Heart Healthy Fettuccine Alfredo

(5.0)
By Judy Capodanno
Updated 11/6/2025
Dietitian Reviewed: Jane Schwartz, RDN, CLT
Approved for These Diets:
Heart Healthy | Vegetarian
Heart Healthy Fettuccine Alfredo
Photo Credit: Baldwin Publishing Staff Photographer

Make pasta night both quick and incredibly satisfying with this heart-healthy Fettuccine Alfredo. In just 30 minutes, you can create a luscious, garlicky Alfredo sauce using skim milk instead of heavy cream for a low-sodium, low-fat masterpiece that has all the classic comfort food flavor you crave.  You'll find more low sodium dinner recipes here.

Total Time
30 minutes
Servings
4
Calories
313

What Makes This Heart Healthy Fettuccine Alfredo Healthy

This recipe transforms traditional Fettuccine Alfredo into a heart-healthy meal by using skim milk instead of heavy cream to lower saturated fat, incorporating whole-grain fettuccine for added fiber, and using unsalted butter to significantly reduce the sodium content.

Key Health Highlights

  • Low in Saturated Fat: Using skim milk and olive oil dramatically cuts the saturated fat found in traditional cream-based sauces.
  • Reduced Sodium: This recipe is made with no-salt-added butter and avoids extra salt, making it ideal for a low-sodium diet.
  • Good Source of Fiber: Whole-grain fettuccine provides essential dietary fiber, which supports digestive health and can help manage cholesterol.
  • Lower in Calories: Smart ingredient swaps result in a creamy pasta dish with just over 300 calories per serving.

FAQs About Fettuccine Alfredo

A traditional version is high in saturated fat and cholesterol. This heart-healthy recipe is much better, as it's made with skim milk and olive oil to be low in both.

Ensure you are using unsalted butter and a Parmesan cheese block that you grate yourself, as pre-shredded cheeses can contain more sodium. Avoid adding any extra salt.

Absolutely! To keep it heart-healthy, add grilled or baked skinless chicken breast or shrimp. This will boost the protein without adding significant unhealthy fats.

More Heart-Healthy Pasta Dishes

These comforting classic meals are made healthier with smart ingredient swaps.

Complete Your Healthy Meal

Choose one of these healthy salad and veggie options to add color and zest to your meal.

Ingredients

Recipe yields 4 servings

Directions

  1. Step 1

    Prepare fettuccine according to package directions and drain in a colander.

  2. Step 2

    While fettuccine is cooking, make the Alfredo sauce: In a medium saucepan, melt butter over medium heat. Add oil, garlic and sauté until slightly golden. Add milk, a little at a time, stirring constantly. Stir in cheese, a little at a time, stirring constantly.

  3. Step 3

    In a small cup, mix flour with water until smooth. Add to milk mixture. Stir constantly until sauce thickens. When sauce thickens, immediately remove from heat. (If sauce is too thick, add an additional 2 tablespoons milk and stir.) Add pepper and peas and stir. Toss cooked pasta with sauce and serve immediately.

Nutrition Facts

Serving Size:
1 cup

313
Calories
15
g
Fat
37
mg
Cholesterol
209
mg
Sodium
29
g
Carbs
3
g
Sat. Fat
7
g
Fiber
12
g
Protein

Serving & Storage Tips

  • Serving: This dish is best served immediately for the creamiest texture. Garnish with fresh parsley or a light sprinkle of black pepper.
  • Storage: Store leftovers in an airtight container in the refrigerator for up to 3 days.
  • Reheating: Gently reheat on the stovetop over low heat. Add a splash of skim milk (1–2 tablespoons) to loosen the sauce and restore its creamy consistency. Microwaving is not recommended as it can make the sauce separate.

Ingredient Substitutions

Add 1 cup of cooked, diced chicken breast or shrimp to the sauce along with the peas.

Simply swap the whole-grain fettuccine for your favorite gluten-free pasta.

For a richer sauce without the heavy cream, try blending 1/4 cup of low-fat cottage cheese and adding it to the saucepan.

Feel free to add 1 cup of steamed broccoli florets or sautéed mushrooms for more nutrients and fiber.

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