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Fettuccine with tomato Alfredo sauce served with garlic bread

Tomato Alfredo Sauce

A rich, creamy tomato Alfredo sauce made from scratch with real butter, heavy cream, Parmesan, and fire-roasted tomatoes. This sauce comes together in about 25 minutes and coats every strand of pasta like velvet.
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Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Course Dinner, Main Course
Cuisine Italian-American, Southern
Servings 6 servings
Calories 548 kcal

Equipment

  • Large skillet or saucepan
  • Wooden Spoon
  • Cheese grater or Microplane
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Ingredients
  

The Sauce

  • 4 tbsp unsalted butter
  • 4 cloves garlic minced
  • 1 cup fire-roasted diced tomatoes drained, or one 14.5 oz can drained
  • 2 tbsp tomato paste
  • 2 cup heavy cream
  • 1.5 cup freshly grated Parmesan cheese use real Parmigiano-Reggiano if possible
  • 0.5 tsp salt or to taste
  • 0.25 tsp black pepper freshly ground
  • 0.25 tsp red pepper flakes optional
  • 0.25 tsp Italian seasoning
  • 1 pinch sugar only if tomatoes taste sharp

For Serving

  • 1 lb fettuccine or penne pasta cooked al dente
  • 0.5 cup reserved pasta water
  • fresh basil for garnish

Instructions
 

Build the Base

  • Melt the butter in a large skillet or saucepan over medium heat. Add the minced garlic and cook, stirring constantly, for about 60 seconds until fragrant but not browned.
  • Add the tomato paste and stir it into the butter and garlic. Cook for 1 to 2 minutes, stirring often, until the paste darkens slightly and becomes fragrant.
  • Add the drained fire-roasted tomatoes and stir to combine. Cook for 3 to 4 minutes, letting the tomatoes soften and meld with the butter mixture.

Make the Cream Sauce

  • Pour in the heavy cream and stir everything together. Add the Italian seasoning and red pepper flakes if using. Bring the sauce to a gentle simmer — do not let it boil.
  • Let the sauce simmer gently for 8 to 10 minutes, stirring occasionally, until it thickens enough to coat the back of a spoon.
  • Reduce heat to low. Gradually add the grated Parmesan cheese in small handfuls, stirring constantly until each addition is fully melted and smooth before adding more.

Finish and Serve

  • Taste the sauce and season with salt, pepper, and a pinch of sugar if the tomatoes taste too sharp. The sauce should be creamy, smooth, and a beautiful rosy pink.
  • Toss the cooked pasta directly into the sauce. Add reserved pasta water a splash at a time if the sauce needs loosening. Serve immediately with extra Parmesan and fresh basil.

Nutrition

Calories: 548kcalCarbohydrates: 62gProtein: 18gFat: 26gSaturated Fat: 15gCholesterol: 78mgSodium: 485mgPotassium: 312mgFiber: 3gSugar: 5gVitamin A: 1245IUVitamin C: 8mgCalcium: 310mgIron: 2mg

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