20 Creamy Fettuccine Alfredo Recipes for Comfort Food Lovers

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Written By Lorraine Koller

DIY expert, architect, 20+ years in crafting, home improvement, and interior design.

Cozy up with a warm, comforting plate of fettuccine alfredo – it’s the ultimate comfort food! This classic Italian dish has been a staple in many kitchens for decades, and its creamy sauce and tender noodles never fail to hit the spot. But why settle for just one recipe when you can have 19 more? In this article, we’re sharing our favorite creamy fettuccine alfredo recipes that add a twist to the classic dish. From garlic butter shrimp to cajun chicken, there’s something for everyone in this list of 20 mouth-watering variations. Whether you’re looking for a quick weeknight dinner or a special occasion meal, these creamy fettuccine alfredo recipes are sure to become new favorites. So go ahead, get cozy, and let the comfort food magic begin!

Classic Fettuccine Alfredo with Parmesan Cream Sauce

A timeless Italian dish that combines the richness of Parmesan cheese with the simplicity of fettuccine noodles. This recipe yields a creamy, indulgent sauce that’s sure to please.

Ingredients:
– 1 pound fettuccine pasta
– 6 tablespoons (3/4 stick) unsalted butter
– 6 tablespoons all-purpose flour
– 2 cups heavy cream
– 1 cup grated Parmesan cheese
– Salt and black pepper, to taste
– Fresh parsley, chopped (optional)

Instructions:
1. Bring a large pot of salted water to a boil. Cook fettuccine according to package instructions until al dente, then reserve.
2. In a medium saucepan, melt butter over medium heat. Add flour and whisk to combine; cook for 1 minute.
3. Gradually add heavy cream, whisking constantly. Bring mixture to a simmer and cook for 2-3 minutes or until thickened.
4. Remove from heat and stir in Parmesan cheese until melted and smooth. Season with salt and pepper.
5. Combine cooked fettuccine and sauce. Serve immediately, garnished with chopped parsley if desired.

Cooking Time: 15-20 minutes

Garlic Butter Shrimp Fettuccine Alfredo

A rich and creamy pasta dish that combines the flavors of garlic butter, succulent shrimp, and tender fettuccine noodles. This recipe is a perfect combination for a quick and satisfying meal.

Ingredients:

– 1 pound large shrimp, peeled and deveined
– 12 oz fettuccine noodles
– 2 tablespoons unsalted butter
– 3 cloves garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Bring a large pot of salted water to a boil. Cook fettuccine noodles according to package instructions until al dente. Reserve 1 cup of pasta water before draining.
2. In a large skillet, melt butter over medium heat. Add garlic and sauté for 1 minute.
3. Add shrimp to the skillet and cook until pink and fully cooked, about 2-3 minutes per side.
4. In a separate saucepan, combine heavy cream and Parmesan cheese. Bring mixture to a simmer over medium heat until thickened, stirring occasionally.
5. Combine cooked fettuccine noodles, garlic butter shrimp, and creamy Alfredo sauce. Toss with reserved pasta water if needed. Season with salt and pepper to taste.
6. Serve immediately, garnished with chopped parsley if desired.

Cooking Time: 15-20 minutes

Chicken and Mushroom Fettuccine Alfredo

This classic Italian-American dish combines tender chicken, earthy mushrooms, and rich fettuccine noodles smothered in a decadent Alfredo sauce.

Ingredients:

– 1 pound boneless, skinless chicken breast or thighs, cut into bite-sized pieces
– 2 cups mixed mushrooms (button, cremini, shiitake), sliced
– 8 ounces fettuccine noodles
– 2 tablespoons butter
– 3 cloves garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Cook fettuccine noodles according to package instructions. Drain and set aside.
2. In a large skillet, melt butter over medium-high heat. Add chicken and cook until browned, about 5-6 minutes. Remove from heat and set aside.
3. In the same skillet, add mushrooms and garlic. Cook until mushrooms release their moisture and start to brown, about 4-5 minutes.
4. Stir in heavy cream and Parmesan cheese. Bring mixture to a simmer and cook for an additional 2-3 minutes or until sauce thickens.
5. Combine cooked noodles, chicken, and mushroom mixture. Season with salt and pepper to taste.
6. Serve hot, garnished with chopped parsley if desired.

Cooking Time: 20-25 minutes

Spinach and Artichoke Fettuccine Alfredo

Spinach and Artichoke Fettuccine Alfredo: A Creamy Twist on a Classic Italian Dish

This rich and satisfying recipe combines the flavors of spinach, artichoke hearts, and fettuccine pasta in a decadent Alfredo sauce.

Ingredients:

– 12 oz fettuccine pasta
– 2 cups fresh spinach leaves
– 1 (14 oz) can artichoke hearts, drained and chopped
– 3 tablespoons unsalted butter
– 3 cloves garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– Salt and pepper to taste

Instructions:

1. Cook fettuccine pasta according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium heat. Add garlic and cook for 1 minute.
3. Add chopped artichoke hearts and cook for an additional 2 minutes.
4. Stir in fresh spinach leaves and cook until wilted.
5. Pour in heavy cream and bring to a simmer. Let cook for 2-3 minutes or until slightly thickened.
6. Remove from heat and stir in Parmesan cheese. Season with salt and pepper to taste.
7. Combine cooked fettuccine pasta and Alfredo sauce. Serve hot, garnished with additional spinach leaves if desired.

Cooking Time: Approximately 20-25 minutes

Bacon and Pea Fettuccine Alfredo

Elevate your pasta game with this creamy, flavorful dish featuring crispy bacon, sweet peas, and rich fettuccine alfredo. This recipe is a perfect combination of savory and indulgent.

Ingredients:

– 12 oz (340g) fettuccine
– 6 slices of bacon, diced
– 1 cup (120g) fresh peas
– 2 tablespoons butter
– 3 cloves garlic, minced
– 1/4 cup (60ml) all-purpose cream
– 1/4 cup (30g) grated Parmesan cheese
– Salt and pepper to taste

Instructions:

1. Cook fettuccine according to package instructions until al dente. Drain and set aside.
2. In a large skillet, cook bacon over medium heat until crispy. Remove from pan and set aside.
3. In the same skillet, add butter, garlic, and peas. Cook for 2-3 minutes or until peas are tender.
4. Add cooked fettuccine to the skillet, tossing with pea mixture to combine.
5. Stir in cream and Parmesan cheese until a creamy sauce forms. Season with salt and pepper to taste.
6. Serve immediately, topped with crispy bacon.

Cooking Time: 20-25 minutes

Lobster Fettuccine Alfredo with Truffle Oil

This rich and decadent pasta dish combines succulent lobster meat with a creamy truffle-infused sauce, all wrapped up in tender fettuccine noodles. Perfect for a special occasion or romantic dinner.

Ingredients:

– 1 pound fettuccine
– 2 tablespoons unsalted butter
– 2 cloves garlic, minced
– 1/2 cup all-purpose flour
– 1 cup heavy cream
– 1/4 cup grated Parmesan cheese
– 1/2 teaspoon truffle oil
– 1/2 pound cooked lobster meat (thawed)
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Cook fettuccine according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium heat. Add garlic and sauté for 1 minute.
3. Sprinkle flour over the garlic mixture; whisk to combine. Cook for 1-2 minutes or until lightly golden.
4. Gradually add heavy cream, whisking continuously. Bring to a simmer and cook for 2-3 minutes or until slightly thickened.
5. Remove from heat; stir in Parmesan cheese, truffle oil, and cooked lobster meat. Season with salt and pepper to taste.
6. Combine cooked fettuccine with the sauce; toss to coat. Serve immediately, garnished with chopped parsley if desired.

Cooking Time: 15-20 minutes

Sun-Dried Tomato and Basil Fettuccine Alfredo

A creamy and flavorful twist on the classic Italian dish, this recipe combines the richness of fettuccine alfredo with the brightness of sun-dried tomatoes and fresh basil.

Ingredients:

– 1 pound fettuccine pasta
– 2 tablespoons unsalted butter
– 2 cloves garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– 1/4 cup chopped fresh parsley
– 1/4 cup chopped sun-dried tomatoes (packed in oil, drained)
– 1 tablespoon chopped fresh basil
– Salt and pepper to taste

Instructions:

1. Cook fettuccine pasta according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium heat. Add garlic and cook for 1 minute.
3. Pour in heavy cream and bring to a simmer. Let cook for 2-3 minutes or until slightly thickened.
4. Stir in Parmesan cheese until melted and smooth. Season with salt and pepper to taste.
5. Add cooked fettuccine pasta, sun-dried tomatoes, and basil to the skillet. Toss until well combined and heated through.
6. Serve immediately, garnished with additional parsley if desired.

Cooking time: 20-25 minutes

Broccoli and Cauliflower Fettuccine Alfredo

Elevate your pasta game with this rich and satisfying recipe that combines the flavors of broccoli, cauliflower, and Parmesan cheese. This comforting dish is perfect for a weeknight dinner or special occasion.

Ingredients:

– 8 oz fettuccine
– 3 cups broccoli florets
– 1 cup cauliflower florets
– 2 tbsp butter
– 1/2 cup heavy cream
– 1/2 cup grated Parmesan cheese
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Bring a large pot of salted water to a boil. Cook fettuccine according to package instructions until al dente. Reserve 1 cup pasta water before draining.
2. In a large skillet, melt butter over medium heat. Add broccoli and cauliflower; cook until tender, about 5 minutes.
3. Remove vegetables from the skillet with a slotted spoon. Set aside.
4. Reduce heat to low and add heavy cream to the skillet. Stir in Parmesan cheese until melted. Season with salt and pepper.
5. Combine cooked fettuccine, reserved pasta water, and vegetable mixture in the skillet. Toss until well coated.
6. Serve hot, garnished with chopped parsley if desired.

Cooking Time: 20-25 minutes

Cajun Chicken Fettuccine Alfredo

This recipe combines the rich flavors of Cajun chicken with the creamy goodness of fettuccine alfredo, creating a bold and delicious dish that’s sure to please.

Ingredients:

– 1 pound boneless, skinless chicken breasts, cut into bite-sized pieces
– 2 tablespoons olive oil
– 1 teaspoon Cajun seasoning
– 1 cup fettuccine pasta
– 2 cups heavy cream
– 1/2 cup grated Parmesan cheese
– 1 tablespoon butter
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Cook fettuccine according to package instructions until al dente. Drain and set aside.
2. In a large skillet, heat olive oil over medium-high heat. Add chicken and Cajun seasoning; cook until browned and cooked through.
3. In a separate saucepan, melt butter over medium heat. Whisk in heavy cream and Parmesan cheese until smooth. Season with salt and pepper to taste.
4. Combine cooked fettuccine, chicken, and alfredo sauce in a large serving dish. Toss until well coated.
5. Serve hot, garnished with chopped parsley if desired.

Cooking Time: 20-25 minutes

Roasted Garlic and Herb Fettuccine Alfredo

Roasted Garlic and Herb Fettuccine Alfredo: Elevate your pasta game with this rich and creamy sauce infused with the deep flavors of roasted garlic and fresh herbs.

Ingredients:

– 12 oz fettuccine pasta
– 3 heads of garlic, separated into cloves
– 2 tbsp olive oil
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– 2 tsp chopped fresh parsley
– Salt and pepper to taste

Instructions:

1. Preheat oven to 400°F (200°C).
2. Toss garlic cloves with olive oil, salt, and pepper on a baking sheet. Roast for 30-40 minutes or until golden brown.
3. Cook fettuccine pasta according to package instructions. Drain and set aside.
4. In a large saucepan, combine roasted garlic, heavy cream, and Parmesan cheese. Whisk until smooth.
5. Add chopped parsley and season with salt and pepper to taste.
6. Toss cooked fettuccine with the garlic-herb Alfredo sauce. Serve immediately.

Cooking Time: 45-50 minutes

Pumpkin Fettuccine Alfredo with Sage

Experience the warm flavors of fall with this creamy Pumpkin Fettuccine Alfredo, infused with the earthy essence of sage. This comforting dish is perfect for a cozy night in or a special occasion.

Ingredients:

– 1 pound fettuccine
– 2 tablespoons unsalted butter
– 1/4 cup all-purpose flour
– 1 cup heavy cream
– 1/2 cup canned pumpkin puree
– 1 teaspoon Dijon mustard
– 1/2 teaspoon salt
– Fresh sage leaves, chopped (about 2 tablespoons)
– Parmesan cheese, grated (about 1/4 cup)

Instructions:

1. Cook fettuccine according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium heat. Whisk in flour to make a roux, cooking for 1 minute.
3. Gradually whisk in heavy cream, pumpkin puree, Dijon mustard, salt, and chopped sage. Bring mixture to a simmer.
4. Add cooked fettuccine to the sauce and toss until coated.
5. Serve hot, topped with grated Parmesan cheese.

Cooking Time: 20-25 minutes

Spicy Sausage and Kale Fettuccine Alfredo

Elevate your pasta game with this spicy twist on the classic fettuccine alfredo, featuring juicy sausage and nutritious kale.

Ingredients:

– 1 lb fettuccine
– 1 lb spicy Italian sausage, casings removed
– 2 cups chopped kale, stems removed
– 2 cloves garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– Salt and pepper to taste
– Red pepper flakes (optional)

Instructions:

1. Bring a large pot of salted water to a boil. Cook fettuccine according to package instructions until al dente. Reserve 1 cup pasta water before draining.
2. In a large skillet, cook sausage over medium-high heat, breaking up with spoon, until browned and cooked through, about 5-7 minutes.
3. Add garlic, kale, salt, and pepper to the skillet. Cook until kale is wilted, about 3-4 minutes.
4. Stir in heavy cream and Parmesan cheese. Bring mixture to a simmer and cook for 2-3 minutes or until slightly thickened.
5. Combine cooked fettuccine, sausage-kale mixture, and reserved pasta water. Toss to combine. Add red pepper flakes if desired for an extra kick.

Cooking Time: 20-25 minutes

Portobello Mushroom Fettuccine Alfredo

Elevate your pasta game with this rich and creamy dish featuring tender Portobello mushrooms and velvety fettuccine alfredo. Perfect for a comforting dinner or special occasion.

Ingredients:

– 8 oz fettuccine
– 2 large Portobello mushrooms, stems removed and caps sliced into thin strips
– 1/4 cup unsalted butter
– 3 cloves garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Cook fettuccine according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium-high heat. Add garlic and cook for 1 minute.
3. Add mushroom strips to the skillet and cook for 3-4 minutes or until tender. Season with salt and pepper.
4. Stir in heavy cream and bring mixture to a simmer. Reduce heat to low and let sauce thicken for 2-3 minutes.
5. Stir in Parmesan cheese until melted and well combined.
6. Add cooked fettuccine to the skillet, tossing to coat with the mushroom alfredo sauce.
7. Serve immediately, garnished with chopped parsley if desired.

Cooking Time: 20-25 minutes

Lemon Garlic Fettuccine Alfredo with Asparagus

Elevate your pasta game with this bright and creamy recipe that combines the richness of Alfredo sauce with the freshness of lemon, garlic, and asparagus.

Ingredients:

– 12 oz fettuccine
– 2 tablespoons unsalted butter
– 1/4 cup lemon-garlic sauce (see below)
– 1 cup grated Parmesan cheese
– 1 pound fresh asparagus, trimmed
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Lemon-Garlic Sauce:

– 2 cloves garlic, minced
– 2 tablespoons freshly squeezed lemon juice
– 1/4 cup unsalted butter, softened
– 1/2 cup heavy cream

Instructions:

1. Cook fettuccine according to package instructions. Drain and set aside.
2. In a large skillet, melt 1 tablespoon of butter over medium-high heat. Add asparagus and cook until tender, about 3-4 minutes. Season with salt and pepper.
3. In a separate saucepan, combine lemon-garlic sauce ingredients. Heat over low until smooth and creamy, stirring occasionally.
4. Toss cooked fettuccine with lemon-garlic sauce and Parmesan cheese. Serve immediately.

Cooking Time: 15-20 minutes

Four Cheese Fettuccine Alfredo

This rich and indulgent pasta dish combines the flavors of Parmesan, Gruyère, Cheddar, and Mascarpone cheeses with a velvety Alfredo sauce. A perfect comfort food for any occasion.

Ingredients:

– 1 pound fettuccine pasta
– 2 tablespoons butter
– 3 cloves garlic, minced
– 1 cup grated Parmesan cheese
– 1/2 cup grated Gruyère cheese
– 1/4 cup grated Cheddar cheese
– 2 tablespoons Mascarpone cheese
– 1 cup heavy cream
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Cook fettuccine pasta according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium heat. Add garlic and cook for 1 minute.
3. Gradually whisk in heavy cream and bring to a simmer.
4. Remove from heat and stir in Parmesan, Gruyère, Cheddar, and Mascarpone cheeses until smooth.
5. Combine cooked pasta with cheese sauce and season with salt and pepper.
6. Serve hot, garnished with chopped parsley if desired.

Cooking Time: 15-20 minutes

Pesto Swirl Fettuccine Alfredo

This recipe elevates the traditional Fettuccine Alfredo by adding a vibrant swirl of pesto, creating a harmonious balance of creamy and tangy flavors.

Ingredients:

– 12 oz (340g) fettuccine pasta
– 2 tbsp (30ml) unsalted butter
– 1 cup (250ml) heavy cream
– 1/2 cup (120g) grated Parmesan cheese
– 1 tsp (5ml) lemon juice
– Salt and pepper to taste
– 1/4 cup (30g) store-bought or homemade pesto

Instructions:

1. Cook fettuccine pasta according to package instructions, drain, and set aside.
2. In a large skillet, melt butter over medium heat.
3. Whisk in heavy cream, Parmesan cheese, lemon juice, salt, and pepper until smooth.
4. Add cooked fettuccine pasta to the creamy mixture and toss until well coated.
5. Stir in pesto until it forms a swirly pattern throughout the dish.
6. Serve immediately, garnished with additional Parmesan cheese if desired.

Cooking Time: 15-20 minutes

Caramelized Onion and Bacon Fettuccine Alfredo

Elevate your pasta game with this rich and savory recipe that combines the sweetness of caramelized onions, the smokiness of bacon, and the creaminess of Alfredo sauce.

Ingredients:

– 12 oz fettuccine
– 1 large onion, thinly sliced
– 6 slices of bacon, diced
– 2 cloves of garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Cook fettuccine according to package instructions until al dente. Reserve 1 cup of pasta water before draining.
2. In a large skillet, cook diced bacon over medium heat until crispy. Remove from pan and set aside.
3. In the same skillet, add sliced onions and cook for 20-25 minutes or until caramelized.
4. Add minced garlic to the skillet and cook for an additional minute.
5. Stir in heavy cream and Parmesan cheese until smooth. Season with salt and pepper to taste.
6. Combine cooked fettuccine, bacon, and Alfredo sauce. If needed, add some reserved pasta water to achieve desired consistency.

Cooking Time: 30-35 minutes

Avocado and Lime Fettuccine Alfredo

Elevate your pasta game with this refreshing twist on the classic Alfredo sauce, featuring ripe avocados and a squeeze of lime juice.

Ingredients:

– 12 oz fettuccine
– 2 ripe avocados, diced
– 1/2 cup unsalted butter
– 1/4 cup all-purpose flour
– 1 1/2 cups heavy cream
– 2 cloves garlic, minced
– 2 tbsp freshly squeezed lime juice
– Salt and pepper to taste
– Grated Parmesan cheese (optional)

Instructions:

1. Cook fettuccine according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium heat. Add flour and whisk to combine. Cook for 1 minute.
3. Gradually add heavy cream, whisking continuously. Bring mixture to a simmer.
4. Reduce heat to low and stir in diced avocado, garlic, lime juice, salt, and pepper.
5. Combine cooked fettuccine with the creamy sauce and toss until well coated.
6. Serve immediately, topped with grated Parmesan cheese if desired.

Cooking Time: 15-20 minutes

Roasted Red Pepper Fettuccine Alfredo

Elevate your pasta game with this creamy, flavorful dish that combines the sweetness of roasted red peppers with the richness of fettuccine alfredo.

Ingredients:

– 12 oz fettuccine
– 2 large red bell peppers
– 6 tbsp unsalted butter
– 3/4 cup heavy cream
– 1 cup grated Parmesan cheese
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Preheat oven to 425°F (220°C).
2. Roast the red bell peppers for 30-40 minutes or until charred.
3. Cook fettuccine according to package instructions. Drain and set aside.
4. In a large skillet, melt butter over medium heat. Add heavy cream and bring to a simmer.
5. Stir in Parmesan cheese until melted and smooth. Season with salt and pepper.
6. Toss cooked fettuccine with the roasted red peppers and Alfredo sauce. Serve hot, garnished with chopped parsley if desired.

Cooking Time: 45-50 minutes

Smoked Salmon and Dill Fettuccine Alfredo

Elevate your pasta game with this creamy and flavorful dish, featuring the rich taste of smoked salmon and the brightness of fresh dill. This recipe is perfect for a special occasion or a cozy night in.

Ingredients:

– 8 oz fettuccine
– 2 tbsp unsalted butter
– 2 cloves garlic, minced
– 1 cup heavy cream
– 1/2 cup grated Parmesan cheese
– 1/4 cup chopped fresh dill
– Salt and pepper to taste
– 6 oz smoked salmon, flaked

Instructions:

1. Cook fettuccine according to package instructions until al dente. Drain and set aside.
2. In a large skillet, melt butter over medium heat. Add garlic and cook for 1 minute, or until fragrant.
3. Pour in heavy cream and bring mixture to a simmer. Reduce heat to low and let cook for 5 minutes.
4. Stir in Parmesan cheese until melted and smooth. Season with salt and pepper to taste.
5. Add cooked fettuccine to the creamy sauce and toss until coated.
6. Fold in flaked smoked salmon and chopped fresh dill. Serve immediately.

Cooking Time: 20-25 minutes

Summary

Indulge in the rich flavors of creamy fettuccine alfredo with these 20 delicious recipe variations. From classic Parmesan cream sauce to bold additions like lobster, truffle oil, and spicy sausage, there’s something for every comfort food lover. Try adding garlic butter shrimp, chicken and mushroom, or spinach and artichoke to give your dish a boost of flavor. Or, go green with broccoli and cauliflower or get adventurous with cajun chicken, roasted garlic and herb, or caramelized onion and bacon. There’s no wrong way to make this Italian-American staple!

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