Keto Fettuccine

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 KetoVale Team



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.



Calories: 623kcal | Carbohydrates: 22g | Protein: 18g | Fat: 55g | Saturated Fat: 19g | Cholesterol: 155mg | Sodium: 583mg | Potassium: 53mg | Fiber: 12g | Sugar: 3g | Vitamin A: 910IU | Vitamin C: 2.2mg | Calcium: 182mg | Iron: 2.8mg