Creamy Fettuccine Alfredo with Sautéed Mushrooms

Prep: 15 minCook: 30 minmediumItalian-American
Creamy Fettuccine Alfredo with Sautéed Mushrooms

A rich and comforting pasta dish featuring tender cremini mushrooms in a velvety cheese sauce made with American cheese, sour cream, and whole milk. The mushrooms are sautéed until golden and folded into a smooth roux-based sauce seasoned with garlic, black pepper, and a hint of nutmeg. This hearty meal works perfectly for family dinners or special occasions when you want something satisfying and indulgent. The sauce can be prepared ahead and combined with pasta just before serving.

Ingredients

  • 2 tablespoons butter
  • ¼ cup butter
  • 1 pound cremini mushrooms, sliced
    button mushrooms1:1vegetarian

    similar texture and flavor

    Full guide →
  • 3 tablespoons Mishpacha Flour
  • 2 cloves garlic, crushed
  • 1 8-oz. container sour cream
    heavy cream1:1vegetarian

    lighter texture

    Full guide →
  • 2 cups whole milk
  • 8 slices American cheese
    cheddar cheese1:1vegetarian

    sharper flavor

    Full guide →
  • ½ teaspoon salt
  • 1 teaspoon black pepper, freshly ground
  • ground nutmeg(optional)
  • 1 pound Tuscanini Fettuccine, prepared according to package instructions
    penne pasta1:1vegetarian

    different shape but works well

    Full guide →

Instructions

  1. 1

    Melt two tablespoons butter in a pan and add the mushrooms, sautéing until softened, then set aside

  2. 2

    Melt remaining butter in a saucepan and stir in the flour, mixing until browning and thickened

  3. 3

    Add the garlic and cook for two minutes

  4. 4

    Add the sour cream and mix well

  5. 5

    Add the milk, American cheese, and seasoning, stirring until the cheese is melted

  6. 6

    Remove pan from heat and add sautéed mushrooms, stirring to combine

  7. 7

    Add the prepared fettuccine if serving immediately

Tips

Tip 1

Cook the mushrooms until they release their moisture and become golden for better flavor

Tip 2

Whisk the sauce constantly while adding milk to prevent lumps from forming

Tip 3

Remove from heat before adding the pasta to prevent the sauce from breaking

Good to Know

Storage

Refrigerate for up to 3 days in an airtight container

Make Ahead

Sauce can be made up to 2 days ahead and reheated gently

Serve With

Serve immediately while hot with freshly grated black pepper

See pairing guide →

Common Mistakes

Watch

Don't let the roux burn or the sauce will taste bitter

Watch

Add milk gradually to avoid lumps in the sauce

Substitutions

fettuccine
penne pasta1:1vegetarian

different shape but works well

Full guide →
cremini mushrooms
button mushrooms1:1vegetarian

similar texture and flavor

Full guide →
American cheese
cheddar cheese1:1vegetarian

sharper flavor

Full guide →
sour cream
heavy cream1:1vegetarian

lighter texture

Full guide →
Find more substitutions →

FAQ

Can I use fresh pasta instead of dried?

Yes, fresh pasta works well but reduce cooking time and watch carefully to avoid overcooking since it cooks much faster than dried pasta.

What if my sauce is too thick?

Add a splash of pasta cooking water or warm milk gradually while stirring until you reach the desired consistency.

How long will leftovers keep?

Store covered in the refrigerator for up to 3 days and reheat gently on the stovetop with a splash of milk.