Keto Fettuccini Alfredo with Shirataki Noodles

This Keto fettuccini Alfredo with Shirataki Noodles Recipe is an easy, no fuss dish to make that is low-carb and full of flavor. This is a perfect savory dish for the holidays that is versatile and can be easily altered to suit various occasions and palates. This recipe is a win for me because I love pasta and I love finding ways to enjoy it without overloading on carbs. 


Where to buy shirataki noodles?

Shirataki noodles can be purchased at many major grocery stores and health food stores including Whole Foods, Sprouts, Berkeley Bowl (for my Bay Area folks) as well as online on, Thirve Market and Others. Although there are many brands to choose from, one of my favorites is Miracle Noodles. Miracle Noodles typically makes the fettuccini Shirataki noodles as well. If you can’t get ahold of fettuccini shirataki noodles this recipes works just as well with the angel hair and spaghetti shirataki noodles. 


How to prepare shirataki noodles?

Preparing shirataki noodles for cooking is simple! Please follow this link for my step-by-step instructions on how to prepare shirataki noodles for this recipe. 


Are Shirataki noodles gluten-free?

Yes, shirataki noodles are gluten-free as they are made from the Japanese yam. Shirataki noodles are almost zero calories and zero carbs!


Can this recipe be made vegan?

Yes, this keto Fettuccini Alfredo with shirataki noodles recipe can be made vegan by substituting additional olive oil for the butter, full-fat coconut milk for the heavy cream and swapping out the Parmesan cheese with a tasty vegan cheese such as smoked Gouda-style vegan cheese by Daiya.  


Can protein be added to this recipe?

Protein is a delicious addition to this recipe. This dish fares well with smoked salmon, shredded chicken breast, or, my favorite sliced Blackened Ribeye Steak


Keto Fettuccini Alfredo with Shirataki Noodles

Yield: 2
Prep Time: 15 minutes
Cook Time: 5 minutes
Total Time: 20 minutes

Keto Fettuccini Alfredo with Shirataki Noodles which is perfect for keto, gluten-free, low-carb, paleo, and vegetarian eating plans.


  • 1 7 ounce package of Fettuccini Shirataki Noodles
  • 1 Tablespoon Olive oil
  • 1 Tablespoon butter
  • 2 cloves of garlic, finely diced
  • 1/4 cup heavy whipping cream
  • 1 Tablespoon of cream cheese
  • 2 Tablespoons of Parmesan cheese
  • Salt, to taste
  • White pepper, to taste 
  • 2 Tablespoons of parsley, chopped


  1. Follow the instructions for How to Prepare Shiratki Noodles to prepare your bag of fettuccini noodles for this recipe, then set them aside.
  2. In a medium sized sauce pan heat olive oil and butter together under low heat and add garlic. Stir garlic and allow it to cook fro 2 minutes, stirring gently.
  3. Add heavy cream and cream cheese and allow the mixture to cook under low heat for 1 minute then increase the heat to medium low and allow it to come to a gentle simmer.
  4. Add the parmesean cheese and shirataki noodles and stir as the Parmesan cheese melts, about 2 minutes.
  5. Add salt and pepper to taste, garnish with parsley and enjoy!


This recipe can be played with a bit and is very versatile. Feel free to add chicken breast, smoked salmon or ground beef to kick the protein element. This recipe works well as vegan when you swap out the heavy cream for full-fat coconut milk and Parmesan cheese for vegan cheese!

16 thoughts on “Keto Fettuccini Alfredo with Shirataki Noodles”

  1. I love how you transform classic recipes into ones that include those with dietary restrictions. I appreciate that your recipes don’t sacrifice flavor in doing so, either!

  2. Excellent! Doubled the recipe. We all loved it. I did make a few changes, ie I added a tsp of lemon zest to the sauce, and added a 1/2-cup peas and 3 strips of cooked, crumbled turkey bacon in with the noodles. The onion is a must in my book, and my family did not like the parsley; we agreed that minced basil would be better. I used Well Lean Shirataki fettucine noodles, which don’t have the fishy smell or chewiness of most brands. Couldn’t tell them apart from regular noodles with the sauce on them. Great recipe! Add the bacon and peas for authenticity and flavor.

    • Kathy! Wow! Your additions sound fantastic! I love lemon zest in pasta! I will also check out the Well Lean brand! Thanks so much for your comment!


Leave a Comment

Skip to Recipe