There's nothing quite like the rich, velvety taste of creamy shrimp Tuscan fettuccine. This dish combines succulent shrimp, a luscious garlic parmesan cream sauce, and tender fettuccine, creating an irresistible combination perfect for any occasion.

I first discovered this recipe while trying to recreate a meal from my favorite Italian restaurant. After a few tweaks and personal touches, it became a staple in our home, offering a restaurant-quality experience in under 30 minutes. Whether you're cooking for a special date night or a cozy family dinner, this dish is guaranteed to impress.
Why You'll Love This Creamy Shrimp Tuscan Fettuccine
Get ready to fall in love with a dish that is as easy to make as it is indulgent. Creamy shrimp Tuscan fettuccine is packed with bold flavors, making every bite pure comfort.
First off, it's incredibly quick and simple. This recipe comes together in just about 30 minutes, making it perfect for busy weeknights or last-minute dinner plans.
The flavor combination is out of this world. Juicy shrimp, sun-dried tomatoes, garlic, and parmesan create a sauce so rich and flavorful that you'll want to lick the plate clean.
It's also an impressive yet foolproof dish. Whether you're an experienced home cook or a beginner, this recipe is easy to follow and delivers consistent, delicious results every time.
Best of all, this dish is highly customizable. You can swap out the shrimp for chicken, use your favorite pasta, or adjust the sauce to suit your dietary preferences.
Ingredients Notes

The magic of this creamy shrimp Tuscan fettuccine lies in its combination of simple, high-quality ingredients. Each one plays a key role in achieving the perfect balance of richness and flavor.
Shrimp is the star of the dish. Large, deveined shrimp work best because they stay plump and juicy. I recommend using fresh shrimp if possible, but frozen shrimp can be used—just be sure to thaw them properly.
Fettuccine pasta is the ideal choice for this dish, as its flat, wide shape holds onto the creamy sauce beautifully. If you prefer, you can use linguine or tagliatelle for a similar effect.
Sun-dried tomatoes add a tangy, slightly sweet depth to the sauce. Use oil-packed sun-dried tomatoes for the best texture and flavor, and chop them into small pieces to distribute them evenly throughout the dish.
Heavy cream and parmesan cheese create the luxurious, velvety sauce. The heavy cream provides richness, while the parmesan adds depth and a touch of saltiness. For a lighter version, you can use half-and-half, though the sauce won’t be as thick.
A good garlic butter base is essential. Fresh garlic, butter, and a splash of olive oil form the foundation of the sauce, enhancing every bite with a rich, savory taste.
How To Make This Creamy Shrimp Tuscan Fettuccine

This dish comes together in just a few simple steps, making it perfect for a quick yet elegant meal.
Start by cooking your fettuccine pasta according to package instructions in a large pot of salted boiling water. Once al dente, drain and set aside, reserving about ½ cup of pasta water to adjust the sauce later if needed.
While the pasta is cooking, heat olive oil and butter in a large skillet over medium-high heat. Add the shrimp, seasoning them with salt and pepper. Cook for 2-3 minutes on each side until pink and opaque, then remove from the pan and set aside.
In the same skillet, add more butter and minced garlic, sautéing until fragrant. Stir in the sun-dried tomatoes, letting them release their oils and infuse the dish with flavor. Pour in the heavy cream, followed by grated parmesan cheese, and let it simmer until the sauce thickens.
Return the shrimp to the pan and toss to coat them in the creamy sauce. Add the cooked pasta, gently mixing everything together. If the sauce is too thick, use some of the reserved pasta water to loosen it up.
Finish with a handful of fresh spinach, letting it wilt into the sauce. Serve immediately, garnished with extra parmesan and fresh basil if desired.
Storage Options
This creamy shrimp Tuscan fettuccine is best enjoyed fresh, but leftovers can be stored for later.
For refrigeration, transfer any leftovers to an airtight container and store them in the fridge for up to 3 days. The sauce may thicken as it cools, but a splash of milk or cream when reheating will bring it back to life.
Freezing is not recommended due to the dairy-based sauce, which can separate upon thawing. However, if you must freeze it, store it in a freezer-safe container for up to 1 month, and reheat gently over low heat, stirring frequently.
To reheat, warm the pasta in a skillet over medium-low heat, adding a bit of cream or broth to loosen the sauce. Avoid microwaving, as it can cause the shrimp to become rubbery.
Variations and Substitutions
One of the best things about this dish is its versatility. Here are some easy swaps and variations to suit different tastes and dietary needs.
For a low-carb version, swap the fettuccine for zucchini noodles or spaghetti squash. The creamy sauce pairs beautifully with lighter alternatives.
If you're not a fan of shrimp, try grilled chicken or even salmon for a different protein option. Both work wonderfully with the creamy Tuscan flavors.
To make it vegetarian, omit the shrimp and add more vegetables like mushrooms, bell peppers, or artichoke hearts for a hearty, plant-based twist.
For a spicy kick, add a pinch of red pepper flakes or a dash of hot sauce. The heat balances out the richness of the cream sauce.
No matter how you make it, this creamy shrimp Tuscan fettuccine is a restaurant-worthy dish that will keep you coming back for more. Try it once, and it just might become your new favorite dinner!
PrintBest Creamy Shrimp Tuscan Fettuccine Recipe
This Best Creamy Shrimp Tuscan Fettuccine Recipe is a deliciously rich and creamy pasta dish packed with succulent shrimp, garlic, spinach, and sun-dried tomatoes in a luscious Parmesan cream sauce. Perfect for a quick and satisfying dinner!
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Total Time: 30 minutes
- Yield: 4 servings 1x
- Category: Pasta, Dinner
- Method: Stovetop
- Cuisine: Italian
- Diet: Gluten Free
Ingredients
- 12 oz fettuccine pasta
- 1 lb large shrimp, peeled and deveined
- 2 tbsp olive oil
- 3 cloves garlic, minced
- 1 cup heavy cream
- ½ cup chicken broth
- ½ cup grated Parmesan cheese
- 1 tsp Italian seasoning
- ½ tsp red pepper flakes (optional)
- ½ cup sun-dried tomatoes, chopped
- 2 cups fresh spinach
- Salt and pepper to taste
Instructions
- Cook fettuccine according to package instructions; drain and set aside.
- In a large skillet, heat olive oil over medium heat. Add shrimp, season with salt and pepper, and cook until pink. Remove and set aside.
- In the same skillet, sauté garlic until fragrant. Add sun-dried tomatoes, heavy cream, chicken broth, Parmesan cheese, Italian seasoning, and red pepper flakes. Simmer until the sauce thickens.
- Stir in spinach and cooked shrimp, cooking until spinach wilts.
- Toss the sauce with cooked fettuccine and mix well. Serve hot with extra Parmesan on top.
Notes
- Use fresh or frozen shrimp; thaw before cooking.
- Add more Parmesan for a thicker sauce.
- Substitute spinach with kale for a different twist.
Nutrition
- Serving Size: 1 plate
- Calories: 580
- Sugar: 4g
- Sodium: 720mg
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