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This garlic parmesan Alfredo sauce is rich, silky, and made entirely from scratch on the stovetop. Butter, fresh garlic, and heavy cream form the base, while finely grated Parmesan melts in for a smooth, savory finish with a hint of nutmeg.

This is a cream-based, American-style Alfredo, ready in about 15 minutes. It’s a classic pan sauce that pairs perfectly with pasta, chicken, or vegetables.

A pasta bowl filled with fettuccini alfredo.
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Traditional Roman Alfredo uses just butter, cheese and starchy pasta water, but this American version adds cream for extra richness and stability.

It also holds better off the heat, so you don’t have to race it to the table. Use it to coat hot fettuccine, spoon over roasted chicken, or spread on a white pizza.

A wooden spoon in a skillet with homemade alfredo sauce.

Here’s Why This Creamy Alfredo Sauce Recipe Works

Butter and cream first: Gently warming the dairy creates a stable base so the Parmesan melts smoothly instead of clumping.

Freshly grated Parmesan: Real Parmesan cheese melts into the sauce, adding savory depth without graininess.

Low heat control: Keeping the temperature down prevents the cream from breaking and the cheese from seizing.

Simple seasoning: White pepper and nutmeg add warmth without overpowering the creamy sauce.

Ingredients used to make alfredo sauce with cream.

Ingredient Notes

Butter: Use unsalted so you can control the seasoning.

Heavy cream: This isn’t the place for milk or half-and-half. You need the fat content to keep the sauce stable.

Garlic: Fresh garlic works best. Pre-minced garlic from a jar is dull and can taste bitter when sautéed.

Parmesan cheese: Freshly grated Parmigiano Reggiano is ideal. Skip the green can and shred it fine for the smoothest melt.

Salt and white pepper: White pepper blends into the sauce visually and adds gentle heat but black pepper also works fine.

Nutmeg: Just a pinch. It’s not meant to stand out, just round out the flavor and add warmth.

Six photos showing how to make homemade alfredo cream sauce.

Use this sauce as the base for my chicken Alfredo lasagna or chicken Alfredo pasta bake, where it layers and bakes without breaking or turning greasy.

Al dente penne pasta in a creamy alfredo sauce topped with chopped parsley.

Recipe Tips

Grate the cheese finely: The finer the Parmesan, the faster and smoother it melts into the Alfredo sauce.

Add cheese gradually: Whisk in small handfuls so each addition fully melts before adding more.

Keep the heat low: High heat is the fastest way to turn creamy garlic Alfredo into a greasy sauce.

Don’t boil the cream: Gentle heat keeps the texture smooth and prevents separation.

Taste at the end: Parmesan varies in saltiness, so adjust after the cheese is fully incorporated.

Use a heavy-bottomed pan: It distributes heat evenly, helping prevent scorching or hot spots that can ruin the sauce.

Serve immediately: This sauce is best fresh. It thickens as it cools and doesn’t reheat as smoothly.

Toss with hot pasta, not cold: The residual heat from just-cooked noodles helps the sauce cling and coat evenly.

A jar filled with homemade alfredo sauce.

American Style Alfredo Sauce with Cream

This homemade Alfredo sauce is simple, fast, and unapologetically rich. Spoon it over fettuccine, toss it with roasted chicken, or use it as a creamy pasta sauce base. Smooth, glossy, and packed with real dairy flavor, it’s the kind of Alfredo that doesn’t need fixing at the table.

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Fettuccini pasta in a bowl with creamy alfredo pasta sauce.
Prep Time: 5 minutes
Cook Time: 10 minutes
Total Time: 15 minutes
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Homemade Alfredo Sauce

Rich, creamy, and packed with garlic and Parmesan, this American style Alfredo sauce comes together in minutes using butter, heavy cream, and freshly grated cheese. Perfect for pasta, chicken, or as a base for white pizza. Makes about 2¼ cups of sauce.

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Servings: 4 servings
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Ingredients 

  • 4 tablespoons butter
  • cups heavy cream
  • 2-3 garlic cloves, finely minced
  • 1 cup grated parmesan cheese
  • ¼ teaspoon salt
  • ¼ teaspoon ground white pepper, or black pepper
  • teaspoon freshly grated nutmeg

Instructions 

  • Melt the butter in a heavy-bottomed skillet or saucepan over medium heat. Stir in the garlic, cooking until fragrant, about 30-45 seconds.
    Adding garlic to a skillet with melted butter.
  • Add the heavy cream and whisk to combine. Let the mixture warm gently for 3-4 minutes, stirring occasionally, do not boil.
    Adding heavy cream to the skillet.
  • Reduce the heat to low and begin adding the Parmesan a couple tablespoons at a time whisking constantly until smooth before adding more.
    Adding parmesan cheese to white sauce.
  • Stir in the salt, pepper and nutmeg. Taste and adjust seasoning.
    Grating fresh nutmeg into homemade alfredo cream sauce.

Notes

Quantity: This recipe makes 2 to 2¼ cups of sauce. 
Use freshly grated Parmesan: Pre-shredded cheese contains anti-caking agents that prevent smooth melting.
Grate cheese finely: The finer the shred, the faster and smoother it melts into the sauce.
Don’t boil the cream: Gentle warming keeps the sauce silky and stable. High heat can cause the cheese to seize and the sauce to split.
Mince garlic very fine: Or use a microplane. You want it to melt into the sauce, not leave raw bits behind.
Add cheese gradually: Whisk in small amounts, fully melting each addition before adding more.
Taste before salting: Parmesan varies in saltiness, season at the end.
Toss with hot pasta: Cold or rinsed noodles can cause the sauce to seize.
Hold off heat for up to 15 minutes: Keep it covered and warm; reheat gently with a splash of cream if it thickens.
Refrigerate up to 3 days: Store in an airtight container. Reheat slowly over low heat, whisking in a bit of cream to restore smoothness. Avoid boiling or microwaving.

Nutrition

Serving: 1 serving, Calories: 512kcal, Carbohydrates: 6g, Protein: 10g, Fat: 51g, Saturated Fat: 32g, Polyunsaturated Fat: 2g, Monounsaturated Fat: 13g, Trans Fat: 0.5g, Cholesterol: 153mg, Sodium: 697mg, Potassium: 141mg, Fiber: 0.1g, Sugar: 3g, Vitamin A: 1878IU, Vitamin C: 1mg, Calcium: 287mg, Iron: 0.3mg

Nutrition information is automatically calculated, so should only be used as an approximation.

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About Pat Nyswonger

Pat Nyswonger is a self-taught home cook with years of experience creating from-scratch meals for family and friends. As a wife, mother of four, and grandmother to seventeen, she understands the value of recipes that bring people together. Her kitchen has always been the heart of her home, where she enjoys developing flavorful, approachable dishes that home cooks of any level can make and enjoy.

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