There's nothing quite like a steaming plate of Creamy Shrimp Tuscan Fettuccine to transport you straight to an Italian trattoria. This dish is a luxurious blend of succulent shrimp, perfectly cooked pasta, and a rich, garlicky cream sauce infused with sun-dried tomatoes and spinach.
I first discovered this recipe while searching for a restaurant-worthy dinner I could make at home without spending hours in the kitchen. The result? A show-stopping meal that comes together in under 40 minutes and never fails to impress. Whether you're cooking for a special occasion or just craving comfort food, this creamy Tuscan fettuccine will hit the spot.
Why You'll Love This Creamy Shrimp Tuscan Fettuccine
Get ready to fall in love with a pasta dish that's both indulgent and easy to make. This recipe is packed with bold flavors and creamy goodness, making it an instant favorite.
First, let’s talk about the shrimp. Juicy, tender, and lightly seasoned, they add a burst of seafood flavor that pairs beautifully with the luscious sauce. Plus, they cook in just minutes, making this dish incredibly fast to prepare.
The sauce is pure magic. Made with a blend of heavy cream, Parmesan cheese, garlic, and sun-dried tomatoes, it’s rich, velvety, and coats every strand of fettuccine perfectly. The addition of fresh spinach brings a touch of earthiness and balances out the creaminess.
Not only is this meal absolutely delicious, but it’s also a one-pan wonder (aside from the pasta). That means minimal cleanup, making it a fantastic option for busy weeknights.
Whether you’re serving this for a date night, a family dinner, or just treating yourself, this dish delivers restaurant-quality flavors with minimal effort.
Ingredients Notes

The beauty of this Creamy Shrimp Tuscan Fettuccine lies in its carefully chosen ingredients. Each component adds depth and richness to the dish, ensuring every bite is packed with flavor.
Shrimp is the star of the show. Opt for large, raw shrimp that have been peeled and deveined. They cook quickly and absorb the flavors of the sauce beautifully. If using frozen shrimp, be sure to thaw them completely and pat them dry before cooking.
Fettuccine is the ideal pasta choice for this dish. Its wide, flat shape holds onto the creamy sauce perfectly. However, if you don’t have fettuccine on hand, linguine or tagliatelle will work just as well.
Heavy cream creates the luxurious, velvety texture that makes this sauce irresistible. For a slightly lighter version, you can substitute with half-and-half, but keep in mind that the sauce won’t be quite as rich.
Sun-dried tomatoes provide a tangy, slightly sweet contrast to the creamy sauce. Look for oil-packed sun-dried tomatoes, as they have a softer texture and more concentrated flavor. If using dry-packed ones, rehydrate them in hot water before chopping.
Parmesan cheese adds a salty, nutty depth to the sauce. Always use freshly grated Parmesan for the best flavor and texture – pre-grated cheese doesn’t melt as smoothly.
A large skillet is the only special equipment you’ll need. A deep pan works best to ensure there's enough space for the sauce and pasta to come together seamlessly.
How To Make This Creamy Shrimp Tuscan Fettuccine

Making this dish is easier than you might think, and it all comes together in just a few simple steps.
Start by boiling a large pot of salted water. Cook the fettuccine according to the package instructions until al dente. Before draining, reserve about 1 cup of pasta water – this can help loosen the sauce later if needed.
While the pasta cooks, heat a large skillet over medium-high heat. Add a drizzle of olive oil and sauté the shrimp for about 2 minutes per side until they turn pink and opaque. Remove them from the skillet and set aside.
In the same pan, melt a bit of butter and sauté minced garlic until fragrant, about 30 seconds. Stir in the sun-dried tomatoes, letting them infuse the butter with their rich flavor. Then, pour in the heavy cream, stirring well to combine.
Once the cream is warm, add freshly grated Parmesan cheese and let it melt into the sauce. Stir in a handful of fresh spinach and let it wilt. Season with salt, black pepper, and a pinch of red pepper flakes for a subtle heat.
Return the cooked shrimp to the skillet and toss them in the sauce. Add the drained fettuccine, stirring to coat every strand in the creamy mixture. If the sauce is too thick, gradually stir in some reserved pasta water until you reach your desired consistency.
Serve immediately, garnished with extra Parmesan and fresh basil for the perfect finishing touch.
Storage Options
This dish is best enjoyed fresh, but leftovers can be stored and reheated for later.
For refrigeration, transfer any leftovers to an airtight container and store them for up to 3 days. The pasta will absorb some of the sauce as it sits, so be sure to add a splash of cream or milk when reheating to bring back the creamy texture.
To reheat, warm the pasta gently in a skillet over low heat, stirring occasionally and adding a bit of liquid to loosen the sauce. Avoid overheating, as shrimp can become rubbery if overcooked.
Freezing is not recommended, as the creamy sauce may separate when thawed. However, if you do decide to freeze it, store the pasta and sauce separately for best results.
Variations and Substitutions
One of the best things about this recipe is its versatility. There are plenty of ways to switch things up and tailor it to your preferences.
If you’re not a fan of shrimp, swap it out for chicken. Sliced chicken breast or thighs work beautifully in this dish – just cook them until golden brown before making the sauce.
For a heartier, smokier flavor, add crispy bacon or pancetta. Cook the bacon first, then use some of the rendered fat to sauté the garlic for extra depth.
Looking for a low-carb option? Swap the fettuccine for zucchini noodles or spaghetti squash. The creamy sauce pairs wonderfully with vegetable-based noodles.
If you want to lighten up the sauce, replace the heavy cream with Greek yogurt or coconut milk. This will slightly alter the flavor but still give you a creamy, delicious dish.
Spice lovers can amp up the heat by adding extra red pepper flakes or a dash of Cajun seasoning to the shrimp before cooking.
No matter how you customize it, this Creamy Shrimp Tuscan Fettuccine is sure to become a go-to favorite. Try it out, experiment with flavors, and enjoy every creamy, garlicky bite!
PrintBest Creamy Shrimp Tuscan Fettuccine Recipe
This Best Creamy Shrimp Tuscan Fettuccine recipe is a luxurious pasta dish featuring tender shrimp, garlic, sun-dried tomatoes, and a creamy Parmesan sauce. Perfect for a comforting dinner, this easy recipe is packed with bold flavors and comes together quickly for a restaurant-quality meal at home.
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Total Time: 30 minutes
- Yield: 4 servings 1x
- Category: Dinner, Pasta
- Method: Stovetop
- Cuisine: Italian
- Diet: Gluten Free
Ingredients
- 12 oz fettuccine pasta
- 1 lb shrimp, peeled and deveined
- 2 tbsp olive oil
- 4 cloves garlic, minced
- 1 cup heavy cream
- 1 cup Parmesan cheese, grated
- ½ cup sun-dried tomatoes, chopped
- 1 cup baby spinach
- 1 tsp Italian seasoning
- ½ tsp red pepper flakes (optional)
- Salt and pepper to taste
- ½ cup chicken broth
- 2 tbsp unsalted butter
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 for 2-3 minutes per side until pink. Remove and set aside.
- In the same skillet, add butter and garlic. Sauté until fragrant, about 1 minute.
- Pour in chicken broth and heavy cream, stirring to combine. Bring to a simmer.
- Stir in Parmesan cheese, sun-dried tomatoes, Italian seasoning, and red pepper flakes. Let simmer for 3-4 minutes until slightly thickened.
- Add spinach and cooked shrimp, stirring until spinach wilts and shrimp is heated through.
- Toss in cooked fettuccine and mix until well coated.
- Serve warm, garnished with extra Parmesan and fresh basil if desired.
Notes
- Use fresh or frozen shrimp; just make sure they’re fully thawed before cooking.
- Substitute heavy cream with half-and-half for a lighter option.
- Add mushrooms or bell peppers for extra flavor.
Nutrition
- Serving Size: 1 plate
- Calories: 620
- Sugar: 5g
- Sodium: 780mg
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