Luscious Salmon Alfredo Creamy Fettuccine

As seen in Satisfying Entrées for Every Table.

You’ll mix tender, baked salmon into hot fettuccine, then coat everything with a silky parmesan sauce. The sauce has Italian seasoning and loads of fresh garlic for plenty of flavor. Leftover pasta water helps everything get nice and glossy. Toss in more parmesan at the end until it’s extra creamy and smooth. Eat it right away for the best texture! This main course is the definition of comfort food and perfect for busy weeknights—tastes like something you’d get out at a fancy spot, but way easier. Want it extra creamy? Always use your own freshly grated parmesan instead of the bagged stuff. Top with more cheese or fresh herbs if you’re feeling fancy, and dig in while it’s hot.

Barbara Chef
Created By Sasha
Last updated on Wed, 28 May 2025 12:59:21 GMT
A plate of pasta with salmon and herbs. Save Pin
A plate of pasta with salmon and herbs. | foodthingle.com

When I crave something rich and smooth but don't want a complicated dinner, salmon alfredo is my go-to. You toss wide fettuccine noodles in a creamy homemade sauce, then pile on flaky pieces of salmon. Everyone at my place, from little ones to adults, always asks for it.

This started as a quick fix for busy nights and now it’s the meal my whole family begs me to make. Even folks in my house who usually skip seafood always grab seconds.

Irresistible Ingredients

  • Parmesan cheese: Grate your own if you can. It melts into the sauce, giving everything a punchy nutty kick that makes it rich
  • Italian seasoning: Blends like oregano and basil bring that earthy, herby lift to the sauce
  • Heavy cream: The secret to a super smooth texture—don’t sub milk or half and half if you want it really creamy
  • Garlic: Fresh cloves, minced up, give you all the flavor you need. Grab nice fat cloves if possible
  • Unsalted butter: Melts perfectly into the sauce and lets you control the saltiness
  • Dry fettuccine: Wide noodles are perfect for picking up all that sauce
  • Salt and pepper: Just what you need to bring flavors out—use these in both the sauce and on the salmon
  • Salmon fillets: Go for fresh, brightly colored salmon with no off smell. It’s tender and loaded with protein

Simple Cooking Steps

Combine and Serve:
Turn the heat right down. Add your cooked noodles and about half to three-quarters of the pasta water you set aside. Toss gently so all the pasta gets coated and silky. Fold in the salmon flakes at the very end so they stay tender and warm. Serve it up right away so the sauce hugs every noodle
Make the Alfredo Sauce:
Pop your pot on medium heat. Drop in the butter and let it melt. Add the garlic and cook it for about a minute, but don’t walk away—it burns fast. Pour in the cream and toss in Italian seasoning, salt, and pepper. Give it a gentle stir. Let things get a bit thicker for a couple minutes, then pile in that grated parmesan and stir until it’s all smooth
Cook the Fettuccine:
Salt your boiling water and cook the fettuccine until just al dente—check your package for timing. Before you drain it, grab a cup of the pasta water for later. Drain and hang onto the pot for the sauce
Prep and Roast the Salmon:
Line a baking tray with parchment and heat the oven to four twenty-five Fahrenheit. Lay the salmon fillets skin side down, season them, and roast for ten to twelve minutes until they’re cooked through and flake easily with a fork. Let them cool, break into big chunks, and set aside
A bowl of pasta with salmon and cheese. Save Pin
A bowl of pasta with salmon and cheese. | foodthingle.com

I’m all about that big hit of melty parmesan weaving through the sauce. One holiday, my cousin made us double up just so we’d have extra creamy sauce, and nobody had leftovers to take home.

Storing Leftovers

This dish is best straight from the stove since reheating can make the sauce split. If you’ve got extras, chill them in an airtight container for up to two days. To reheat, just warm gently in a pot with a little milk on low, mixing the whole time

Other Ingredient Options

No fresh salmon? As long as you give frozen fillets enough time to thaw, they’ll work great. You can swap in linguine or tagliatelle if you’re out of fettuccine. Always stick with heavy cream for that thick sauce, and grate your parmesan to keep it smooth instead of gritty

Great Ways to Serve

This is awesome with a crunchy salad or some steamed greens to balance the creamy noodles. A quick squeeze of lemon right on the salmon perks up the whole bowl. Sometimes I go overboard and grate more parmesan plus a shake of black pepper for extra flavor

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

Backstory

Alfredo sauce first showed up in Rome over a hundred years ago, and people just used butter and parmesan at the start. Americans decided to make it even creamier by tossing cream into the pot. Adding salmon is a newer spin that mixes Italian comfort food with classic seafood

Common Recipe Questions

→ How do I keep my alfredo sauce smooth?

Go for fresh parmesan you grate yourself. Bagged parmesan cheese often has stuff added that keeps it from sticking, but that can make your sauce gritty.

→ Is there a swap for heavy cream?

Half & half or plain milk will thin out the sauce and it won’t be as rich or creamy. Stick to heavy cream if you want that classic thick alfredo vibe.

→ Forgot to save the pasta water—what now?

No worries. Just stir a pinch of cornstarch—about 1/4 teaspoon—into a cup of water (8 oz) and use that instead to reach the creamy consistency.

→ Does this save well for another day?

Not really. Cream sauces like alfredo can separate in the fridge. If you want it creamy, your best bet is to enjoy it as soon as it’s ready.

→ How will I know if my salmon’s cooked right?

Pop the fillets into a 425°F oven. They’re done once they’re easy to flake with a fork, which usually takes around 10-12 minutes. Let it cool for a minute before breaking it up.

Creamy Salmon Fettuccine

Creamy noodles and soft salmon tossed with garlic and parmesan for a fuss-free tasty meal.

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

Recipe Type: Main Dishes

Skill Level: Simple

Regional Style: Italian

Output: 4 Number of Servings

Special Diets: ~

What You'll Need

→ Fish

01 340 grams salmon fillets
02 0.25 teaspoon ground black pepper
03 0.5 teaspoon salt

→ Pasta

04 225 grams dry fettuccine

→ Alfredo Sauce

05 0.25 teaspoon salt
06 120 grams freshly grated parmesan cheese
07 60 grams unsalted butter
08 240 millilitres heavy cream
09 2 cloves garlic, minced
10 0.25 teaspoon ground black pepper
11 0.5 teaspoon Italian seasoning

Steps to Follow

Step 01

Let the oven warm up to 220°C while you line a tray with some parchment paper. Place the salmon pieces skin down, sprinkle on pepper and salt, then bake for about 10–12 minutes. They’re ready when they flake apart easily. Cool them down for a bit, then break the salmon into chunks. Pop it aside for now.


A bowl of pasta with salmon and cheese.
Step 02

Fill a big pot with water and toss in a pinch of salt, then bring it up to a good rolling boil. Drop in the fettuccine and give it a good stir. Stop cooking when the noodles are just firm to the bite—check your package for the best timing. Save about 240 millilitres of that pasta water before draining. Set both pasta and water to the side for later.

Step 03

Pop the pot back on the stove at medium heat and throw in the butter. Once it’s bubbly, stir in garlic and let it go for a minute. Next, add the heavy cream, then sprinkle in the Italian seasoning, salt, and pepper. Stir and let it bubble for a couple of minutes until it thickens up a bit. Add in all the parmesan and keep stirring until it's all melty and smooth.

Step 04

Lower the heat all the way. Scoop in the cooked noodles along with 120–180 millilitres of your pasta water, mixing gently to get everything coated and make things nice and saucy. Carefully add in your flaked salmon, toss everything again so it's spread throughout, and serve right away while hot.


A bowl of pasta with salmon on top.

Additional Tips

  1. If you want it extra creamy, just double up those sauce ingredients. Alfredo sauce doesn’t love to be reheated—it can split—so eat it right after making.
  2. Forgot to keep pasta water? No problem—mix a quarter teaspoon of cornstarch with 240 millilitres of water instead. That’ll help loosen the sauce.
  3. Freshly grated parmesan from a block melts so much better and gives you that smooth, creamy texture. Shredded stuff from a pack might make things gritty.

Essential Tools

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

Allergen Information

Always verify ingredient labels for allergens and consult with a healthcare expert if unsure.
  • Has fish plus milk and cheese ingredients.
  • The fettuccine packs gluten from wheat.

Nutrition Info (Per Serving)

These details are best used as an estimate and shouldn't replace professional health advice.
  • Calories: 796
  • Fat Content: 51 g
  • Carbohydrates: 44 g
  • Protein: 40 g