This simple and classic, 4 ingredient Fettuccine Alfredo is the best Fettuccine Alfredo I've ever had.
My favorite and the best Fettuccine Alfredo I've ever had is a classic Italian one with just 4 ingredients.
Yes, they are 4 rich, sensual ingredients which means that Fettuccine Alfredo is not an everyday dish.
But that's OK. Because when one does sit down to big bowl of this luxurious Italian pasta, it is a bowl that is so satisfying it will hold you over to the next time you need something to satisfy all your senses.
Often for special meals I made pasta, because what kid doesn't like pasta?
From a cook's perspective there isn't much that is simpler to make, and from a diner's perspective it is hard to beat sensuous noodles glazed with cream and butter topped with rich, snowy flakes of Parmigiano-Reggiano.
Marcella Hazan is one of my favorite Italian writers who is credited with introducing classic Italian cooking to the United States.
I was gifted one of her first cookbooks back in 1979 when I graduated college and through the years it has seen a lot of use.
Her simple four ingredient Fettuccine Alfredo recipe is not a pasta with white sauce or garlic or gloppy cheese.
However it is redolent with the flavors of rich cream, butter and real Parmigiano-Reggiano.
Yes, this is the time to use the real stuff. Grate it fresh and you will be rewarded with the salty, rich, granular flavor of this outstanding cheese.
I've seen so many versions of fettuccine that are ruined by the addition of flour and/or cream cheese.
The best Fettuccine Alfredo does not contain garlic. It really doesn't. It doesn't contain flour and it doesn't contain cream cheese or milk.
It contains cream. Heavy cream. The dieter's nemesis. The diner's delight!
It contains butter, not oil, or God forbid margarine. And no garlic. Please no garlic.
Marcella's Fettuccine Alfredo recipe contains not much in the way of ingredients, but those simple ingredients combine to make a dish that everyone desires.
The optional nutmeg grating is up to you, but I have found myself slowly recognizing the need for those spicy, tiny brown flakes.

I am sure we could have a discussion on other sexy foods such as lobster and truffles and caviar and oysters, and let's not forget chocolate, but those sexy foods, (besides the chocolate) aren't easily served to those under the age of 18. (Though I bet my kids would have eaten them.).
We often ate Fettuccine Alfredo for Valentine's Day.
We had the red balloons, the red candles, the red flowers and always a stuffed animal.
Even if Valentine's Day fell during the week I always went out of my way to make dinner special and this classic Italian specialty was one way to do it.
How do you make Fettuccine Alfredo Sauce?
Fettuccine Alfredo sauce is made by combining heavy cream and butter and simmering for less than one minute.
Add this to the pasta along with cheese and seasonings and that's it.
I do recommend using fettuccine pasta because of its thick and flat surface.
This allows the cream to sit on the pasta and the thickness of the pasta helps conquer the richness of the dish.
No rinsing the pasta ever! The starch on the pasta also helps thicken the sauce and allows the cheese and sauce to stick to it.
What to serve with Fettuccine Alfredo?
I often served the fettuccine with steak, but that is a lot of richness.
I'm happy to just eat this with a salad, garlic bread and red wine. I love Fettuccine Alfredo with red wine and don't forget it.
I know many would say white, but not me.
Now if I had a truffle, I would shave some on top. But I don't have a truffle, so I will not.
If I had lovely slices of chicken breast they would perch quite nicely on top of this bed of pasta, but I do not.
If I had some grilled shrimp, those would work well on the side. But I do not have grilled shrimp, so I will just devour this quite simply noodle by noodle, and then ask for the chocolate cake.
Which goes very well with red wine, too!
Recipe

4 Ingredient Fettuccine Alfredo
- Prep Time: 5 Minutes
- Cook Time: 15 Minutes
- Total Time: 15 Minutes
- Yield: 4-6 Servings 1x
- Category: Main Course
- Method: Stove Top
- Cuisine: Italian
Description
With temperatures getting cooler, I am feeling the need for a warm bowl of pasta. This simple and classic, 4 ingredient Fettuccine Alfredo is just what the doctor ordered.
Ingredients
1 lb of the best Italian 100 % durum wheat semolina fettuccine
1 c heavy cream
3 T butter
Salt
⅔ c freshly grated Parmigiano-Reggiano and more for serving
4-6 grinds of freshly ground pepper
A tiny shaving of nutmeg, which is optional
Instructions
Boil pasta in well salted water, according to directions. Please only cook this al dente! No mushy pasta! Drain well but please do not rinse!
In a large pot that can accommodate all the pasta, put in ⅔ c of the cream and all the butter and simmer over medium heat for less than 1 minute, until the butter and cream have slightly thickened. Set aside.
When pasta is cooked, add it to pot with butter and cream. Turn the burner to low and toss the fettuccine, coating the pasta with the sauce. Add the rest of the cream, all the cheese, ½ t salt, 4-6 grinds of black pepper and nutmeg if you want. Toss briefly and serve with more grated cheese.
Notes
Thank you Marcella Hazan.
lisaiscooking says
Fettuccine alfredo is one of my favorite things! Love this simplicity. I wish I could eat it every day.
Balvinder says
Just love this simple pasta recipe. Thanks!
Abbe Odenwalder says
Thanks! It is deliciously simple!
sippitysup says
I made this last night for dinner. I threw in peas and used shell-shaped pasta. It was delicious! GREG
Abbe Odenwalder says
So happy you enjoyed it Greg! The peas make it healthy, right? Marcella is never wrong!
Juliana says
Hi Abbe...somehow I have never made fettuccini Alfredo...and I am loving the 4 ingredients only...looks delicious and perfect for the cooler weather as you mention...thanks for the recipe...
Have a wonderful rest of the week!
Abbe Odenwalder says
You must give it a go Juliana. You won't be disappointed.
Liz says
Mmmmm......can never resist this classic pasta dish!! I think Fall temps will actually arrive this week!! xo
Abbe Odenwalder says
When it is made right, it really is the best. Can't wait to see you Liz!
Healthy World Cuisine says
Abbe, save us a bowl. Well maybe 2. Do you know what today is? Join us on instagram to join in on the Noodles Without Borders fun. Classic and delicious recipe. Nice clicks too.
Abbe Odenwalder says
As long as you save me some Chinese noodles. I will try to get over there!
John / Kitchen Riffs says
Good to see this dish return! Such a classic -- and I haven't made this in ages and ages. Maybe this weekend! 🙂 Thanks!
Abbe Odenwalder says
You can't go wrong! Thanks John!
Ines says
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 the “birthplace of fettuccine all’Alfredo”.
More specifically, as is well known to many people who love the “fettuccine all’Alfredo", this famous dish in the world was invented by Alfredo Di Lelio concerned about the lack of appetite of his wife Ines, who was pregnant with my father Armando (born February 26, 1908).
Alfredo di Lelio opened his restaurant “Alfredo” in 1914 in Rome and in 1943, during the war, he sold the restaurant to others outside his family.
In 1950 Alfredo Di Lelio decided to reopen with his son Armando his restaurant in Piazza Augusto Imperatore n.30 "Il Vero Alfredo" (“Alfredo di Roma”), whose fame in the world has been strengthened by his nephew Alfredo and that now managed by me, with the famous “gold cutlery” (fork and spoon gold) donated in 1927 by two well-known American actors Mary Pickford and Douglas Fairbanks (in gratitude for the hospitality).
See also the website of “Il Vero Alfredo”.
I must clarify that other restaurants "Alfredo" in Rome (as Alfredo alla scrofa or Alfredo’s gallery) do not belong and are out of my brand "Il Vero Alfredo – Alfredo di Roma".
I inform you that the restaurant “Il Vero Alfredo –Alfredo di Roma” is in the registry of “Historic Shops of Excellence” of the City of Rome Capitale.
Best regards Ines Di Lelio
Tricia Buice says
Simple, pretty, cheesy and delicious - works for me! Thanks Abbe 🙂
Abbe Odenwalder says
Creamy. Very Creamy! Thanks Tricia!
ChgoJohn says
Isn't this the best way to serve fettuccine? The best pastas have the fewest ingredients, Abbe. This is such a tasty pasta and definitely suitable for a romantic dinner for two.
Abbe Odenwalder says
My daughter did make it for Valentine's Day. I'm always glad when memories become reality!
mjskit says
I usually don't make Fettuccine Alfredo because it is just too darn tempting. I love it so much that I could eat the whole batch. But thanks to your wonderful and easy recipe, I'm now craving this!!
Abbe Odenwalder says
It is a hard one to resist? But once a year is OK!
La Table De Nana says
Oh yeah:)
Abbe Odenwalder says
YEAH!
Karen (Back Road Journal) says
You can't go wrong with any of Marcella Hazan's recipes.
Abbe Odenwalder says
You are so right, Karen!
Sippity Sup says
Ts the season for sexy food! GREG
Abbe Odenwalder says
And sex! HaHa!
Angie Schneider says
It has been ages since I last had some pasta! This looks so inviting with just a few of ingredients.
Have a great Valentine's Day!
Abbe Odenwalder says
You would love it Angie!
Karen Harris says
Who doesn't love this dish? This and spaghetti carbonara could please any child's taste buds. Happy Valentine's Day!
Abbe Odenwalder says
Hope you are feeling better! This would please anyone's buds, but kids just gravitate toward it!
Liz Berg says
Definitely a heavenly dish! One of Tom's favorites---I'll definitely treat him to Marcella's version one Sunday night when he's over for dinner!
Abbe Odenwalder says
I just love Marcella! Now those are books that would be fun to cook from, Liz! Happy Valentine's Day!
Biz says
That is my daughters favorite pasta! Once we went to an Italian restaurant - she was about 8 at the time. When asked for her order, she replied that she wanted "plain spaghetti, with a pat of butter and fresh Parmesan cheese." A few minutes later the Chef came to the table asking why Hannah didn't order a red sauce for her pasta. I explained that she didn't like red sauce, and asked him to please make her spaghetti with butter and fresh Parmesan cheese like she asked.
His reply was "she's never had MY red sauce!" and walked away. What happened next floored me - the server brought her pasta with . . . red sauce. I was so mad!
We swore we'd never go back, and I read in the paper that the restaurant went under a mere three months later. 😀
Happy Friday Abbe! 😀
Abbe Odenwalder says
Unbelievable! Deserved to close. This was always Zoe's fave, too!
mimi rippee says
My recipe that I've always used comes from the old set of time life books. It's equal parts butter, cream and cheese! Nothing else!!! I bet it's really similar to yours!!! Definitely sexy.
Abbe Odenwalder says
Very similar! Very sexy!
Kitchen Riffs says
Yup. This is the way I make Fettuccine Alfredo too. Why mess with a classic? Particularly one that's so good? Red wine is a good choice, although I'd opt for champagne. Because champagne is Mrs KR's favorite tipple (why couldn't she like beer? So much more affordable!) so I wouldn't have any choice int he matter. 🙂
Abbe Odenwalder says
Well, it seems that Mrs. KR has very good taste! She did choose you, right?