Creamy Spinach Fettuccine Alfredo

Featured in: Herb-Rich Cozy Dinners

This dish blends tender fettuccine with a rich, creamy Alfredo sauce enhanced by melted cream cheese, Parmesan, and fresh baby spinach. Garlic sautéed in butter adds a fragrant base while black pepper and optional nutmeg provide subtle warmth. The spinach is gently wilted into the sauce for a fresh contrast. Tossing the pasta in this luscious creation yields a comforting, elegant meal perfect for a quick, satisfying Italian-American main.

Updated on Fri, 26 Dec 2025 15:51:00 GMT
Creamy Spinach Fettuccine Alfredo: A close-up shot of rich pasta with vibrant spinach and parmesan. Save
Creamy Spinach Fettuccine Alfredo: A close-up shot of rich pasta with vibrant spinach and parmesan. | amberoregano.com

There's something about the way butter hits a hot pan that makes you feel like you're doing something right in the kitchen. My friend Sarah showed up one rainy Tuesday with nothing but curiosity and an appetite, and I decided to throw together this creamy spinach fettuccine because it's the kind of dish that looks like you spent hours but honestly takes less time than a decent movie. The magic happens when you let the cream and cheese do their thing—no rushing, no fussing, just patience and good ingredients playing nicely together.

I made this for my mom the first time she visited my place after I'd moved into my own kitchen. She walked in just as the garlic was hitting its peak fragrance, and I watched her face light up like she'd forgotten how nice it is to have someone cook for you. We sat down twenty minutes later with twirled forks and red wine, and she asked for the recipe before she'd even finished her first bite.

Ingredients

  • Fettuccine (400 g): Buy the good stuff if you can—thin, delicate pasta lets the sauce cling better than the cheap boxes, and honestly you're only cooking for four people anyway.
  • Unsalted butter (60 g): This is where flavor starts, so don't skip it or use margarine; the butter's job is to carry the garlic without burning.
  • Garlic (3 cloves): Mince it fine and keep it moving in the pan—burnt garlic tastes bitter and ruins everything, so stay present for this part.
  • Heavy cream (250 ml): Full-fat is non-negotiable here; light cream will break and separate no matter what you do.
  • Parmesan cheese (120 g): Grate it fresh if you have time; the pre-grated stuff has anticaking agents that make the sauce grainy, and you'll taste the difference.
  • Cream cheese (60 g): The secret ingredient that keeps this sauce smooth and prevents it from breaking when it cools slightly—cut it into cubes so it melts faster.
  • Black pepper and nutmeg: A small pinch of nutmeg sounds odd until you taste it, then it becomes that elusive something people can't quite identify but love.
  • Fresh baby spinach (150 g): Wash and dry it thoroughly so you're not adding water to your sauce, and buy it already cleaned if you can—nobody needs that extra step.
  • Sea salt: Add it at the end so you can taste as you go and avoid over-salting.

Instructions

Product image
Mix batters, prep ingredients, grate vegetables, and store leftovers easily during baking and everyday cooking.
Check price on Amazon
Get your water boiling:
Fill a large pot with water, add enough salt so it tastes like the sea, and let it come to a rolling boil while you prep everything else. This is your safety net—pasta water saves a thin sauce every single time.
Cook the fettuccine:
Drop the pasta in when the water's actually boiling and stir it immediately so nothing sticks. Set a timer for two minutes before the package says it's done, then taste a strand—you want it tender but still with a tiny bit of resistance.
Build the sauce foundation:
Melt your butter over medium heat, then add the minced garlic and listen for that gentle sizzle. After about a minute, when it smells incredible but looks pale, reduce your heat to low and pour in the cream—this is the moment things get silky.
Marry the cheeses:
Drop the cubed cream cheese into the warm cream and whisk gently until it disappears into the sauce, then add your grated Parmesan in handfuls, stirring constantly. The moment it all comes together and looks glossy, you've nailed it.
Season with intention:
Crack in that black pepper, add a whisper of nutmeg if you're feeling brave, then taste and add salt slowly—remember the pasta water and Parmesan are both salty, so hold back.
Wilt the spinach:
Toss the fresh spinach into the warm sauce and stir for a couple minutes until it surrenders and turns dark green. The residual heat does all the work here.
Bring it together:
Add your drained fettuccine to the sauce, toss gently with tongs so every strand gets coated, then add a splash of that reserved pasta water if it looks thick. The starch in the water helps the sauce cling to the pasta like it's supposed to.
Product image
Mix batters, prep ingredients, grate vegetables, and store leftovers easily during baking and everyday cooking.
Check price on Amazon
Decadent Creamy Spinach Fettuccine Alfredo, featuring perfectly cooked pasta coated in a creamy cheese sauce. Save
Decadent Creamy Spinach Fettuccine Alfredo, featuring perfectly cooked pasta coated in a creamy cheese sauce. | amberoregano.com

My roommate once asked why I made such a fuss about stirring the sauce constantly, and then she made it while scrolling on her phone and wondered why hers was grainy. Now she gets it. This is the kind of dish that rewards your attention and punishes distractions, not because it's complicated but because good cooking is mostly about showing up and being present for the five minutes that matter.

Making It Your Own

The beauty of this recipe is how it welcomes additions without breaking. I've stirred in sautéed mushrooms on nights when I wanted something earthier, and once I had leftover rotisserie chicken that made the whole thing feel more substantial. Even just a handful of fresh lemon zest and a crack more pepper can shift the entire mood of the dish, making it feel bright instead of heavy.

Sauce Consistency and Timing

The sauce will thicken as it cools, which is why that reserved pasta water is your best friend—a splash or two loosens it back to silky without watering down the flavor. I learned this the hard way by over-engineering the sauce to be perfectly thick, then watching it seize into a clump as soon as it lost heat. Now I aim for barely thicker than cream when it's hot, knowing that pasta starch and residual heat will do the rest of the work for me.

Serving and Pairing

Serve this immediately while everything's still steaming, with a wedge of lemon on the side and extra Parmesan for people to add their own. A crisp white wine—something with acidity like Pinot Grigio or Sauvignon Blanc—cuts through the richness and feels celebratory without being fussy. This is comfort food that doesn't apologize, the kind of thing you make when you want to feel like you're doing something nice for yourself or the people sitting across from you.

  • Plate it directly into warm bowls so the heat lasts longer and the cheese doesn't seize up.
  • Tear fresh parsley over the top just before serving if you have it, because that little green and the fresh smell matter more than you'd think.
  • Let people eat while it's hot—reheating breaks the spell, so commit to eating together.
Product image
Keeps paper towels accessible for wiping spills, drying hands, and cleaning surfaces while cooking.
Check price on Amazon
Imagine the flavor: Fresh spinach and fettuccine smothered in a rich Creamy Spinach Fettuccine Alfredo. Save
Imagine the flavor: Fresh spinach and fettuccine smothered in a rich Creamy Spinach Fettuccine Alfredo. | amberoregano.com

This dish is proof that you don't need complicated instructions or rare ingredients to create something that feels special. When it works, it's pure comfort in a bowl.

Recipe FAQs

What type of pasta works best for this dish?

Fettuccine is preferred due to its flat ribbons that hold the creamy sauce well, but other wide pasta can also be used.

How can I make the sauce creamier?

Whisking in cream cheese and Parmesan while gently heating creates a smooth texture. Adjust sauce thickness with reserved pasta water as needed.

Can I use fresh or frozen spinach?

Fresh baby spinach is ideal for its tenderness and flavor, but frozen spinach can be used if thoroughly thawed and drained.

How do you prevent the garlic from burning?

Sauté garlic over medium heat briefly until fragrant, then reduce heat before adding cream to avoid bitterness.

What wine pairs well with this dish?

A crisp Pinot Grigio or buttery Chardonnay complements the richness and spinach notes nicely.

Creamy Spinach Fettuccine Alfredo

Velvety Alfredo sauce with tender fettuccine and fresh spinach in a comforting pasta dish.

Prep Time
10 mins
Time to Cook
20 mins
Time Needed
30 mins
Recipe by Amber Oregano Caleb Murphy


Skill Level Easy

Cuisine Italian-American

Portion Size 4 Portions

Dietary Info Meat-Free

What to Use

Pasta

01 14 oz fettuccine

Alfredo Sauce

01 4 tbsp unsalted butter
02 3 cloves garlic, minced
03 1 cup heavy cream
04 1 cup grated Parmesan cheese
05 2 oz cream cheese, cubed
06 1/2 tsp freshly ground black pepper
07 Pinch of ground nutmeg (optional)
08 Salt, to taste

Spinach

01 5 oz fresh baby spinach, washed and dried

Garnish

01 Extra grated Parmesan cheese
02 Chopped fresh parsley

How to Prepare

Step 01

Cook Pasta: Bring a large pot of salted water to a boil. Cook the fettuccine according to package instructions until al dente. Reserve 1/2 cup of pasta water, then drain.

Step 02

Sauté Garlic: Melt the butter in a large skillet over medium heat. Add minced garlic and sauté for 1 minute until fragrant but not browned.

Step 03

Create Sauce Base: Reduce heat to low. Stir in heavy cream and cream cheese, whisking until the cream cheese melts and the mixture is smooth.

Step 04

Incorporate Cheese and Seasonings: Add grated Parmesan, black pepper, and nutmeg if using. Stir continuously until cheese melts and sauce is creamy. Season with salt to taste.

Step 05

Wilt Spinach: Add fresh spinach to the sauce and cook for 2 to 3 minutes while stirring, until just wilted.

Step 06

Combine Pasta and Sauce: Toss the cooked fettuccine in the sauce, adding reserved pasta water as needed to loosen sauce and coat pasta evenly.

Step 07

Serve: Plate immediately and garnish with extra grated Parmesan and chopped fresh parsley.

What You'll Need

  • Large pot
  • Large skillet or sauté pan
  • Whisk
  • Colander
  • Tongs

Allergy Details

Always check ingredients for allergens and talk to your doctor if unsure.
  • Contains milk (butter, heavy cream, Parmesan, cream cheese) and wheat (fettuccine). Verify gluten-free pasta labels for cross-contamination.

Nutrition Details (per serving)

Nutritional data is for info only—consult a professional for health guidance.
  • Energy: 580
  • Total Fat: 30 g
  • Carbohydrates: 58 g
  • Proteins: 19 g