Fettuccine Alfredo with Garlic Cream Sauce

There’s something timeless about a bowl of creamy fettuccine Alfredo.

The silky sauce clings to every strand of pasta, delivering buttery richness, nutty cheeses, and a gentle hit of garlic in every bite.

This Fettuccine Alfredo with Garlic Cream Sauce is my ultimate comfort food—simple, decadent, and always satisfying.

When I want a dinner that feels like a warm hug but doesn’t take all night, this is my go-to.

Why You’ll Love This Recipe

Silky, restaurant-style sauce – Without leaving your kitchen.

Classic Italian comfort – A dish everyone loves.

Cream + cheese perfection – Two cheeses for depth and richness.

Simple ingredients – Nothing fancy, just pure flavor.

Great for gatherings – Feeds a crowd and looks impressive.

What You’ll Need (Ingredient Highlights)

Fettuccine – The wide noodles that hold onto the sauce beautifully.

Butter – High-quality, salted butter for a rich base.

Garlic – Freshly minced for an aromatic punch.

Flour – Helps thicken the sauce just right.

Heavy cream + milk – The combo creates luscious texture.

Parmesan & Romano cheeses – A savory, nutty, cheesy blend.

Salt & black pepper – Simple but essential seasoning.

Parsley – For freshness and a pop of color.

Pro Tips Before You Start

Use room temp cheese – It melts more smoothly into the sauce.

Grate your own – Pre-shredded cheese doesn’t melt as well.

Cook pasta al dente – It will finish cooking in the sauce.

Don’t boil the sauce – Simmer gently to keep it creamy.

Reserve pasta water – It’s a great way to adjust consistency if needed.

How to Make Fettuccine Alfredo with Garlic Cream Sauce

Step 1: Cook the Pasta

Bring a large pot of salted water to a boil.

Cook fettuccine until just al dente, then drain and set aside.

Begin the sauce as the pasta cooks.

Step 2: Sauté the Garlic

In a large saucepan, melt the butter over medium heat.

Add garlic and sauté for 1 minute until fragrant.

Step 3: Make the Roux

Whisk in the flour and stir constantly for 1 minute to remove any raw flavor.

Step 4: Add Cream and Milk

Slowly pour in the cream and milk, whisking as you go to create a smooth base.

Step 5: Simmer the Sauce

Bring to a gentle bubble, then reduce to a simmer.

Let it thicken for a few minutes, stirring occasionally.

Step 6: Stir in the Cheese

Lower the heat and gradually stir in Parmesan and Romano cheese until fully melted and smooth.

Season with salt and pepper to taste.

Step 7: Toss with Pasta

Add the drained fettuccine to the sauce. T

oss until the pasta is fully coated and the sauce clings to each strand.

Step 8: Garnish and Serve

Transfer to serving plates and sprinkle with fresh parsley.

Serve immediately.

What to Serve It With

Garlic bread or cheesy breadsticks

A crisp Caesar salad or simple arugula salad

Roasted broccoli, asparagus, or zucchini

Grilled chicken or shrimp on top for protein

A glass of dry white wine or sparkling water

Variations / Substitutions

Lighten it up – Use 2% milk or half and half.

Add protein – Stir in cooked chicken, shrimp, or bacon.

Spice it up – Add red pepper flakes for a little heat.

Use other pasta – Try linguine, tagliatelle, or even penne.

No Romano? – Double the Parmesan or use Asiago for a similar profile.

Storage & Leftovers

Fridge – Store in an airtight container up to 3 days.

Reheat gently – Warm on the stove with a splash of milk or cream.

Avoid microwave – It may split the sauce; low heat is best.

Not freezer-friendly – Cream-based sauces don’t thaw well.

Use leftovers – Great for Alfredo-style mac and cheese bakes.

FAQs

Can I make the sauce ahead of time?
Yes, but reheat gently with added milk to maintain creaminess.

Why did my sauce turn grainy?
Likely from adding cold cheese or cooking over high heat—use low heat and room temp cheese.

Can I skip the flour?
You can, but the sauce will be thinner and less stable.

What if I only have Parmesan?
That’s fine! It will still taste delicious—just slightly milder.

How do I make it vegetarian?
Make sure your cheese is vegetarian-friendly and skip any meat additions.

Can I use gluten-free pasta?
Absolutely—just cook according to the package directions.

What can I use instead of heavy cream?
Half and half or whole milk can work, though the sauce may be less rich.

Final Thoughts

This Fettuccine Alfredo with Garlic Cream Sauce is everything I crave in a classic pasta dish—creamy, cheesy, and deeply satisfying.

It feels fancy, but it’s totally doable any night of the week.

Whether you’re cooking for guests or just yourself, it’s one of those dishes that makes you close your eyes and say “Mmm” after every bite.