Rich, buttery, and indulgently creamy—Shrimp Fettuccine Alfredo is the kind of dinner that feels like it came from a high-end Italian restaurant but is surprisingly simple to make at home. Plump, juicy shrimp are nestled in silky ribbons of fettuccine, all coated in a velvety homemade Alfredo sauce made with real cream, butter, garlic, and Parmesan cheese.
This recipe is perfect for date nights, special occasions, or an elegant weeknight dinner—and it all comes together in under 30 minutes with just one pan and a pot of boiling pasta.
Introduction: The Elegance of Simplicity
Shrimp Alfredo is a timeless Italian-American dish that proves simple ingredients, when treated well, can become truly luxurious. The combination of tender fettuccine noodles, garlicky sautéed shrimp, and a cream-based cheese sauce creates a harmony of textures and flavors that’s both comforting and elegant.
Homemade Alfredo sauce is nothing like the jarred stuff—it’s fresh, real, and has that melt-in-your-mouth finish you can’t fake. Pair it with shrimp and a little cracked pepper, and you’ve got a gourmet meal ready in minutes.
Ingredient Overview: What You’ll Need
Fettuccine Pasta
Flat, wide ribbons of pasta that hold creamy sauces beautifully. You can use fresh or dried fettuccine.
Shrimp
Use large (16–20 count) peeled and deveined shrimp. Tail-on adds visual appeal, but tail-off makes eating easier.
Butter
Forms the base of the Alfredo sauce. Use unsalted so you can control the seasoning.
Heavy Cream
Adds richness and body to the sauce. For best results, use full-fat heavy cream.
Garlic
Sautéed in butter, garlic adds warmth and depth without overpowering the shrimp or cheese.
Parmesan Cheese
Freshly grated Parmesan melts smoothly into the sauce and adds salty umami flavor. Avoid pre-shredded cheese, which doesn’t melt as well.
Olive Oil
Used for searing the shrimp. Adds richness and prevents the butter from burning.
Salt & Black Pepper
Essential for bringing out the flavors in both the sauce and the shrimp.
Fresh Parsley (Optional)
A fresh herb garnish adds brightness and color to the creamy dish.
Step-by-Step Instructions: How to Make Creamy Shrimp Fettuccine Alfredo
1. Cook the Fettuccine
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Bring a large pot of salted water to a boil.
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Cook 12 oz fettuccine until al dente, according to package instructions.
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Reserve ½ cup pasta water, then drain and set aside.
2. Sear the Shrimp
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Pat 1 lb shrimp dry with paper towels. Season with salt and pepper.
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In a large skillet, heat 1 tbsp olive oil and 1 tbsp butter over medium-high.
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Add shrimp in a single layer and cook 1–2 minutes per side until pink and opaque.
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Remove shrimp and set aside.
3. Make the Alfredo Sauce
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In the same skillet, lower heat to medium.
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Add 3 tbsp butter and 3 minced garlic cloves. Cook for 1 minute until fragrant.
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Stir in 1 cup heavy cream and bring to a simmer.
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Reduce heat and stir gently for 3–4 minutes, until slightly thickened.
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Add 1 cup grated Parmesan cheese a little at a time, stirring until melted and smooth.
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Season with salt and black pepper to taste.
4. Combine Pasta and Shrimp
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Add drained fettuccine and cooked shrimp to the Alfredo sauce.
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Toss everything together until well coated. Add reserved pasta water 1 tbsp at a time to thin the sauce if needed.
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Heat for another 1–2 minutes to warm through.
5. Serve
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Garnish with chopped parsley and extra Parmesan.
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Serve immediately with cracked black pepper and a lemon wedge on the side (optional).
Tips, Variations & Substitutions
Tips for Creamy Success:
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Use room-temperature cream to prevent curdling when added to the hot pan.
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Always grate your own Parmesan for best texture and flavor.
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Don’t overcook the shrimp—1–2 minutes per side is plenty.
Delicious Variations:
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Spicy Shrimp Alfredo: Add a pinch of red pepper flakes when sautéing garlic.
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Lemon-Garlic Shrimp Alfredo: Add 1 tbsp fresh lemon juice and zest to brighten the sauce.
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Mushroom Shrimp Alfredo: Sauté sliced mushrooms before adding the shrimp.
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Cajun Shrimp Alfredo: Toss the shrimp in Cajun seasoning for a smoky, spicy twist.
Substitutions:
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Pasta: Use linguine, tagliatelle, or even penne.
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Dairy-Free: Use a coconut cream base and vegan cheese (though flavor will differ).
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Cheese: Pecorino Romano can replace Parmesan for a saltier, sharper taste.
Serving Ideas & Occasions
This creamy shrimp fettuccine pasta is perfect for:
Weeknight Indulgence
Quick enough for a satisfying after-work dinner.
Date Night In
Pair with a glass of white wine and candlelight for a romantic evening.
Dinner Parties
Looks and tastes impressive but requires little effort—ideal for entertaining.
What to Serve With It:
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Side salad with balsamic vinaigrette
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Steamed or roasted vegetables (like asparagus or broccoli)
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Garlic bread or focaccia
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Chardonnay or Pinot Grigio
Nutrition & Health Notes
While rich, this dish can be part of a balanced meal with a few tweaks:
Protein-Packed
Shrimp is low in calories and high in protein, making this dish surprisingly satisfying.
Customizable for Lighter Eating
Use half-and-half or reduce butter and cheese portions for a lighter sauce.
Low-Carb Option
Serve the creamy shrimp over spiralized zucchini, spaghetti squash, or cauliflower gnocchi.
Heart-Healthy Tweaks
Use olive oil in place of butter and limit cheese for a Mediterranean-friendly version.
FAQ
1. Can I use frozen shrimp?
Yes, but thaw completely and pat dry before cooking to avoid excess water in the pan.
2. Can I use milk instead of cream?
Whole milk can be used, but the sauce will be thinner. Add a cornstarch slurry if you want to thicken it.
3. What pasta shape is best?
Fettuccine is traditional, but linguine, tagliatelle, or even penne work beautifully.
4. Can I make the sauce ahead?
You can prepare Alfredo sauce up to 2 days in advance. Store in the fridge and reheat gently.
5. Is this dish spicy?
Not unless you add red pepper flakes or Cajun seasoning. It’s rich and creamy by default.
6. How do I reheat leftovers?
Reheat gently on the stove with a splash of milk or cream to loosen the sauce. Microwave in short bursts.
7. Can I freeze this dish?
Freezing is not recommended as cream sauces can separate. Best enjoyed fresh or refrigerated for up to 3 days.

Creamy Shrimp Fettuccine Pasta with Homemade Alfredo Sauce – A Luxurious Dinner in Under 30 Minutes
This creamy shrimp fettuccine pasta features juicy seared shrimp tossed with tender noodles and homemade Alfredo sauce. A luxurious 30-minute meal perfect for weeknights or date night.
- Prep Time: 10 minutes
- Cook Time: 15 minutes
- Total Time: 25 minutes
- Yield: 4 servings 1x
Ingredients
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12 oz fettuccine pasta
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1 lb large shrimp, peeled and deveined
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4 tbsp unsalted butter, divided
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1 tbsp olive oil
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3 garlic cloves, minced
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1 cup heavy cream
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1 cup freshly grated Parmesan cheese
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Salt and black pepper to taste
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¼ cup chopped parsley (optional)
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½ cup reserved pasta water
Instructions
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Cook pasta until al dente. Reserve pasta water, then drain.
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In a skillet, heat olive oil and 1 tbsp butter. Cook shrimp 1–2 min per side until pink. Remove.
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Add remaining butter and garlic to the pan. Sauté 1 min.
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Stir in cream and simmer 3–4 min. Add Parmesan and stir until smooth.
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Return pasta and shrimp to the pan. Toss to coat. Use pasta water to loosen sauce as needed.
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Season with salt and pepper. Garnish with parsley. Serve hot.
Notes
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Add lemon juice or red pepper flakes for extra flavor.
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Use grated Parmesan (not pre-shredded) for best melt.
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Store leftovers up to 3 days in the fridge.