp olive oil: Use this for searing the chicken until golden and fragrant

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Instructions

Cook the pasta to perfection:
Drop fettuccine into heavily salted boiling water and cook until al dente, usually a minute less than the package directs. Before draining, scoop out a full cup of the starchy pasta water, this liquid gold saves sauces that are too thick.
Sear the chicken if using:
Season both sides generously with salt and pepper, then cook in hot olive oil for about 7 minutes per side until golden brown and cooked through. Let it rest on a plate for 5 minutes before slicing into strips.
Build the creamy foundation:
Melt butter over medium-low heat and add minced garlic if you are using it, letting it soften for about 30 seconds until fragrant but not browned. Pour in the heavy cream and bring it to a gentle simmer, stirring constantly for 2 to 3 minutes.
Transform it into sauce:
Reduce heat to low and gradually whisk in the Parmesan cheese, a handful at a time, until fully melted and the sauce is smooth and velvety. Season with salt, pepper, and that pinch of nutmeg, tasting as you go.
Bring everything together:
Add the drained fettuccine directly into the sauce, tossing with tongs until every strand is coated. Add pasta water a splash at a time if the sauce seems too thick, it should cling, not pool.
Tender sliced chicken breast rests atop a warm, steaming bowl of Fettuccine Alfredo. Save to Pinterest
Tender sliced chicken breast rests atop a warm, steaming bowl of Fettuccine Alfredo. | mesaisli.com

I made this for my friend who swore she hated Alfredo after too many mediocre restaurant versions. Watching her face light up after the first bite, then immediately ask for seconds, was incredibly satisfying. Sometimes proving someone wrong about a dish they think they dislike is the best part of cooking.

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Getting the Sauce Texture Right

The difference between grainy and silky comes down to temperature control and cheese quality. High heat causes the cream to separate and the cheese to clump, so keep that burner on low throughout the process. Your patience is literally what makes this work.

Making It Your Own

Sautéed mushrooms add an earthy depth that plays beautifully against the richness, or try peas for a sweet pop of color and freshness. I have even made this with crispy pancetta on top when I needed something extra indulgent.

Perfecting the Complete Meal

A crisp green salad with acidic vinaigrette cuts through the creaminess, and garlic bread is basically mandatory here. This dish deserves to be the star of a proper comfort food spread.

  • Start water boiling before you prep anything else, this moves fast once you begin
  • Warm your serving bowls in the oven so the sauce stays creamy longer
  • Have all ingredients measured and ready before you turn on the stove
Freshly grated Parmesan and chopped parsley garnish this easy weeknight Fettuccine Alfredo. Save to Pinterest
Freshly grated Parmesan and chopped parsley garnish this easy weeknight Fettuccine Alfredo. | mesaisli.com

This is the kind of meal that turns an ordinary Tuesday into something memorable. Enjoy every bite.

Recipe FAQs

How do I prevent the sauce from separating?

Keep the heat on low when adding the Parmesan cheese and whisk constantly until fully melted and incorporated. Avoid boiling the sauce once the cheese is added, as high heat can cause separation. If the sauce becomes too thick, gradually add small amounts of the reserved pasta water to achieve a smooth, pourable consistency.

Can I make this dish ahead of time?

Fettuccine Alfredo is best enjoyed immediately after preparation, as the sauce tends to thicken and lose its silky texture when reheated. If you must prep ahead, cook the pasta and sauce separately, then combine them just before serving with a splash of warm pasta water to loosen the sauce.

What can I substitute for heavy cream?

For a lighter version, half-and-half can replace heavy cream, though the sauce will be less rich and thick. Whole milk works but produces a much thinner consistency. For a dairy-free alternative, blend soaked cashews with water and nutritional yeast, though the flavor profile will differ from the traditional version.

Why use freshly grated Parmesan instead of pre-shredded?

Freshly grated Parmesan melts smoothly into the hot cream, creating a velvety sauce without grainy texture. Pre-shredded cheese contains anti-caking agents that prevent proper melting and can result in a separated, clumpy sauce. A microplane or fine box grater works best for achieving the ideal texture.

How do I know when the chicken is properly cooked?

The chicken breasts should reach an internal temperature of 165°F (74°C) when measured with a meat thermometer. Visually, the meat should be opaque throughout with no pink remaining, and the juices should run clear when pierced. Letting the chicken rest for 5 minutes after cooking ensures juices redistribute for moist, tender slices.

What wines pair well with this dish?

Crisp Italian white wines like Pinot Grigio, Soave, or Vermentino cut through the rich sauce beautifully. For red wine lovers, a light-bodied Barbera or Chianti provides enough acidity to balance the creaminess without overpowering the delicate Parmesan flavors. Avoid heavily oaked wines that can clash with the buttery notes.

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Fettuccine Alfredo Creamy Parmesan

Silky pasta in a rich, creamy butter and Parmesan sauce. Ready in 30 minutes with optional chicken.

Prep time
10 minutes
Time to cook
20 minutes
Full Prep Time
30 minutes
Created by Adriana Costa


Skill Level Easy

Cuisine Italian-American

Portion Size 4 Number of servings

Diet Preferences Vegetarian-friendly

Ingredient List

Pasta

01 14 oz fettuccine pasta

Sauce Base

01 4 tbsp unsalted butter
02 1 cup heavy cream
03 1 1/4 cups freshly grated Parmesan cheese
04 1 garlic clove, finely minced
05 Salt to taste
06 Freshly ground black pepper to taste
07 Pinch of freshly grated nutmeg

Optional Chicken

01 2 chicken breasts, skinless and boneless
02 2 tbsp olive oil

Garnish

01 Fresh parsley, chopped
02 Extra Parmesan cheese for serving

How-To Steps

Step 01

Cook Pasta: Bring a large pot of salted water to a boil. Cook fettuccine according to package directions until al dente. Reserve 1 cup of pasta cooking water before draining.

Step 02

Prepare Chicken: Season chicken breasts with salt and pepper. Heat olive oil in a large skillet over medium-high heat. Cook chicken 6-7 minutes per side until golden and cooked through. Let rest 5 minutes, then slice thinly.

Step 03

Create Sauce Base: Melt butter in a large pan over medium-low heat. Add minced garlic and sauté 30 seconds until fragrant.

Step 04

Add Cream: Pour in heavy cream and bring to a gentle simmer, stirring constantly for 2-3 minutes.

Step 05

Incorporate Cheese: Reduce heat to low. Gradually whisk in Parmesan cheese until fully melted and sauce is smooth. Season with salt, pepper, and nutmeg.

Step 06

Combine Pasta and Sauce: Add drained fettuccine to the sauce, tossing to coat evenly. Add reserved pasta water as needed to achieve desired consistency.

Step 07

Plate and Serve: Transfer fettuccine Alfredo to serving plates. Top with sliced chicken if desired, then sprinkle with chopped parsley and extra Parmesan cheese.

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Tools Needed

  • Large stock pot
  • Large skillet or sauté pan
  • Colander
  • Chef's knife
  • Cheese grater
  • Kitchen tongs

Allergy Details

Always double-check ingredients for allergens and ask a medical expert if needed.
  • Contains milk and dairy products (butter, cream, Parmesan)
  • Contains wheat gluten (pasta)

Nutrition Details (one serving)

Remember, these nutrition facts are for reference. Don't substitute for health advice.
  • Calories: 680
  • Fat content: 34 grams
  • Carbohydrates: 58 grams
  • Proteins: 36 grams

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