Fettuccine Alfredo

Comfort FoodQuick and EasyItalianPasta

Two approaches for fettuccine Alfredo, a traditional Italian version with butter and Parmesan, and a more modern version with cream and nutmeg.

Photography Credit: Elise Bauer

Mmmm. Fettuccine Alfredo. So simple, but so so good. Most of us in America know this dish in its cream-based form, with a little nutmeg sprinkled on top. But did you know that the original fettuccine Alfredo sauce didn’t use cream? Just butter, Parmesan, and black pepper.

Both are great, whether you make one or the other just depends on what you feel like eating.

The Alfredo in fettuccine Alfredo is Alfredo di Lelio who operated a restaurant in Rome. Legend has it that he fancied up a basic pasta with butter-and-cheese dish, to appeal to his wife, who was suffering from morning sickness. When he later served it at his restaurant, it was a hit.

Americans can thank Hollywood for our love of Alfredo sauce.

In the late 1920s, movie stars Douglas Fairbanks Sr. and Mary Pickford ate at di Lelio’s restaurant while on honeymoon in Rome, and brought the dish back to the States.

Fettuccine Alfredo

Fettuchine Alfredo with a creamy sauce

It’s been here ever since. Somewhere along the way, it morphed into a creamy version; how that happened is anyone’s guess.

We present both versions here, the classic and the creamy. Regardless of which version you make, serve this pasta immediately. The sauces are weak emulsions, which will break if held too long.

Fettuccine Alfredo Recipe

  • Prep time: 15 minutes
  • Cook time: 15 minutes
  • Yield: Serves 4

For this dish we prefer dry fettucine noodles to freshly made because the pasta holds up better to the sauce. The instructions assume that you are using dry noodles. If you use fresh, adjust timing accordingly.


  • 1/2 pound dry fettuccine pasta
  • 3-4 Tbsp unsalted butter
  • 2/3 cup finely grated parmesan cheese
  • Black pepper

Additional, for creamy version:

  • 1/2 cup cream
  • Nutmeg


1 Bring a large pot of salty water to a boil and drop in your fettuccine.

2a Plain version Melt the butter in a large sauté pan set over low heat. Once the butter has melted, turn the heat off.

2b Creamy version Melt the butter in a large sauté pan set over low heat. Add the cream to the butter as it melts. Stir often to combine the two, do not turn off the heat, but keep the heat at its lowest setting while the pasta cooks.

3 When the fettuccine is al dente (cooked, but still a little firm) lift it out of the pot with tongs and move the pasta to the sauté pan. Do not drain the pasta. You want it dripping wet with the cooking water. Turn on the heat under the sauté pan to medium and swirl the pasta and butter together to combine. Add half the cheese, then swirl and toss the pasta until it has incorporated into the sauce. If needed, add a few spoonfuls more of the pasta cooking water. Add the rest of the cheese and repeat.

4 Serve at once with either a little black pepper (for classic version) or nutmeg (for creamy version) ground over the pasta.

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All About the Original Alfredo Sauce - from Saveur Magazine

Another version of Fettuccine Alfredo - from The Pioneer Woman

An Epiphany About Creamless Alfredo - from Cooking by the Seat of My Pants

About Fettuccine Alfredo (Fettuccine Triplo Burro) from The Garrubbo Guide

Fettuccine Alfredo

33 Comments / Reviews

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Did you make it? Rate it!

  • Sue denkler

    Thank you for such an easy and delicious recipe. I am not good about leaving comments but this recipe is so versatile. eBay to make creamier…. I’ve used it with a variety of noodle. Thanks for once agin providing a simple recipe for a traditional dish

  • Stephanie

    I made this for dinner last week. I splurged a little on some decent Parmesan cheese, and I used unsalted butter as the recipe calls for. I had never used unsalted butter before, and I was shocked in the difference of the flavor.

    Just wanted to say I loved it! Made some grilled chicken for the carnivores, but I could have been happy with just the pasta alone. I shared this recipe with my sister, too!

  • Megan

    I have made this both ways…delicious and a great quick dinner. I add chopped fresh parsley just before serving. Elise, thanks for another great recipe!

  • Lyn

    What brand of parmesan do you use? I used fresh grated but it didnt melt. Just turned into a clump.

  • Milena

    I made this for a small dinner party last night. I added a some smoked salmon and a bit of parsley and everyone raved about it.

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