Keto Fettuccine Alfredo Low Carb Pasta Recipe | KetoVale
Keto Fettuccine

Keto Fettuccine Alfredo Low Carb Pasta Recipe

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Fettuccine is a type of pasta that is very popular in Tuscan and Roman cuisine. It is usually made of egg and flour and has a flat thick shape. For the keto version, we use almond flour, coconut flour, egg and xanthan gum.

This is a very easy and quick pasta recipe that can be a life-changer for those keto-followers that miss a good old pasta bowl. It can be made ahead of time and kept in the fridge for a week or two and it will cook in just a couple of minutes.

Xanthan gum plays a major role for the success of this. It is a gluten-free fine powder. It is perfect for making gluten-free dough that results in a chewy finished product and an unbeatable texture by providing stickiness and elasticity properties. You can try this Anthony’s Xanthan Gum brand!

Our recipe also calls for apple cider vinegar, which helps sweeten and flavor the pasta without refined sugars. We recommend using an organic, raw and unfiltered version that contains the “mother,” which refers to the live enzymes that gives the product its beneficial properties. Bragg’s is an excellent brand that can be found in most grocery stores.

In this keto-fied pasta recipe, we decided to make all by hand shaping the past into fettuccine style, so even if you don’t have a fancy pasta machine or a food processor, you can still venture yourself in this recipe.

For handmade pasta, you can still make lasagna, raviolis, or bow ties. Another idea is to fill the pasta with cheese spreads and meat, making it even heartier.

Keto Fettuccine Recipe

After shaping the pasta, it can be frozen and cooked straight from the freezer. If you decide to freeze it, shape the pasta, lay on a flat sheet (away from each other) and freeze it for at least one hour. Once frozen, the pieces can be moved to a freezer safe bag and kept for up to three months.

You can add a variation of toppings to the pasta to please your preference. There is no limit to how much fun you can have with this recipe!

Let’s Do It!

In a large bowl, mix the coconut flour, almond flour, and xanthan gum. Add the egg and apple cider vinegar and mix thoroughly. Add a pinch of salt to taste. As needed, add a teaspoon of water. You may continue doing this until the right consistency is reached.

Combine almond flour, coconut flour, xanthan gum

Use your hands to mix the dough and roll it into a ball. Cover the dough with plastic wrap and set in the fridge for at least half an hour.

Cool Fettuccine dough in the fridge

Remove the dough from the refrigerator and place the ball on a flat surface. Roll the dough with a rolling pin until it’s reached your preferred thickness. Then, cut it to form your favorite pasta shape. You may also do this with a pasta machine.

Roll and Cut Into Fettuccine Shape

Place the cut pasta into the refrigerator for another 15 minutes. After this time, place the pasta in a pan and cook until ready. Top this with the protein of your choice. I suggest you try the Tuscan chicken or Tuscan shrimp.

Fettuccine Alfredo Recipe

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Keto Fettuccine Alfredo


Keto Fettuccine
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4.80 from 185 votes

Easy Keto Fettuccine Alfredo

This fettuccine alfredo is simple and delicious. You'll love it.
Course Dinner, Lunch
Cuisine Italian, Ketogenic, Low Carb
Keyword healthy alfredo, keto fettuccine alfredo, lowcarb fettuccine alfredo
Prep Time 15 minutes
Cook Time 10 minutes
Passive time 45 minutes
Total Time 1 hour 10 minutes
Servings 2
Calories 623kcal
Author Tanya K.



To cook

  • 2 tbsp butter
  • 1 tbsp Parmesan cheese
  • 1/4 cup heavy cream
  • 2 cloves garlic slivered optional
  • 1 tsp lemon zest
  • salt and pepper to taste


  • Prepare a large bowl for the ingredients. Mix the coconut flour, almond flour, and xanthan gum in the bowl. Add the apple cider vinegar and egg and mix thoroughly. Put a pinch of salt to taste. Add water teaspoon by teaspoon, as needed.
  • Mix the dough using your hands and roll it to form a ball. Cover it with some plastic wrap and place in the fridge for at least 30 minutes.
  • Take out the dough from the fridge and place on a flat surface. Using a rolling pin, flatten the dough to your preferred thickness. Once ready, cut it to form your favorite pasta shape and shape it freely. If a pasta machine is available, use it for a more precise result.
  • Replace in the fridge for another 15 or so minutes. Afterwards, place on a pan and cook until ready. Top with the fat of your choice. It can also be served with any other keto-friendly sauces such as pesto, tomato, or plain garlic butter as used in this recipe. Transfer to a serving plate and enjoy while warm.



Nutrition Facts
Easy Keto Fettuccine Alfredo
Amount Per Serving
Calories 623 Calories from Fat 495
% Daily Value*
Fat 55g85%
Saturated Fat 19g95%
Cholesterol 155mg52%
Sodium 583mg24%
Potassium 53mg2%
Carbohydrates 22g7%
Fiber 12g48%
Sugar 3g3%
Protein 18g36%
Vitamin A 910IU18%
Vitamin C 2.2mg3%
Calcium 182mg18%
Iron 2.8mg16%
* Percent Daily Values are based on a 2000 calorie diet.
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