Creamy Mushroom Alfredo Pasta

Featured in: Cozy Pasta Recipes

This creamy mushroom Alfredo pasta blends tender sautéed mushrooms with a smooth, garlicky cream sauce. The sauce combines heavy cream, cream cheese, and Parmesan for a velvety texture, enriched with a touch of nutmeg and fresh parsley. The pasta is cooked al dente and tossed with the sauce, with optional pasta water to achieve the perfect consistency. Ideal for an easy, comforting Italian-American main dish that serves four.

Updated on Mon, 10 Nov 2025 16:51:00 GMT
Creamy Mushroom Alfredo Pasta topped with fresh parsley and extra Parmesan cheese.  Save
Creamy Mushroom Alfredo Pasta topped with fresh parsley and extra Parmesan cheese. | basilhearth.com

A rich and velvety pasta dish featuring sautéed mushrooms in a luscious, garlicky Alfredo sauce, perfect for a comforting weeknight meal.

This recipe has become a family favorite, reminding me of cozy dinners on chilly evenings.

Ingredients

  • Pasta: 350 g (12 oz) fettuccine or tagliatelle
  • Mushrooms: 300 g (10 oz) cremini or button mushrooms, sliced; 2 tbsp unsalted butter; 1 tbsp olive oil
  • Sauce: 3 cloves garlic, minced; 250 ml (1 cup) heavy cream; 120 ml (½ cup) whole milk; 60 g (½ cup) grated Parmesan cheese; 30 g (2 tbsp) cream cheese, softened; ¼ tsp ground black pepper; ½ tsp salt (plus more to taste); ¼ tsp freshly grated nutmeg (optional)
  • Garnish: 2 tbsp chopped fresh parsley; Extra grated Parmesan, to serve

Instructions

Step 1:
Bring a large pot of salted water to a boil. Cook the fettuccine according to package instructions until al dente. Reserve 120 ml (½ cup) of pasta water, then drain the pasta.
Step 2:
Meanwhile, heat the butter and olive oil in a large skillet over medium heat. Add the sliced mushrooms and sauté for 6 8 minutes, stirring occasionally, until golden and most of the moisture has evaporated.
Step 3:
Add the garlic and cook for 1 minute until fragrant.
Step 4:
Pour in the heavy cream and milk. Stir in the cream cheese until melted and smooth.
Step 5:
Add grated Parmesan, salt, pepper, and nutmeg (if using). Simmer for 2 3 minutes, stirring, until the sauce thickens slightly.
Step 6:
Add the cooked pasta to the skillet, tossing to coat in the sauce. If the sauce is too thick, add a splash of reserved pasta water.
Step 7:
Taste and adjust seasoning as needed. Serve immediately, garnished with fresh parsley and extra Parmesan.
Deliciously rich Creamy Mushroom Alfredo Pasta, ideal for cozy weeknight dinners.  Save
Deliciously rich Creamy Mushroom Alfredo Pasta, ideal for cozy weeknight dinners. | basilhearth.com

This meal always brings everyone to the table with smiles and full hearts.

Notes

For extra flavor, add a splash of dry white wine after cooking the mushrooms. Swap cremini mushrooms for wild mushrooms for a deeper taste. Use gluten-free pasta if desired. Add cooked chicken or sautéed spinach for variation.

Required Tools

Large pot, Large skillet, Wooden spoon or spatula, Colander, Chefs knife

Allergen Information

Contains Milk (dairy), Wheat (gluten), Eggs (if pasta contains eggs). Double-check pasta ingredients for allergens if using specialty varieties.

Sautéed mushrooms enhance the flavor of this comforting Creamy Mushroom Alfredo Pasta. Save
Sautéed mushrooms enhance the flavor of this comforting Creamy Mushroom Alfredo Pasta. | basilhearth.com

This creamy mushroom Alfredo pasta is sure to become your new favorite comfort food.

Recipe FAQs

What type of mushrooms work best in this dish?

Cremini or button mushrooms are commonly used, but wild mushrooms can add a deeper flavor.

Can I use a different pasta shape?

Fettuccine or tagliatelle are preferred for their ability to hold the creamy sauce well, but other long noodles work too.

How can I adjust the sauce consistency?

Reserve some pasta water and add it gradually to thin the sauce if it becomes too thick.

Is it possible to make this dish without dairy?

This version relies on cream and cheese for richness; substituting with dairy-free alternatives may affect texture and flavor.

What garnishes complement this dish?

Fresh parsley and extra grated Parmesan enhance both flavor and presentation.

Can I add protein or vegetables to this pasta?

Yes, cooked chicken or sautéed spinach are great additions for added texture and nutrition.

Creamy Mushroom Alfredo Pasta

A rich pasta dish combining sautéed mushrooms with a smooth, garlicky cream sauce and fresh herbs.

Prep Time
15 minutes
Time to Cook
20 minutes
Total Duration
35 minutes
Recipe by Laura Bennett

Recipe Type Cozy Pasta Recipes

Skill Level Easy

Cuisine Type Italian-American

Makes 4 Portions

Dietary Details Meat-Free

What You'll Need

Pasta

01 12 oz fettuccine or tagliatelle

Mushrooms

01 10 oz cremini or button mushrooms, sliced
02 2 tbsp unsalted butter
03 1 tbsp olive oil

Sauce

01 3 cloves garlic, minced
02 1 cup heavy cream
03 ½ cup whole milk
04 ½ cup grated Parmesan cheese
05 2 tbsp cream cheese, softened
06 ¼ tsp ground black pepper
07 ½ tsp salt, plus more to taste
08 ¼ tsp freshly grated nutmeg (optional)

Garnish

01 2 tbsp chopped fresh parsley
02 Extra grated Parmesan, to serve

How To Make It

Step 01

Cook Pasta: Bring a large pot of salted water to a boil. Cook the fettuccine following package directions until al dente. Reserve ½ cup pasta water before draining.

Step 02

Sauté Mushrooms: Heat butter and olive oil in a large skillet over medium heat. Add mushrooms and sauté for 6 to 8 minutes until golden and moisture evaporates.

Step 03

Add Garlic: Incorporate minced garlic and cook for 1 minute until fragrant.

Step 04

Prepare Sauce: Pour in heavy cream and milk. Stir in cream cheese until fully melted and sauce is smooth.

Step 05

Season Sauce: Add grated Parmesan, salt, black pepper, and nutmeg if using. Simmer for 2 to 3 minutes, stirring frequently until the sauce slightly thickens.

Step 06

Combine Pasta and Sauce: Toss cooked pasta into the skillet with sauce. If sauce is too thick, add reserved pasta water gradually to loosen.

Step 07

Serve: Adjust seasoning to taste. Serve immediately garnished with fresh parsley and additional Parmesan.

Tools Needed

  • Large pot
  • Large skillet
  • Wooden spoon or spatula
  • Colander
  • Chef's knife

Allergy Warnings

Review every ingredient for allergens and reach out to a medical expert if you're uncertain.
  • Contains milk (dairy) and wheat (gluten). Confirm egg presence in pasta to avoid allergens.

Nutrition information (serving size)

These nutritional details are for reference. They're not meant as medical guidance.
  • Caloric Value: 540
  • Fat content: 27 grams
  • Carbohydrates: 55 grams
  • Protein Amount: 17 grams