Heart Healthy Pasta Carbonara

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

If you thought a creamy, satisfying bowl of pasta carbonara was off-limits on a healthy diet, think again! This heart-healthy recipe delivers all the rich flavor you crave by making a few smart swaps. We use lean turkey bacon instead of pancetta and create a luscious, velvety sauce without any heavy cream. It's a quick and satisfying version of the Italian classic you can enjoy any night of the week.

Total Time
30 minutes
Servings
12
Calories
234

What Makes This Heart Healthy Pasta Carbonara Healthy

This pasta carbonara is designed to be heart-healthy by focusing on three key areas: reducing saturated fat with lean turkey bacon, controlling sodium, and incorporating whole grains for added fiber. The creamy sauce is achieved through a classic technique using egg yolks and pasta water, eliminating the need for high-fat heavy cream.

Key Health Highlights

  • Lower in Saturated Fat: Uses extra-lean turkey bacon, which significantly reduces the saturated fat content compared to traditional pancetta or bacon.
  • No Heavy Cream: The sauce gets its creamy texture from tempered egg yolks and starchy pasta water, avoiding unnecessary fats and calories.
  • Source of Fiber: Made with whole grain fettuccine to support digestive health and provide more sustained energy.
  • Controlled Sodium: This recipe is mindful of sodium levels, a key component of a heart-healthy diet.
  • Good Source of Protein: Delivers 13 grams of protein per serving to help keep you full and satisfied.

FAQs About Pasta Carbonara

This version is designed to be a better choice for a cholesterol-conscious diet. By using turkey bacon and no heavy cream, we've significantly lowered the saturated fat, which is a key factor in managing cholesterol levels.

For another lean protein option, you could use diced, cooked chicken breast. For a vegetarian alternative, sautéed mushrooms or smoked tofu would add a savory, umami flavor to the dish.

Absolutely. To reduce calories further, you can use a smaller portion of pasta, add more non-starchy vegetables like spinach or zucchini, and ensure you're using the leanest turkey bacon available.

More Healthy Comfort Food Recipes

Classic Italian Dishes, Reimagined

Rich, creamy sauces, bubbly cheese, and zesty marinara shine in these satisfying main courses. It's all the traditional taste you love in a healthier package.

What to Serve With Your Carbonara

Soups, Salads, and Vegetable Sides

Choose any of these simple and tasty sides to complete your healthy meal.

Ingredients

Recipe yields 12 servings

Directions

  1. Step 1

    Bring a large saucepan of water to a boil. Add pasta. Cook until al dente and drain in a colander, reserving 1 cup pasta water. Set pasta water aside. In a large bowl, toss pasta with Romano cheese.

  2. Step 2

    Meanwhile, in a large skillet, heat 1 tablespoon of the oil over medium heat until hot. Add turkey bacon and cook until bacon begins to brown. Add the remaining 1 tablespoon of the olive oil and heat until hot. Add the garlic, scallion, peas, red pepper and wine. Mix together and simmer for 2 to 3 minutes.

  3. Step 3

    In a bowl, stir together egg yolks and reserved pasta water until combined. Add turkey bacon mixture and stir to combine. Pour sauce over pasta and toss to coat evenly. Garnish with additional parsley, if desired. Serve immediately

Nutrition Facts

Serving Size:
1/2 cup

234
Calories
6
g
Fat
58
mg
Cholesterol
281
mg
Sodium
30
g
Carbs
2
g
Sat. Fat
3
g
Fiber
13
g
Protein

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