Decadent Salmon Alfredo Fettuccine

As seen in Satisfying Entrées for Every Table.

Bake the salmon in the oven, grab a fork to break it up, and combine everything with tender fettuccine noodles in a parmesan cream that’s super smooth. Chop in fresh garlic and sprinkle Italian herbs so the sauce really stands out, then pour in a little starchy pasta water to pull it all together. Finish with freshly grated parmesan so it’s extra creamy. Dish it up hot right away for the best bite. Perfect for when you want cozy food—fast. If you want it extra creamy, skip bagged cheese and grate your own. Add herbs or more parmesan if you’re feeling it.

Lindsey
Created By Lindsey
Last updated on Fri, 30 May 2025 17:02:16 GMT
Pasta with salmon chunks and fresh herbs on a plate. Save Pin
Pasta with salmon chunks and fresh herbs on a plate. | cookbing.com

When I want something creamy and cozy that doesn’t take all night, I toss together fettuccine with homemade sauce and lots of salmon pieces. That velvety sauce sticks to the noodles, and the salmon chunks are always the first to disappear—even the picky eaters scarf it down.

If our schedule’s packed, this is my go-to. It comes together super fast and now it’s everyone’s favorite. Even folks who tend to skip fish end up wanting another helping.

Irresistible Ingredients

  • Dry fettuccine: Wide noodles work best to soak up all the creamy deliciousness
  • Parmesan cheese: Shred it straight from the block so it melts perfectly and gives a deep savory taste
  • Italian seasoning: Pinch of oregano and basil adds herby brightness—try using fresh if you can
  • Heavy cream: Give your sauce serious velvet by skipping milk and sticking to full-on cream
  • Unsalted butter: Lets you control the salt and helps everything taste rich
  • Garlic: Chop up some garlic cloves for a punchy, toasty smell
  • Salt and pepper: These two bring out all the other flavors—just a little goes a long way
  • Salmon fillets: Look for salmon that’s got bright color and clean smell for the yummiest results

Simple Steps

Prep and Cook the Salmon:
Get your oven blazing at 425°F and cover a baking sheet with parchment. Lay your salmon with the skin down and sprinkle with salt and pepper. Roast for 10 to 12 minutes, just until it flakes. Let it rest a bit, then break into big pieces.
Boil the Pasta:
Fill a pot with salted water, bring it up to a boil, and toss in your fettuccine. Cook until it’s almost tender, not mushy. Scoop out a cup of that water before draining and save the pot for later.
Make It Extra Creamy:
Put the pot back on medium. Drop in the butter and when it’s melted, toss in the garlic. Let it go for a minute (don’t let it go brown). Pour in the cream, add seasonings, plus a bit of salt and pepper. Stir and let it thicken a bit. Finally, add the parmesan and stir till it’s all gooey and smooth.
Toss Together and Enjoy:
Turn heat low, return the drained fettuccine, and pour in only some of the reserved pasta water—not all. Mix so it’s saucy but not runny. Fold in the salmon gently so it stays chunky. Serve hot with sauce clinging to every noodle.
A bowl of pasta with salmon and cheese. Save Pin
A bowl of pasta with salmon and cheese. | cookbing.com

Nothing beats digging in while the cheese is all melted and stringy—talk about flavor! Once, my cousin insisted I double the sauce batch for Christmas Eve, and it was wiped out in minutes.

Saving Extras

Tastes best right when you make it since reheating can mess with the sauce. If you do have leftovers, stash them in a sealed container in the fridge for no more than two days. Warm gently in a pot over low, adding some milk and stirring as it heats.

Switch Things Up

If fresh salmon’s not handy, thawed frozen fillets work just fine. You could swap in linguine or tagliatelle if that’s what’s in your pantry. For the creamiest result, only use heavy cream and grate parmesan by hand for that smooth finish.

Best Ways to Eat

Pair this with crisp salad or hot broccoli to keep things light. Hit it with a squeeze of lemon to brighten everything up. Sometimes I finish with more parmesan shreds and a crack of black pepper on top.

A bowl of pasta with salmon on top. Save Pin
A bowl of pasta with salmon on top. | cookbing.com

The Story Behind It

Back in Rome, alfredo just meant butter and parmesan. Americans started pouring in heavy cream, which made it extra rich. Adding salmon gives it a fun spin—classic Italian meets favorite fish.

Common Questions

→ What’s the trick to keeping my sauce smooth, not grainy?

Always grate the parmesan yourself. The shredded stuff from the store has anti-caking stuff in it that can mess up the texture and make your sauce feel sandy.

→ Is it okay to swap in milk or half & half for cream?

You can totally use milk or half & half, but your sauce won’t get super thick or rich. If you want that perfect creamy feel, stick with heavy cream.

→ Oops, I dumped all the pasta water—any fix?

Mix up 8 ounces of water with a dash of cornstarch and use that instead. It’ll make your sauce come together like pasta water does.

→ Can I store leftovers and reheat them?

The creamy sauce usually separates if you heat it up again. You’ll get the best taste and texture if you eat it as soon as it’s done.

→ What’s the best way to tell if salmon’s done?

Roast it at 425°F for ten to twelve minutes. It’ll be ready once it flakes when you poke it with a fork. Let it cool a sec, then shred it up.

Quick Salmon Alfredo

Soft salmon in creamy pasta with lots of garlic and cheese. Fast to make and huge on flavor.

Preparation Time
5 Minutes
Cooking Time
30 Minutes
Overall Time
35 Minutes
Created By: Lindsey

Recipe Type: Main Courses

Skill Level: Beginner-Friendly

Type of Cuisine: Italian

Serves: 4 Portions

Diet Preferences: ~

What You'll Need

→ Alfredo Sauce

01 120 grams fresh parmesan, grated up
02 0.25 teaspoon ground black pepper
03 0.5 teaspoon mixed Italian herbs
04 60 grams plain butter
05 240 millilitres thick cream
06 2 garlic cloves, minced
07 0.25 teaspoon salt

→ Pasta

08 225 grams dry fettuccine noodles

→ Fish

09 0.25 teaspoon ground black pepper
10 0.5 teaspoon salt
11 340 grams salmon fillet

Step-by-Step Directions

Step 01

Serve while hot and all creamy. Take your cooked salmon chunks and gently fold them into the pasta and sauce. If things look clumpy or dry, splash in some of that pasta water a bit at a time. Stir slowly so the salmon stays in nice pieces. You can always add more water to get it how you like.


A bowl of pasta with salmon on top.
Step 02

Sprinkle in all the herbs and seasonings along with the cream after the garlic gets some color. Stir it for a couple minutes until it just gets a little thicker. Toss in the parmesan at the end and keep mixing until you’ve got a silky sauce. That’s when you know it’s done.

Step 03

Set aside both the pasta and 240 ml of that starchy water after draining. Bring a salty pot of water to a bubbling boil, toss in your fettuccine, and cook as long as the box says till it’s got a little bite left. Don’t forget to save that pasta water before you strain.

Step 04

Line your baking tray with parchment and crank the oven up to 220°C. Pat down the salmon, skin down, hit it with salt and pepper, then bake for 10–12 minutes. Once it flakes easily, pull it out and break into big pieces. Let it chill for a minute, then put it aside for tossing in later.


A bowl of pasta with salmon and cheese.

Helpful Notes

  1. Love extra sauce? Just double all those sauce ingredients. This sauce doesn’t reheat well, so just make enough for now and dig in fresh.
  2. Hang onto a little pasta water to help smooth out the sauce later. If you forget, you can fake it with 0.25 teaspoon cornstarch mixed into 240 ml water.
  3. Want creamy sauce without a gritty texture? Shred a block of parmesan yourself. Skip the pre-shredded bags—they can mess with the texture.

Essential Tools

  • Fine grater
  • Oven
  • Parchment paper
  • Measuring spoons and cups
  • Big stock pot
  • Baking sheet

Allergen Warnings

Always review the ingredient labels for allergens or consult a healthcare professional with concerns.
  • You'll find fish and dairy (there’s milk and cheese) in here.
  • Fettuccine is made from wheat, so it's got gluten.

Nutritional Info (Per Portion)

Nutritional values are approximations and shouldn’t be viewed as customized health guidance.
  • Calories: 796
  • Fat Content: 51 grams
  • Carbohydrates: 44 grams
  • Protein Content: 40 grams