This, the original and best Keto Fettuccini Alfredo recipe, is so creamy and satisfying that it will make sticking to your 5 day egg fast a breeze! In fact this keto Fettuccini Alfredo is so good that you may end up adding it to your weekly rotation!

I made it! 5 days on the IBIH Keto Egg Fast Diet and I’m down a total of 7.4 lbs as of this morning! This Keto Egg Fast Fettuccini Alfredo recipe is a keeper, and definitely contributed to my successfully staying on the keto egg fast for the full 5 days!
I’m already deep in ketosis (the strips are purple which NEVER happens,) from this keto egg fast, and I’m hoping that maintaining my macros at a really high fat content, very low carb, and less protein than usual rate will keep the weight from coming back on overnight.
I’ll be reporting my weight fluctuations daily via Instagram and Facebook, but won’t have time to post anything here on the blog for the next few days. I’ll update you in a post sometime this weekend though, with a 7 day Egg Fast menu plan (5 days on, 2 days off) soon to follow.
What I Ate on Day Five of the Keto Egg Fast Diet
7 eggs
2 Tbsp MCT oil
5 Tbsp butter
1 Tbsp mayonnaise
4 oz cream cheese
2 string cheese
1 oz cheddar
1 Tbsp grated parmesan
120 oz spring water
I’m not going to lie, yesterday was ROUGH! By about noon the idea of eating another egg in any form was making me want to hurl. I was cranky, had a headache, and really wanted to quit this keto egg fast. It didn’t help that Mr. Hungry was churning out delicious smelling pizzas in our wood-fired oven either! This keto egg fast fettuccini alfredo recipe saved the day for sure!

It’s not easy to get the right consistency in a flourless keto “pasta,” and believe me I’ve tried. I finally hit on a combo that provides just the right aldente “bite” that feels like eating the real thing. Not too mushy, perfectly pliable, and doesn’t fall apart in the sauce.
And the sauce – oooooh the sauce! This keto egg fast fettuccini alfredo sauce is so creamy and cheesy that I prefer it over the flour-laden real thing! And it’s so easy to make – it literally takes less than two minutes, and can be used to dress up chicken, veggies, pretty much any savory dish will be improved with a heaping tablespoon of this easy keto egg fast alfredo sauce!!!

I’m writing this keto fettuccini alfredo recipe as a single serving because the pasta doesn’t reheat well – I hit it in the microwave while in the sauce because it got cold while taking the photos, and the “pasta” got a little tough – not horrible, just not as good as fresh.
The sauce for this keto fettuccini alfredo recipe reheats fine though – so you can make extra of that if you want, so you have it on hand. This is incredibly rich, so if you can’t eat it all, then just be sure to reheat it very gently for as little time as possible, so your keto noodles don’t get too tough.
Keto Fettuccini Alfredo
- Total Time: 15 minutes
- Yield: 1 serving 1x
- Diet: Diabetic
Description
Keto Fettuccini Alfredo that tastes like the real thing and works for a regular low carb diet or the 5 day keto egg fast.
Ingredients
- 2 eggs
- 1 oz cream cheese
- pinch of salt
- pinch of garlic powder
- 1/8 teaspoon black pepper
- 1 oz Mascarpone cheese
- 1 tablespoon grated parmesan cheese
- 1 tablespoon butter
Instructions
- Blend the eggs, cream cheese, salt, garlic powder, and pepper in a magic bullet or blender.
- Pour into a butter-greased 8 x 8 pan.
- Bake at 325 degrees Fahrenheit for 8 minutes or until just set.
- Remove and let cool for about 5 minutes.
- Using a spatula, gently release the sheet of “pasta” from the pan.
- Roll it up and slice with a sharp knife into 1/8 inch thick slices.
- Gently unroll and set aside.
- Combine the mascarpone, parmesan cheese, and butter in a small bowl.
- Microwave on high for 30 seconds.
- Whisk.
- Microwave on high another 30 seconds.
- Whisk again until smooth (this may take a minute because the sauce will have separated – keep whisking and it will come back together!)
- Add the pasta to the hot sauce and toss gently.
- Serve immediately with more freshly ground black pepper if desired.
Notes
Approximate net carbs per serving = 2g
Alternative Sauce Recipe:
As an alternative to the mascarpone, you can make this sauce in the same method with 2 oz cream cheese, 2 Tbsp heavy whipping cream, 1 Tbsp parmesan, 1 Tbsp butter – it will taste amazing, but is not technically legal on the Egg Fast due to the heavy whipping cream. I doubt it will make a big difference in your results though, so if it’s what you have on hand, go for it!
- Prep Time: 5 minutes
- Cook Time: 10 minutes
- Category: Egg Fast Recipes
- Method: microwave
- Cuisine: Italian
Nutrition
- Serving Size: Approximately 1 cup
- Calories: 491
- Fat: 47g
- Carbohydrates: 2g net
- Protein: 19g
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LowCarbCake says
I’m looking to start a youtube channel talking about my low carb lifestyle and want to talk about recipes that I try. May I mention this recipe if I link back to you in the description?
Lori says
Wow! Amazing recipe. Thanks SO much. Made the egg fast yesterday much more pleasant. Day 1 done – down 2 lbs.
Leanna says
I am on day two of the fast and I made the fettuccine Alfredo, and boy was it good. I have avoided making any faux noodles or pancakes out of just eggs and cream cheese out of fear of it being disgusting, but I have to say I was wrong, I have been missing out. I cooked it on med-low on the stove in a nonstick pancake griddle. It was so easy. I can’t wait to try the snickerdoodle crepes. I have a question and please don’t tar and feather me in case it was already asked I searched the “FAQ” and didn’t see it. How often can the egg fast be done once a month or less, will it become ineffective of it done too often? Keep up the good work you are a godsend.
Mellissa Sevigny says
Some people do it once a week until they reach their goal – not sure if it loses effectiveness over time, but it would be different for each person I think!
L.V.D says
I have to say, I was just about ready to call it quits on the diet until the ALFREDO! I didn’t think it would taste good, I thought I wouldn’t be able to make it right. Then I thought, go ahead, give it a shot. I did it!
Start to finish was 10 minutes. I am in shock! Easy, looks just like your photo does. The taste? Let’s just say I’ll never make any other kind of Alfredo again! Ever. And won’t my family be shocked when I make it for them and tell them it’s practically carb free! Thank you for the great recipes. This diet has been wonderful!
Mariah says
Oh my I found your website and have been using it without commenting but had to comment on this! It was soo good Could barely tell it wasnt even noodles! My oven i had to cook longer than 8 minutes but it actually started rise so i took it out when it did that and it settled and popped out of the pan just fine. Didnt have the mascarpone so did the cream cheese and heavy cream with just shakey grated parm cheese and it was ridiculously good! Last year I lost 30 lbs on lchf and then went back to eating anything and gained 10-15 of it back. Ive been doing lchf for a month now and only lost 5 of it, my body definitely did not react like it did last year-my first month last year was 15 of the 30 lbs, so im hoping more eggs less meat will help! Thank you so much for the recipes-i want to throw up eating plain hard boiled eggs so I need these recipes lol
Daniela says
Wow! My pasta looked more like scrambled eggs, but the taste was absolutely amazing! Definitely will be making this again! Thank you!
Deb says
OMGOSH!!! This is amazing, and so easy to make. It tastes just as good as Olive Garden and I’m not kidding! I will be making this again and again! Thank you so much for your blog & recipes!!!
Sayward says
Recipe came out perfect. Made two batches in a springform pan. Turned them into the “noodle” layer for a 5 lbs lasagna in that same springform pan. Noodles held together. Wonderful recipe, so versatile. Thank you for your hard work!
Julie says
OMG!!!! The absolute BEST LCHF recipe around. I made this the other day and my husband and I added grilled chicken, crumbled bacon and sautéed mushrooms on it. WOW! THANK YOU!! BTW, I want to make a low carb pad thai, do you think these noodles would work? I dislike shiritaki noodles.
Mellissa Sevigny says
I think you could make a pad thai work Julie just be careful stirring it since the noodles are a bit fragile – let me know if it works out and I might try it too! Glad you guys enjoyed the recipe and thanks for letting me know! :)
Lorna says
Let me start by saying I have never once commented on a recipe, no matter how good, but I HAD to comment on this one. I just wolfed down the whole bowl, licked it clean and could easily eat another. This was freaking fantastic!! You’re a genius!! This is going to make the egg fast possible. I will use more butter next time bc I did have trouble getting the noodles out but I just sliced them in the pan then used a spatula to scrape them out. Love, love, love!!!!
Mellissa Sevigny says
Thanks so much for taking the time to comment Lorna! I’m honored to be your first and I’m so glad you liked this recipe! It’s definitely my favorite on the egg fast and it’s saved me from cheating many times!!!