Keto Creamy Ham and Pea Fettuccine with Spinach

Prep: 10 minCook: 20 min6 servingsmediumItalian-American
Creamy Ham and Pea Fettuccine with Spinach

A classic two-pasta dish combining regular and spinach fettuccine in a rich cream sauce with ham, peas, and fresh parsley. The butter-based sauce incorporates half and half for richness while fresh garlic and Parmesan cheese add depth. Ideal for weeknight dinners or casual entertaining, this version balances green spinach pasta with white cream for visual appeal and straightforward comfort food appeal.

Ingredients

6 servings
  • 4 ounce dried fettuccine, uncooked
    all regular fettuccine8 ounces total

    Less visual contrast

    Full guide →
  • 4 ounce dried spinach fettuccine, uncooked
    all regular fettuccine8 ounces total

    Less visual contrast

  • ¼ cup butter, Land O Lakes
    olive oil or margarine1:1vegandairy-free

    Reduces richness slightly

    Full guide →
  • ½ teaspoon garlic, finely chopped fresh
  • 1 cup half and half, Land O Lakes
    heavy cream1:1vegetarian

    Creates denser sauce

    Full guide →
  • ¼ cup fresh parsley, chopped
    fresh basil or chives1:1

    Different herb profile

    Full guide →
  • 1 10-ounce package frozen peas, thawed
  • ¼ teaspoon pepper
  • ¾ cup Parmesan cheese, freshly grated
  • 8 ounce cooked ham, cut into thin strips
    pancetta or bacon1:1

    Smokier flavor

    Full guide →
  • Parmesan cheese, freshly grated for serving(optional)

Instructions

  1. 1

    Cook both dried fettuccine varieties in a 4-quart saucepan according to package directions. Drain and set aside.

  2. 2

    Melt butter in the same pan until sizzling. Add garlic and cook over medium heat, stirring occasionally, until tender.

  3. 3

    Stir in half and half, parsley, thawed peas, and pepper. Continue cooking, stirring occasionally, until heated through.

  4. 4

    Stir in the cooked fettuccine, Parmesan cheese, and ham strips. Cook, stirring occasionally, until heated through and cheese melts.

  5. 5

    Serve with additional grated Parmesan cheese on top.

Tips

Tip 1

Thaw peas ahead of time or run under warm water briefly to ensure even heating without dropping the sauce temperature too much.

Tip 2

Stir frequently while adding cheese to prevent it from clumping and ensure a silky, cohesive sauce.

Tip 3

Use freshly grated Parmesan rather than pre-grated for better melting and creamier texture.

Good to Know

Storage

Refrigerate in airtight container up to 3 days. Reheat gently on stovetop with splash of cream or milk to restore sauce consistency.

Make Ahead

Prepare sauce without pasta up to 1 day ahead. Cook pasta separately and combine when reheating.

Serve With

Serve immediately in shallow bowls with additional Parmesan cheese. Pairs well with a simple green salad and crusty bread.

See pairing guide →

Common Mistakes

Watch

Overcook pasta before draining to avoid mushy final texture; cook just until al dente

Watch

Add cheese at end without excessive heat to prevent curdling and clumping

Watch

Do not let sauce sit too long before serving or it will thicken; add splash of warm milk if needed

Substitutions

Dairy-Free Swaps

butter
olive oil or margarine1:1vegandairy-free

Reduces richness slightly

Full guide →

General Alternatives

half and half
heavy cream1:1vegetarian

Creates denser sauce

Full guide →
ham
pancetta or bacon1:1

Smokier flavor

Full guide →
ham
cooked chicken breast1:1

Milder protein

Full guide →
fresh parsley
fresh basil or chives1:1

Different herb profile

Full guide →
half and half
whole milk mixed with butter1:1 with 1 tbsp extra butter per cupvegetarian

Lighter but requires more butter for richness

Full guide →
spinach fettuccine
all regular fettuccine8 ounces total

Less visual contrast

Find more substitutions →

FAQ

Can I make this ahead of time?

Yes. Prepare the sauce through step 3 and refrigerate up to 1 day. Cook pasta fresh and combine when reheating gently on the stovetop. Add a splash of cream or milk to restore the sauce to proper consistency before serving.

Can I freeze Green and White Fettuccine?

Freezing is not recommended as the cream sauce separates and becomes grainy upon thawing. The pasta texture also suffers. Better to refrigerate for 3 days maximum or prepare the sauce without pasta and freeze separately for up to 1 month.

What if I don't have half and half?

Substitute with heavy cream, whole milk mixed with a tablespoon of butter per cup, or a mixture of evaporated milk and butter. Each changes the richness slightly but works well in this sauce.