Salmon Alfredo Creamy Fettuccine

Featured in Satisfying Main Courses.

This dish combines flaked, oven-baked salmon with perfectly cooked fettuccine, all enveloped in a velvety parmesan cream sauce. Italian seasoning and fresh garlic infuse the sauce, while a splash of reserved pasta water helps bind everything together. Finishing with freshly grated parmesan cheese ensures a smooth, creamy texture. Serve immediately for the best consistency—this entrée is ideal for busy evenings, offering both comfort and a restaurant-quality experience at home. Avoid using pre-shredded cheese, as freshly grated parmesan provides optimal creaminess and flavor. Enjoy warm, garnished with extra cheese or fresh herbs if desired.

Barbara Chef
Updated on Tue, 27 May 2025 15:47:02 GMT
A plate of pasta with salmon and herbs. Pin it
A plate of pasta with salmon and herbs. | gracefulflavors.com

Salmon alfredo is my weeknight answer when I want something creamy and satisfying but not too fussy. Fettuccine gets coated in a homemade alfredo, then topped with tender flaked salmon for a meal that always wins over both guests and kids at my table.

I started making this for my family on busy nights, and now it is one of our most requested comfort meals. Even my non seafood loving relatives ask for seconds.

Ingredients

  • Salmon fillets: Fresh salmon brings healthy protein and tenderness. Look for vibrantly colored fillets with no fishy smell
  • Salt and pepper: The key to seasoning both salmon and sauce without overpowering
  • Dry fettuccine: This classic noodle’s wide surface stands up perfectly to rich alfredo
  • Unsalted butter: Keeps the sauce creamy and flavorful without excess salt
  • Garlic: Fresh minced garlic delivers a warming base of flavor. Use plump cloves for best results
  • Heavy cream: Essential for rich texture and body. Choose heavy cream over milk or half and half for the creamiest sauce
  • Italian seasoning: Adds aromatic herbs for depth. A fresh blend of oregano and basil works beautifully here
  • Parmesan cheese: Freshly grated parmesan melts silkily and boosts the umami in the sauce. Buy a wedge and grate it yourself for best texture

Step-by-Step Instructions

Prep and Roast the Salmon:
Preheat your oven to a hot four hundred twenty five degrees Fahrenheit and line a baking sheet with parchment. Place salmon fillets skin side down. Season well with salt and pepper. Roast for about ten to twelve minutes until the fish is cooked through and flakes easily when you poke it with a fork. Cool slightly before flaking into generous pieces. Set aside for later
Cook the Fettuccine:
Bring a large pot of salted water to a strong boil. Drop in the fettuccine and simmer it until just al dente following the package timing. Before draining the pasta, scoop out about one cup of the pasta water for later. Drain the pasta but keep the pot handy for the next step
Make the Alfredo Sauce:
Set your pot back on medium heat and add butter letting it melt to a gentle bubble. Stir in minced garlic and cook just until fragrant for about a minute watch it closely so it does not burn. Pour in the heavy cream and add Italian seasoning salt and pepper. Stir gently and let the mixture thicken for two to three minutes. Add all the freshly grated parmesan cheese and stir until smooth and melted
Combine and Serve:
Reduce heat to low. Add drained fettuccine along with about half to three quarters cup of reserved pasta water to loosen the sauce and create a silky texture. Toss gently to coat all the noodles evenly. Fold in your flaked salmon right at the end so it stays tender. Serve immediately while everything is hot and the sauce clings perfectly
A bowl of pasta with salmon and cheese. Pin it
A bowl of pasta with salmon and cheese. | gracefulflavors.com

My favorite part is always the parmesan cheese that melts down into silky strands and gives that unmistakable nutty punch. One Christmas Eve my cousin insisted on doubling the recipe just for extra alfredo and it was gone in minutes

Storage Tips

Salmon alfredo is best enjoyed fresh because reheating can break the creamy emulsion of the sauce. If you do need to store leftovers keep them in a tightly sealed container in the fridge for up to two days. To gently reheat place it in a saucepan with a splash of milk over low heat and stir constantly

Ingredient Substitutions

If you cannot find fresh salmon frozen fillets work in a pinch as long as you thaw thoroughly first. For the pasta you can substitute linguine or tagliatelle. Always use heavy cream for thick sauce and grate your own parmesan to avoid graininess

Serving Suggestions

Pair this meal with a crisp green salad or steamed broccoli to cut through the richness. A squeeze of lemon over the salmon brings freshness and brightness to the plate. Sometimes I sprinkle a little extra parmesan over each bowl along with black pepper for extra zing

A bowl of pasta with salmon on top. Pin it
A bowl of pasta with salmon on top. | gracefulflavors.com

Cultural Context

Alfredo sauce traces back to early twentieth century Rome and was originally just butter and parmesan. The creamy version became popular in America where we added cream for indulgence. Salmon updates the tradition by marrying Italian creaminess with classic seafood

Frequently Asked Questions

→ How do I prevent my sauce from turning grainy?

Always use freshly grated parmesan cheese, as pre-shredded varieties often contain anti-clumping agents that can cause a grainy texture when melted into the sauce.

→ Can I substitute milk or half & half for heavy cream?

Using milk or half & half will result in a thinner, less creamy sauce. For traditional richness and smooth consistency, heavy cream is recommended.

→ What if I forget to save pasta water?

If you don’t have reserved pasta water, mix 1/4 teaspoon cornstarch into 8 ounces of water and use it to help achieve the desired sauce texture.

→ Is this dish suitable for leftovers?

Alfredo sauces tend to separate when reheated, so it’s best enjoyed freshly made for ideal texture and flavor.

→ How can I ensure my salmon is perfectly cooked?

Bake the fillets at 425℉ until they flake apart easily with a fork, usually 10-12 minutes, then let them rest before flaking.

Salmon Alfredo Creamy Fettuccine

Tender salmon flaked into rich, creamy fettuccine with parmesan and garlic for a quick, flavorful dinner.

Prep Time
5 Minutes
Cook Time
30 Minutes
Total Time
35 Minutes
By: Barbara

Category: Hearty Mains

Difficulty: Easy

Cuisine: Italian

Yield: 4 Servings

Dietary: ~

Ingredients

→ Fish

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

→ Pasta

04 225 grams dry fettuccine

→ Alfredo Sauce

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

Instructions

Step 01

Preheat oven to 220°C. Line a baking sheet with parchment paper. Arrange salmon fillets skin-side down, season with salt and pepper, and bake for 10–12 minutes until easily flaked with a fork. Cool slightly and flake into bite-sized pieces. Set aside.


A bowl of pasta with salmon and cheese.
Step 02

Bring a large pot of salted water to a boil. Cook fettuccine until al dente following manufacturer's instructions. Reserve 240 millilitres of the pasta cooking water before draining. Set pasta and reserved water aside.

Step 03

Return the pot to medium heat and melt butter until bubbling. Add minced garlic and sauté for 1 minute. Pour in heavy cream, Italian seasoning, salt, and pepper; stir and cook for 2–3 minutes until slightly thickened. Add parmesan cheese and stir until fully melted and creamy.

Step 04

Reduce heat to low. Add cooked fettuccine to the sauce with 120–180 millilitres reserved pasta water, stirring gently to coat and loosen the sauce as needed. Fold in flaked salmon and toss carefully to distribute evenly. Serve immediately.


A bowl of pasta with salmon on top.

Notes

  1. For a saucier finish, double the sauce quantities. The emulsion in Alfredo sauce can break upon reheating, so best served fresh.
  2. Reserve pasta water for adjusting sauce consistency; if forgotten, dissolve 0.25 teaspoon cornstarch in 240 millilitres water as a substitute.
  3. Use block parmesan and grate it fresh for a smooth, creamy sauce; pre-shredded cheese may cause a grainy texture.

Tools You'll Need

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

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains fish and dairy (milk, cheese).
  • Contains gluten from wheat-based fettuccine.

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 796
  • Total Fat: 51 g
  • Total Carbohydrate: 44 g
  • Protein: 40 g