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You are here: Home / Healthy Recipes / Vegetarian / The Best Healthy Fettuccine Alfredo

January 31, 2017 35 Comments

The Best Healthy Fettuccine Alfredo

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This healthy fettuccine alfredo is ultra creamy even though it contains no heavy cream or butter. Add grilled chicken or your favorite veggies for an easy & delicious meal!The BEST healthy fettuccine alfredo with no cream or butter!

If you’re my 19-year old brother, you can add heavy cream to anything you eat. He’s been on a “bulk-up” plan for the past couple of years to accompany his weight lifting routine, so he’ll add a few glugs of heavy cream to his oatmeal…a scoop of ice cream to his smoothies…a slab of butter to his baked sweet potato. You get the idea.

But if you’re like most other people, you’re probably not looking to add extra heavy cream into your diet. And that’s where this healthy fettuccine alfredo comes in.

Made with just almond milk, flour, broth, a bit of olive oil, garlic, parmesan cheese, and noodles, this healthy fettuccine alfredo is light enough to eat any day. Because who wants to save fettuccine alfredo just for special occasions?fettuccine alfredo
A bowl of this healthy fettuccine alfredo is a blank slate of creamy goodness.  You can keep it simple and serve just the noodles, or you can add grilled chicken, caramelized onions, sauteéd mushrooms, or steamed broccoli.

Fettuccine alfredo was one of the first pasta dishes I learned how to make and my original recipe was from one of those kids’ cooking schools, I think. All I remember is that it called for loads of cream, butter, and cheese.

Over time, I’ve adapted the recipe to make it healthier and this pasta is one of my family’s favorite meals when I make it at home. Even my cream-loving brother loves it– I actually made it for him last weekend! It doesn’t include any healthy substitutes that’d make it taste just a bit “off” or tangy, like Greek yogurt.

I included the family-size recipe since leftover fettuccine is awesome when heated up with a splash of milk since the sauce thickens up a bit as it cools. The leftovers also surprisingly freeze really well. And I can personally testify that this recipe is simple enough to make in a dorm kitchen. Need any more convincing?
The BEST healthy fettuccine alfredo with no cream or butter!If you try out this healthy fettuccine alfredo,, feel free to let me know in a comment or take a picture and tag me @livbane on Instagram. Hope you enjoy!

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4.38 from 8 votes

Healthy Fettuccine Alfredo

This healthy fettuccine alfredo is ultra creamy even though it contains no heavy cream or butter. Add grilled chicken or your favorite veggies for an easy & delicious meal!
Prep Time: 10 minutes minutes
Cook Time: 25 minutes minutes
Total Time: 35 minutes minutes
Servings: 6 servings
Calories: 356kcal
Author: Liv

Ingredients

  • 16 oz. fettuccine (I like using whole-grain)
  • 3 Tbsp. butter or cooking oil (I use avocado or grapeseed oil)
  • 3 cloves garlic, minced
  • 5 Tbsp. flour
  • 2 cups original almond milk
  • 2 cups low-sodium chicken broth*
  • 1/2 tsp. salt
  • 1/2 tsp. black pepper
  • 1/8 tsp. nutmeg
  • 1/2 cup freshly-grated parmesan cheese

Instructions

  • In a large pot, cook fettuccine to al dente according to package directions, stirring frequently since fettuccine tends to stick together. Drain into a colander.
  • Return now-empty pot to the stove on medium-low heat and add butter/oil and garlic. Sauté garlic for about 60 seconds, until fragrant. Sprinkle in flour and whisk for another 30 seconds.
  • Add milk and broth and whisk until combined. Cook over medium-low heat, whisking frequently, for 10-12 minutes or until sauce is thickened. Add salt, black pepper, and nutmeg. Turn off heat.
  • Add parmesan cheese and stir until cheese melts. Add noodles and serve immediately. If sauce become too thick, add a splash of milk to thin sauce.

Notes

*For a vegetarian version, you can replace the chicken broth with more almond milk.
 
 

Nutrition

Serving: 1serving | Calories: 356kcal | Carbohydrates: 61g | Protein: 14g | Fat: 8g

 

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Comments

  1. Carol Eiseman says

    January 31, 2017 at 9:43 am

    Made with almond milk was a surprise. That is a great substitution for heavy cream.

    Reply
    • Liv says

      January 31, 2017 at 1:34 pm

      Combined with the other ingredients, it really is a close substitute!

      Reply
  2. Caleb Bane says

    January 31, 2017 at 10:24 am

    I can personally verify that this is delicious!

    Reply
    • Liv says

      January 31, 2017 at 1:35 pm

      Haha thank you, Caleb 🙂

      Reply
  3. Emily says

    January 31, 2017 at 11:41 am

    It looks so creamy; it’s amazing that you can actually use almond milk for a lot of dairy based sauces, and it doesn’t taste any different.

    Reply
    • Liv says

      January 31, 2017 at 1:36 pm

      Almond milk in a traditional cream-based sauce is one of my favorite healthy substitutes!

      Reply
  4. Edye says

    January 31, 2017 at 6:20 pm

    I love me some alfredo! I’m so glad to have discovered this recipe! Do you think it would be okay to substitute the chicken broth for vegetable broth? 🙂

    Reply
    • Liv says

      February 1, 2017 at 12:35 am

      I bet that’d be delicious!

      Reply
  5. Beth (OMG! Yummy) says

    February 1, 2017 at 3:33 pm

    This is a great idea – we love a good creamy alfredo but it doesn’t always love us. Going to give this a try!

    Reply
    • Liv says

      February 1, 2017 at 8:07 pm

      You’ll have to let me know what you think!

      Reply
  6. Kristy from Southern In Law says

    February 2, 2017 at 6:21 pm

    Oooh this looks SO creamy and delicious! And so easy too!

    Reply
    • Liv says

      February 2, 2017 at 11:04 pm

      Definitely super easy!

      Reply
  7. Sophie Storey says

    February 2, 2017 at 9:45 pm

    This recipe looks great! I too am a college student and am always looking for ways to “healthify some of my favorite dishes. I plan on making this soon! I see chicken broth on the ingredient list but I do not see where to add it in the recipe?

    Reply
    • Liv says

      February 2, 2017 at 11:05 pm

      Thanks for catching that, Sophie! You add the broth at the same time as the milk. Just updated the recipe. Hope you enjoy it!!

      Reply
      • Sophie says

        February 2, 2017 at 11:11 pm

        Thank you! I will comment on how it turns out (although I am sure it will be great)! I have been looking for a healthy fettuccine Alfredo recipe for a while now and this one looks perfect.

        Reply
  8. Garagegymplanner says

    February 8, 2017 at 2:22 am

    I enjoy seeing your recipes and they are easy to make and definitely try this tooo!! I’ll share your post with my college friends they will surely love it…

    Reply
  9. Julia Kruz says

    July 19, 2017 at 6:57 am

    Oh I just love these amazing recipe, Liv! What a good idea for using low-sodium chicken broth. I’m definitely cook it for my family!! Have a wonderful day and thanks for recipe!

    Reply
  10. loise says

    February 17, 2018 at 2:11 am

    Yummmmm!!…. a mess that starts with slurpy delicious noodles and ends with creamy fettuccine alfredo sauce. …i want to taste this dish yumm..

    Reply
  11. Daphne Close says

    August 17, 2018 at 1:39 am

    Does almond milk thicken better than nonfat milk? I’m curious to know what makes almond milk work?

    Reply
    • Liv says

      August 31, 2018 at 9:47 pm

      I use almond milk in this recipe because that’s the type of milk I always have on hand and I try to limit how much dairy I eat! You could definitely give dairy milk a try. The higher fat content of the dairy milk, the more it’ll thicken.

      Reply
  12. Dilly W says

    October 18, 2018 at 8:12 pm

    4 stars
    Wow, gotta say I’m shocked how good this was. I made it to help my wife who’s counting points but I ended up liking it as much as the heavy cream version. Well done and thanks. We’ll be eating this again.

    Reply
    • Rhonda Neuendorf says

      October 20, 2018 at 10:32 am

      I also keep track of points. Does anybody know how many points this would be? I follow iTrackBites app and it doesn’t have the recipe builder. Thank you

      Reply
    • Liv says

      October 24, 2018 at 12:26 am

      I’m so glad you and your wife enjoyed this recipe!!

      Reply
  13. Taylor says

    May 7, 2019 at 11:22 pm

    I have made this recipe twice and it tastes delicious! however, both times I could not get it thick hardly at all. Is there something I could be doing wrong?

    Thanks!

    Reply
  14. Shawn says

    May 19, 2019 at 9:08 pm

    3 stars
    I had such high hopes for this recipe. I followed the recipe and made a substitute by using arrowroot flour rather than flour, which does the same thing, thickens it. My recipe turned out liquidy, no matter how much arrowroot I added. Perhaps it was something I did or didn’t do, I’m not sure. The flavor was good, however it definitely wasn’t like the alfredo sauce I’ve made in the past. I love that it was a healthier alternative, it just didn’t do it for me. I don’t waste food, so I’ll have to doctor it up the next day.

    Reply
  15. Harpreet Kaur says

    May 20, 2019 at 11:22 am

    5 stars
    How do I prepare the low-sodium chicken broth?

    Reply
    • Liv says

      May 23, 2019 at 1:09 am

      Hi Harpreet! I usually purchase my chicken broth, but you also can make your own chicken broth any time you boil chicken in water!

      Reply
  16. Sara says

    September 30, 2019 at 11:20 pm

    What am I doing wrong? I follow the recipe exact and it takes forever for the sauce to thicken. I even add in more flour. :/

    Reply
  17. Aly says

    September 13, 2023 at 12:05 am

    This was SO good! The flavor delivered everything we crave in fettuccine while feeling lighter! My husband and I loved it!

    Reply
  18. that's not my neighbor says

    April 11, 2024 at 3:11 am

    5 stars
    This is the first time I know this unique Italian pasta recipe.

    Reply
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    5 stars
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    November 11, 2024 at 11:19 pm

    4 stars
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    Reply
  21. hollow knight says

    February 12, 2025 at 10:38 am

    4 stars
    That’s a perfect way to make classic pasta healthier

    Reply
  22. Marenmargo says

    April 7, 2025 at 2:14 am

    5 stars
    Healthy fettuccine Alfredo has totally changed the game for me. I never thought I could enjoy that rich, creamy flavor without all the heaviness. Swapping in convalescent home ingredients like cauliflower or Greek yogurt makes it lighter but still satisfying. It’s become a regular comfort meal I can feel good about eating.

    Reply

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Hi, I’m Liv! I originally started blogging to share easy meals I made in my college dorm kitchen. Years later, as an attorney now, my goal is still to share delicious, approachable recipes with simple ingredients. You can most often find me running, eating ice cream, and making a mess in my kitchen. More...

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