Fettuccine Alfredo – using only 5 ingredients

Posted on Sep 26 2016 - 12:38pm by Barry C. Parsons

Fettuccine Alfredo – using only 5 ingredients. Simple preparation and top quality ingredients ensure the best, creamiest and most flavourful Fettuccine Alfredo every time.

Fettuccine Alfredo

Fettuccine Alfredo

I was inspired to post this Fettuccine Alfredo recipe for a friend who asked me how I make mine. When she asked, I was reminded of a chain restaurant I went to a couple of years ago with a group of coworkers. I may get a take-out meal from a chain restaurant on occasion but they are generally not my choice for a full service, sit down meal. The reason most often is the shortcuts they make for convenience and the quality of ingredients is often not up to par. 

On that visit I thought the Fettuccine Alfredo with Grilled Chicken seemed like a safe bet. I was wrong. The sauce was flat, flavourless and appeared to have been somehow thickened partly by cornstarch. It was no better than wallpaper paste. I suspect it wasn’t prepared on site but probably bulk prepared at a food production facility and shipped in. That’s certainly not what I pay for in a good restaurant meal.

Many people also make Fettuccine Alfredo much heavier than it needs to be, adding over the top ingredients like cream cheese. I especially object to the cream cheese type recipes because the cheese is too strongly flavoured and often overpowers the flavours of the garlic and Parmesan which should be front and centre. Cream and butter make the best base for this sauce and the much used Italian practice of reserving a little of the pasta water to help regulate the thickness of pasta sauces is a secret to success here too.

I didn’t count the salt and pepper or the pasta water in the ingredients number or the optional herbs either, just to give an idea  of the essential ingredients of the recipe. The dish can stand on it’s own as a great lunch, as a starter course, or as a side dish for endless entree options.

We often use this basic recipe t0 add things like peppers, tomatoes, bacon and grilled chicken or shrimp for a complete pasta meal.

Like this recipe?

Yale a look at our other pasta dishes and more in our Italian Inspired Category.

Fettuccine Alfredo with Grilled Chicken, Bacon & Tomatoes

Fettuccine Alfredo with Grilled Chicken, Bacon & Tomatoes

Fettuccine Alfredo

Fettuccine Alfredo


5 from 2 votes
Fettuccine Alfredo
Fettuccine Alfredo - using only 6 ingredients
Prep Time
8 mins
Cook Time
12 mins
Total Time
20 mins
Fettuccine Alfredo - using only 5 ingredients. Simple preparation and top quality ingredients ensure the best, creamiest and most flavourful Fettuccine Alfredo every time.
Course: Pasta
Cuisine: Italian Inspired
Author: Barry C. Parsons
  • 3/4 pound package fresh fettuccine pasta about 350 grams
  • 1/3 cup real dairy butter no substitutes
  • 6 cloves finely chopped fresh garlic
  • 2 cups whipping cream 35% milk fat or greater
  • salt and pepper to season
  • 2 cups finely grated parmesan cheese Parmigiano Reggiano is best
  • 1-2 teaspoons finely chopped Italian parsley basil or oregano (optional)
  • in Some reserved water used boiling the pasta
  1. Cook the fresh fettuccine in well salted boiling water as directed on the package. Be careful not to overcook the pasta; al dente or even a little under is best for this recipe.
  2. Melt the butter in a large sauté pan and add the chopped garlic over medium low heat. Cook until the garlic softens but does not brown.
  3. Add the whipping cream and simmer on medium heat for a few minutes until the volume reduces slightly.
  4. Add a pinch of salt and pepper. (Careful with he salt, if you don't want to use it that's fine, there is plenty in the parmesan cheese to provide seasoning)
  5. Add the drained cooked pasta to the pan and sprinkle in about 1/3 of the parmesan cheese. Toss well.
  6. Add the rest of the cheese in 2 portions tossing well after each addition. If at any time the alfredo sauce gets too thick, just add a little splash of the pasta water to loosen it up before adding more cheese.
  7. If using the fresh herbs, toss them in at the very end.
  8. Serve immediately.


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Ines Di Lelio
HISTORY OF ALFREDO DI LELIO CREATOR IN 1908 OF “FETTUCCINE ALL’ALFREDO” (“FETTUCCINE ALFREDO”), NOW SERVED BY HIS NEPHEW INES DI LELIO, AT THE RESTAURANT “IL VERO ALFREDO” – “ALFREDO DI ROMA” IN ROME, PIAZZA AUGUSTO IMPERATORE 30 With reference to your article I have the pleasure to tell you the history of my grandfather Alfredo Di Lelio, who is the creator of “Fettuccine all’Alfredo” (“Fettuccine Alfredo”) in 1908 in the “trattoria” run by his mother Angelina in Rome, Piazza Rosa (Piazza disappeared in 1910 following the construction of the Galleria Colonna / Sordi). This “trattoria” of Piazza Rosa has become… Read more »

Hi Barry

Could you please post a recipe for the Fettuccine Alfredo with Grilled Chicken, Bacon and Tomatoes you mentioned above? Thanks in advance.