Creamy Fettuccine Alfredo with Sage Recipe

Oh, let me tell you about this Creamy Fettuccine Alfredo with Sage Recipe that has quickly stolen my heart (and my spoon)! It’s the perfect balance of rich, velvety sauce and the aromatic earthiness that fresh sage brings to the table. Each bite brings the kind of comfort and warmth that feels like a big, cozy hug, yet it’s elegant enough to impress guests or elevate a simple weeknight dinner. With just a handful of simple ingredients, you’re in for a pasta experience that’s both utterly indulgent and unexpectedly fresh thanks to that lovely hint of sage.

Ingredients You’ll Need

Gathering these ingredients is your first step toward creating a luxurious pasta dish that feels both indulgent and fresh. Each element plays a vital role, contributing texture, flavor, and that signature creaminess that makes this recipe so irresistible.

  • 10 sage leaves: Fresh sage adds a wonderful earthy aroma and a subtle herbal kick that brightens up the rich Alfredo sauce.
  • 1 cup pasta water (reserved): The starchy water helps the sauce cling beautifully to the fettuccine for silky smoothness.
  • 1 cup heavy cream: This is the base of your sauce, creating that luscious, creamy texture everyone craves.
  • ½ cup butter: Adds richness and a silky mouthfeel that makes every bite irresistible.
  • 1 ½ cups grated Parmesan cheese, divided: Parmesan brings sharpness and depth, melting perfectly into the sauce for umami-packed flavor.
  • 1 lb fettuccine: The wide, flat noodles are perfect for holding onto the creamy sauce, ensuring every forkful is packed with flavor.
  • Salt to taste: Essential for balancing the flavors and enhancing the natural character of the ingredients.

How to Make Creamy Fettuccine Alfredo with Sage Recipe

Step 1: Cook the Fettuccine

Start by bringing a large pot of salted water to a rolling boil. The salt seasons the pasta deeply from within, so don’t be shy with it. Then add your fettuccine and cook according to the package directions until it’s perfectly al dente — tender but with a little bite. This texture is key because it will soak up that creamy sauce while holding its shape beautifully.

Step 2: Prepare the Sauce

While the pasta cooks, grab a large skillet and combine the heavy cream, reserved pasta water, butter, fresh sage leaves, and half of the Parmesan cheese. Warm this mixture gently over medium heat, stirring often to melt the butter and cheese. When it begins to simmer and the sauce thickens slightly, you’re right on track. The sage infuses the sauce with a subtle, fragrant earthiness that transforms a classic Alfredo into something truly special.

Step 3: Combine Pasta and Sauce

Using tongs, transfer your cooked fettuccine directly into the simmering sauce. This helps the pasta soak up all the creamy goodness without losing any flavor by draining first. Toss the noodles continuously for a minute or two, making sure each strand is luxuriously coated. This step is what brings the whole dish together — luscious, creamy pasta that’s bursting with sage-infused flavor.

Step 4: Finish with Cheese and Seasoning

Finally, adjust the seasoning with salt to taste. Remove the skillet from heat and add the remaining Parmesan cheese, tossing gently to melt it into the sauce and create that silky, clingy finish everyone dreams of with Alfredo. This final flourish is where the sauce becomes irresistibly creamy and rich, with just the right hint of cheesy tang.

How to Serve Creamy Fettuccine Alfredo with Sage Recipe

Creamy Fettuccine Alfredo with Sage Recipe - Recipe Image

Garnishes

Simple is best when garnishing this dish — a few fresh sage leaves fried until crispy add a stunning crunch and extra layer of flavor. Alternatively, sprinkle some freshly cracked black pepper or a dusting of extra Parmesan for beautiful presentation and a punch of savory goodness.

Side Dishes

This creamy pasta pairs wonderfully with bright, crisp salads to cut through the richness. Think a classic Caesar salad or a light arugula salad with lemon vinaigrette. Garlic bread or roasted Mediterranean vegetables also complement the dish perfectly, providing contrasting textures and flavors to round out your meal.

Creative Ways to Present

For a gathered dinner or special occasion, serve the pasta in shallow bowls with a drizzle of high-quality olive oil on top and a sprinkle of finely chopped fresh herbs. You can even nestle the fettuccine atop a bed of sautéed spinach or mushrooms for a colorful, elegant twist. Presentation can be casual or fancy, but either way, the creamy sauce steals the show.

Make Ahead and Storage

Storing Leftovers

Let your leftover Creamy Fettuccine Alfredo with Sage Recipe cool completely before transferring it to an airtight container. Stored in the fridge, it will keep beautifully for up to 3 days. Just be sure to give it a good stir before reheating to recombine the sauce and pasta evenly.

Freezing

While this dish is best fresh, you can freeze leftovers in a freezer-safe container. However, freezing may slightly change the texture of the cream sauce. If you do freeze it, consume within one month and thaw overnight in the fridge before reheating gently on the stove.

Reheating

To reheat, warm the pasta slowly on the stovetop with a splash of milk or cream to bring back that silky texture. Avoid microwaving at high heat or the sauce can separate. Toss frequently while heating to maintain the creamy consistency and get every bite tasting fresh and delicious again.

FAQs

Can I use dried sage instead of fresh?

Fresh sage offers the best flavor and aroma, but if you only have dried, use about a third of the amount since it’s more concentrated. Add it early to help release its flavor, but fresh leaves really elevate this Creamy Fettuccine Alfredo with Sage Recipe.

Is it possible to make this recipe dairy-free?

You can substitute heavy cream with coconut cream or a rich plant-based cream and use vegan butter and cheese alternatives. Keep in mind that the flavor and texture will differ, but it can still be deliciously creamy.

What type of pasta works best?

Fettuccine is traditional here because its wide ribbons hold onto the creamy sauce perfectly, but you can also try tagliatelle or pappardelle. Avoid thinner pasta like spaghetti as it won’t carry the sauce as well.

Why do you reserve pasta water?

The reserved starchy pasta water helps emulsify the sauce and ensures it coats every strand of fettuccine beautifully without becoming too thick or clumpy. It’s a simple trick that makes all the difference.

Can I add protein to this dish?

Absolutely! Grilled chicken, sautéed shrimp, or crispy pancetta are wonderful additions that complement the creamy, herby sauce without overpowering it. Add them just before serving for the best impact.

Final Thoughts

If you’ve been searching for a pasta dish that screams indulgence but still feels fresh and thoughtful, I urge you to try this Creamy Fettuccine Alfredo with Sage Recipe. It’s a brilliant way to treat yourself or impress loved ones with minimal fuss yet maximum flavor. Once you taste that velvety sauce wrapped around perfectly cooked fettuccine with the warm, fragrant touch of sage, it’s hard not to fall in love. Trust me, this is one recipe you’ll want to keep returning to again and again.

Print
clock clock iconcutlery cutlery iconflag flag iconfolder folder iconinstagram instagram iconpinterest pinterest iconfacebook facebook iconprint print iconsquares squares iconheart heart iconheart solid heart solid icon
Creamy Fettuccine Alfredo with Sage Recipe

Creamy Fettuccine Alfredo with Sage Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4.4 from 41 reviews
  • Author: Kimberly
  • Prep Time: 5 minutes
  • Cook Time: 15 minutes
  • Total Time: 20 minutes
  • Yield: 6 servings
  • Category: Pasta
  • Method: Stovetop
  • Cuisine: Italian

Description

A rich and creamy Fettuccine Alfredo recipe featuring sage-infused sauce made with butter, heavy cream, and Parmesan cheese, served over perfectly cooked fettuccine pasta. This classic Italian-American dish is quick to prepare and full of comforting flavors.


Ingredients

Dry Ingredients

  • Salt to taste
  • 1 ½ cups grated Parmesan cheese, divided
  • 1 lb fettuccine

Wet Ingredients

  • 1 cup heavy cream
  • ½ cup butter
  • 1 cup pasta water (reserved from cooking the pasta)

Herbs & Flavorings

  • 10 sage leaves (reduce to 5 for milder flavor)


Instructions

  1. Cook the pasta: Bring a large pot of salted water to a boil. Add the fettuccine to the boiling water and cook according to package instructions until al dente. Reserve 1 cup of pasta water before draining the pasta.
  2. Prepare the sauce: In a large skillet over medium heat, combine heavy cream, reserved pasta water, butter, sage leaves, and half of the grated Parmesan cheese. Stir the mixture continuously until the butter melts and the sauce starts to simmer, about 1-2 minutes.
  3. Toss pasta in sauce: Using tongs, transfer the drained fettuccine directly into the skillet with the sauce. Toss the pasta continuously for 1-2 minutes to ensure it is thoroughly coated with the velvety sauce.
  4. Finish and serve: Season the pasta with salt to taste, then remove the skillet from heat. Add the remaining Parmesan cheese and toss everything together until the sauce is creamy and evenly coats the pasta. Serve immediately.

Notes

  • Reserve some pasta water before draining, as it helps achieve the perfect sauce consistency.
  • Adjust the amount of sage according to your taste preference; reducing the leaves will mellow the flavor.
  • For a lighter version, substitute half-and-half for heavy cream, but the sauce may be less rich.
  • Use freshly grated Parmesan cheese for the best flavor and texture.

Similar Posts