Creamy Mushroom Alfredo Pasta

Featured in: Cozy Pasta Recipes

Creamy Mushroom Alfredo is an elegant yet simple Italian-inspired pasta dish that comes together in just 30 minutes. Golden sautéed mushrooms and aromatic garlic are combined with a luxurious cream sauce infused with Parmesan cheese, then tossed with al dente fettuccine for ultimate comfort.

This vegetarian main course serves four and requires just one large skillet. The key to success lies in sautéing mushrooms until their moisture evaporates for deep flavor, then building a silky sauce by gently simmering cream with butter and cheese. A splash of reserved pasta water creates the perfect silky consistency.

Updated on Sun, 18 Jan 2026 15:30:00 GMT
Steaming fettuccine glistening with creamy mushroom Alfredo sauce, topped with fresh parsley on a rustic table. Save
Steaming fettuccine glistening with creamy mushroom Alfredo sauce, topped with fresh parsley on a rustic table. | basilhearth.com

The smell of butter and garlic hit me before I even saw the pan. My roommate was standing at the stove, stirring mushrooms that had gone from pale and sad to deep golden brown, and I asked what she was making. She shrugged and said, just pasta with whatever was in the fridge. That whatever turned into the creamiest, most satisfying bowl of fettuccine I'd had in months, and I've been making my own version ever since.

I made this for my sister after she had a terrible week at work, the kind where nothing goes right and you just need comfort food. She sat at my tiny kitchen table with a glass of wine while I cooked, and when I set the bowl in front of her, she took one bite and her shoulders visibly relaxed. We didn't talk much that night, just ate and listened to music, and sometimes that's exactly what a good meal is supposed to do.

Ingredients

  • Fettuccine or tagliatelle: The wide, flat noodles are perfect for catching all that creamy sauce in every twirl, and they cook up silky and tender in about 10 minutes.
  • Cremini or button mushrooms: Cremini have a deeper, earthier flavor, but button mushrooms work beautifully too, just make sure to slice them evenly so they cook at the same rate.
  • Garlic: Fresh garlic is non-negotiable here, it blooms in the butter and fills your kitchen with the kind of smell that makes everyone wander in asking when dinner will be ready.
  • Shallot: Optional, but it adds a subtle sweetness that rounds out the garlic without overpowering it.
  • Heavy cream: This is what makes the sauce so luxuriously thick and velvety, coating every strand of pasta like a warm hug.
  • Parmesan cheese: Freshly grated melts into the sauce much better than pre-shredded, and it adds that salty, nutty richness that makes Alfredo so addictive.
  • Unsalted butter: It helps build the base of the sauce and adds a silky richness that cream alone can't achieve.
  • Nutmeg: Just a tiny grate transforms the sauce, adding warmth and a hint of complexity that people notice but can't quite name.
  • Fresh parsley: A handful of chopped parsley at the end brightens everything up and makes the dish look as good as it tastes.

Instructions

Boil the pasta:
Get your water boiling with a generous handful of salt, it should taste like the sea. Cook the fettuccine until it still has a little bite, then save half a cup of that starchy pasta water before you drain, it's liquid gold for adjusting the sauce later.
Sauté the mushrooms:
Heat the olive oil until it shimmers, then add the mushrooms in a single layer if you can. Let them sit without stirring for a couple minutes so they get a beautiful golden crust, then toss and cook until all their moisture has cooked off and they smell almost nutty.
Add the aromatics:
Toss in the shallot and garlic, stirring constantly so the garlic doesn't burn. You'll know it's ready when the smell makes you lean closer to the pan.
Build the sauce:
Turn the heat down and add the butter, letting it melt into the mushrooms. Pour in the cream and let it come to a gentle simmer, watching it thicken slightly as it bubbles.
Finish with cheese:
Stir in the Parmesan and nutmeg, watching the cheese melt into silky ribbons. Season with salt and pepper, tasting as you go because the cheese is already salty.
Toss and serve:
Add the drained pasta right into the skillet and toss everything together, adding splashes of that reserved pasta water until the sauce clings to every noodle. Serve immediately with a shower of parsley and extra Parmesan on top.
Creamy Mushroom Alfredo pasta twirled on a fork, showcasing sautéed mushrooms and a rich, velvety parmesan sauce. Save
Creamy Mushroom Alfredo pasta twirled on a fork, showcasing sautéed mushrooms and a rich, velvety parmesan sauce. | basilhearth.com

This dish showed up at a potluck I hosted last spring, and I watched it disappear faster than anything else on the table. People kept coming back with questions about what was in it, and I realized it wasn't complicated ingredients or fancy techniques, it was just the care of cooking each part properly. Food doesn't have to be elaborate to make people feel something, and that night reminded me why I love cooking for others in the first place.

Making It Your Own

I've played around with this recipe more times than I can count, and it's incredibly forgiving. If you want more depth, splash in some white wine after the mushrooms brown and let it reduce before adding the cream, it adds a bright, almost fruity note. You can lighten it up by using half cream and half whole milk, and honestly, it's still delicious. I've also used a mix of wild mushrooms when I find them at the market, and the earthy complexity they bring is worth the extra couple of dollars.

Serving Suggestions

This pairs beautifully with a simple arugula salad dressed with lemon and olive oil, the peppery greens cut through the richness perfectly. I also love serving it with crusty bread to soak up every last bit of sauce on the plate. For wine, a crisp Pinot Grigio or a buttery Chardonnay complements the creaminess without overwhelming it. If you're feeding a crowd, double the recipe and serve it family style in a big, warm bowl.

Storage and Reheating

Leftovers keep in the fridge for up to three days, though the sauce will thicken as it sits. When you reheat it, add a splash of milk or cream and warm it gently on the stove, stirring constantly so it doesn't separate. I don't recommend freezing this one, cream sauces tend to break when thawed and it just won't have the same silky texture.

  • Store in an airtight container and reheat within three days for best results.
  • Add a little liquid when reheating to bring the sauce back to life.
  • Garnish with fresh parsley and Parmesan just before serving, even if it's leftovers.
A close-up of Creamy Mushroom Alfredo, with tender mushroom slices and a luscious sauce in a warm skillet. Save
A close-up of Creamy Mushroom Alfredo, with tender mushroom slices and a luscious sauce in a warm skillet. | basilhearth.com

This recipe has become one of those weeknight staples I turn to when I need something fast but satisfying, and it never disappoints. I hope it finds a place in your rotation too, and that it brings a little warmth to your table.

Recipe FAQs

Can I use different types of mushrooms?

Absolutely. While cremini and button mushrooms work beautifully, try a mix of wild varieties like porcini, shiitake, or oyster mushrooms for more complex, earthy flavors. Ensure all mushrooms are sliced uniformly for even cooking.

How do I prevent the sauce from breaking?

Keep the heat at medium or medium-low once cream is added. Avoid boiling vigorously, which can cause the cream to separate. Stir constantly and add Parmesan slowly, allowing it to melt gradually into the sauce.

Can I make this lighter?

Yes. Replace half the heavy cream with whole milk or unsweetened oat milk for a lighter version. You may need slightly less pasta water since the sauce will be thinner initially.

What wine pairs well with this dish?

A crisp Pinot Grigio or Chardonnay complements the creamy, earthy flavors beautifully. The acidity cuts through the richness while enhancing the mushroom and garlic notes.

Can I add the white wine mentioned in the notes?

Yes. After sautéing mushrooms and garlic, add a splash of dry white wine (about 1/4 cup) and let it simmer until mostly reduced. This adds depth before you pour in the cream.

How do I store leftovers?

Store in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stovetop over low heat with a splash of milk or water to restore the sauce's silky consistency.

Creamy Mushroom Alfredo Pasta

Rich and velvety pasta featuring sautéed mushrooms and garlic in a luscious cream sauce. Ready in just 30 minutes.

Prep Time
10 minutes
Time to Cook
20 minutes
Total Duration
30 minutes
Recipe by Laura Bennett

Recipe Type Cozy Pasta Recipes

Skill Level Easy

Cuisine Type Italian-Inspired

Makes 4 Portions

Dietary Details Meat-Free

What You'll Need

Pasta

01 12 oz fettuccine or tagliatelle

Mushrooms & Aromatics

01 2 tablespoons olive oil
02 1 lb cremini or button mushrooms, sliced
03 3 cloves garlic, minced
04 1 small shallot, finely chopped
05 1/2 teaspoon salt
06 1/4 teaspoon freshly ground black pepper

Creamy Sauce

01 1 cup heavy cream
02 1/2 cup grated Parmesan cheese
03 2 tablespoons unsalted butter
04 1/4 teaspoon freshly grated nutmeg

Garnish

01 2 tablespoons chopped fresh parsley
02 Extra Parmesan cheese for serving

How To Make It

Step 01

Prepare the Pasta: Cook pasta in a large pot of salted boiling water according to package instructions until al dente. Reserve 1/2 cup pasta water, then drain completely.

Step 02

Sauté the Mushrooms: While pasta cooks, heat olive oil in a large skillet over medium-high heat. Add mushrooms and sauté until golden and their moisture has evaporated, approximately 6 to 8 minutes.

Step 03

Develop Aromatics: Add shallot and garlic to the skillet. Sauté for 1 to 2 minutes until fragrant.

Step 04

Build the Cream Base: Reduce heat to medium. Stir in butter and allow it to melt completely, then pour in heavy cream. Bring to a gentle simmer.

Step 05

Create the Sauce: Add grated Parmesan and nutmeg, stirring continuously until the cheese melts and sauce thickens slightly, approximately 2 to 3 minutes. Season with salt and black pepper to taste.

Step 06

Combine and Finish: Add drained pasta to the skillet and toss to coat evenly. Add reserved pasta water gradually as needed to achieve a silky, cohesive sauce consistency.

Step 07

Plate and Serve: Transfer to serving dishes immediately. Garnish with chopped fresh parsley and extra Parmesan cheese.

Tools Needed

  • Large pot
  • Large skillet
  • Colander
  • Wooden spoon or kitchen tongs
  • Chef's knife and cutting board

Allergy Warnings

Review every ingredient for allergens and reach out to a medical expert if you're uncertain.
  • Contains dairy including heavy cream, butter, and Parmesan cheese
  • Contains wheat in pasta
  • Verify Parmesan cheese for vegetarian suitability if dietary requirements demand specific sourcing

Nutrition information (serving size)

These nutritional details are for reference. They're not meant as medical guidance.
  • Caloric Value: 520
  • Fat content: 28 grams
  • Carbohydrates: 51 grams
  • Protein Amount: 16 grams