Fettuccine Alfredo Mushroom Spinach

Category: Delicious Pasta Creations

This dish features tender fettuccine coated in a silky cream sauce reduced to perfection with butter and a hint of nutmeg. Sautéed button mushrooms develop a golden, caramelized surface combined with fresh spinach and garlic for bright, earthy notes. The Parmesan melts into the warm pasta to tie all flavors together smoothly. Careful timing ensures the pasta finishes al dente with just enough reserved cooking water to keep the sauce luscious and coat every strand. Served warm, this creamy combination balances richness and freshness for a satisfying meal.

A woman in a chef's outfit poses for a picture.
Updated on Wed, 23 Jul 2025 16:25:34 GMT
A bowl of fettuccine alfredo with button mushrooms and spinach. Pin
A bowl of fettuccine alfredo with button mushrooms and spinach. | applefoodie.com

Fettuccine Alfredo with button mushrooms and spinach delivers soothing comfort in every bite and brings effortless elegance to your table. This creamy pasta comes together quickly yet feels special enough to lift everyone’s spirits—a perfect side or main dish for those days that call for a little extra warmth and care.

This dish first happened on a whim when my son was under the weather and my husband had lost his appetite. It was so comforting and easy that now it is my go-to when anyone needs a little food hug.

Ingredients

  • Heavy cream: The key to that dreamy Alfredo base Use the freshest cream for velvety smooth sauce
  • Butter: For richness plus extra flavor Choose European style if available for the best taste
  • Sea salt and freshly cracked black pepper: Essential for seasoning and bringing flavors together Always grind pepper fresh for the best aroma
  • Fresh nutmeg: Grated directly into the sauce It adds warmth and depth
  • Baby cremini mushrooms: Also called button mushrooms Clean with a damp cloth for perfect caramelization
  • Garlic: Freshly minced for subtle aroma and sweet pungency
  • Baby spinach: Use prewashed tender leaves for easy prep and bright green color
  • Fettuccine: Egg pasta holds the sauce beautifully Cook a minute less than package time so it finishes perfectly in the sauce
  • Fresh parmesan: Finely grated Tastes best when you grate it just before using Choose real Parmigiano Reggiano if you can
  • Pasta cooking water: Reserved for thinning the sauce just enough to cling to every noodle

Step-by-Step Instructions

Make the Cream Base:
Heat one cup heavy cream with two tablespoons butter in a heavy saucepan set over medium low heat Stir often for twelve to fifteen minutes until reduced by half and thickened to about two thirds of a cup
Season the Cream:
Take the pan off the heat Stir in the remaining half cup of heavy cream Add a good pinch of sea salt a grind of black pepper and a scrape of fresh nutmeg Mix well
Sauté the Mushrooms:
Melt the last tablespoon of butter in a large skillet over medium heat Add the mushrooms and let them cook undisturbed for three minutes Give them a toss and cook three or four more minutes until golden brown
Wilt the Spinach and Garlic:
Scatter in the spinach and minced garlic now Stir for about one minute just until the spinach wilts and the garlic turns aromatic Remove the skillet from heat so nothing overcooks
Cook the Fettuccine:
While the cream is reducing boil salted water and cook the pasta just shy of al dente Drain but reserve a quarter cup of the cooking water
Finish the Alfredo:
Return the cream sauce to a simmer over medium high heat Lower the heat and add the cooked fettuccine plus the parmesan Toss with tongs until the cheese melts and the pasta is coated and perfectly al dente
Combine and Serve:
If needed mix in a splash of pasta water so the sauce is silky and fluid Finally add the mushroom and spinach mixture Toss gently Let everything sit for a minute or two to thicken then serve hot in warmed bowls Season with extra parmesan black pepper or sea salt if you like
A dish of fettuccine alfredo with mushrooms and spinach. Pin
A dish of fettuccine alfredo with mushrooms and spinach. | applefoodie.com

Mushrooms are a favorite for me Their golden edges and deep flavor always remind me of my mother’s weekend pasta nights when I got to help slice and sauté them by her side. I love the gentle touch they bring to rich foods like Alfredo.

Storage Tips

Store any leftovers in an airtight container in the fridge for up to three days. Reheat gently over low heat on the stove with a splash of extra cream or milk to loosen the sauce. Pasta can dry out in the fridge so I like to add a bit of pasta water or cream when warming up.

Ingredient Substitutions

You can easily swap baby spinach with kale or Swiss chard just slice the greens finer and cook them a minute longer. If you do not have cremini mushrooms white button mushrooms work well and offer a similar mild flavor. For a lighter sauce half and half or whole milk will do in a pinch but the final result will be less silky rich.

Serving Suggestions

Serve this pasta on its own for a cozy weeknight dinner finished with bright lemon zest if desired. It also makes a stunning side dish alongside roasted chicken, seared fish or with a crisp green salad like butter lettuce dressed in simple vinaigrette.

A bowl of pasta with mushrooms and spinach. Pin
A bowl of pasta with mushrooms and spinach. | applefoodie.com

Cultural and Historical Context

Fettuccine Alfredo is a classic Italian American comfort food with roots in Roman trattorias. While traditional versions are simple cream and Parmesan, American cooks often add veggies or chicken for heartiness. I love how mushrooms and spinach balance out the creaminess to create a pasta that is both classic and modern.

Frequently Asked Questions About the Recipe

→ How do I get the mushrooms perfectly golden?

Cook the mushrooms undisturbed in butter over medium heat for about 3 minutes to develop a deep golden color, then toss and continue cooking until evenly browned.

→ Can I substitute baby cremini mushrooms?

Yes, button mushrooms or other mild varieties will work well, providing similar texture and earthiness to complement the cream sauce.

→ How do I keep the sauce creamy without separating?

Slowly reduce the cream with butter over medium-low heat and avoid boiling once cheese is added. Stir gently and add reserved pasta water if needed to maintain smoothness.

→ What is the purpose of nutmeg in the sauce?

A small pinch of freshly grated nutmeg adds subtle warmth and depth, enhancing the creaminess without overpowering the dish.

→ How can I ensure the fettuccine is perfectly cooked?

Cook the pasta just shy of al dente according to package instructions, as it will finish cooking briefly in the sauce for ideal texture.

→ Can fresh spinach be replaced with another green?

Yes, tender greens like baby kale or Swiss chard can substitute, but they may require slightly longer cooking to soften fully.

Fettuccine Alfredo Mushroom Spinach

Creamy fettuccine combined with sautéed mushrooms and spinach for a luscious, comforting dish.

Preparation Time
10 min
Cook Time
25 min
Total Time
35 min
By: Ava

Category: Pasta Dishes

Skill Level: Beginner-Friendly

Cuisine: Italian

Yield: 4 Serves (Serves 4 portions)

Dietary Preferences: Vegetarian

Ingredients

→ Dairy

01 1½ cups heavy cream, divided
02 3 tbsp unsalted butter, divided
03 ¾ cup finely grated fresh Parmesan cheese

→ Vegetables

04 5 oz baby cremini mushrooms, cleaned
05 2 cups fresh baby spinach
06 1 clove garlic, minced

→ Pasta

07 9 oz fettuccine, cooked just shy of al dente

→ Seasonings

08 Sea salt, to taste
09 Freshly cracked black pepper, to taste
10 Pinch of freshly grated nutmeg

Steps

Step 01

Heat 1 cup of heavy cream and 2 tablespoons of butter in a saucepan over medium-low heat until simmering. Simmer for 12-15 minutes, stirring frequently, until reduced to roughly 2/3 cup.

Step 02

Remove from heat and stir in the remaining ½ cup heavy cream. Season with sea salt, freshly cracked pepper, and a pinch of grated nutmeg.

Step 03

Melt the remaining 1 tablespoon butter in a large skillet over medium heat. Add mushrooms and cook undisturbed for 3 minutes. Toss and continue cooking until golden brown, about 3-4 minutes. Add spinach and minced garlic, stirring constantly for 1 minute. Remove from heat and set aside.

Step 04

While the cream reduces, boil fettuccine in salted water following package directions to just before al dente. Drain, reserving ¼ cup of pasta water.

Step 05

Return the cream mixture to simmer over medium-high heat, then reduce to low. Add drained pasta and Parmesan cheese. Toss with tongs over low heat until cheese melts, sauce coats pasta, and pasta reaches al dente, about 1-2 minutes.

Step 06

Incorporate reserved pasta water if necessary, then stir in the mushroom and spinach mixture. Let thicken for 1-2 minutes off heat, toss again, and serve immediately in warmed bowls. Adjust seasoning with salt and pepper as desired.

Notes & Tips

  1. For optimal creaminess, warm serving bowls before plating to keep the sauce smooth and luscious.

Necessary Equipment

  • Heavy saucepan
  • Large skillet
  • Pot for boiling pasta
  • Tongs

Allergy Information

Always double-check ingredient labels for allergens and consult a healthcare professional if you’re unsure.
  • Contains dairy and gluten

Nutritional Facts (Per Serving)

These details are for informational purposes and should not be considered medical advice.
  • Calories: 580
  • Fats: 32.4 g
  • Carbohydrates: 55.2 g
  • Proteins: 18.7 g