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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Lea Bick says
This is so good!! Thank you for this, it will help me get through my eggfast. Total game changer!!
Laura says
I used parchment paper and used a Ghee buttery spray I have. I added a minute to the cooking time but I think I could have added one more minute for al dente bite. It rolled easily and cut easily. I may try for thinner noodles next time but overall I was still very happy with the meal!
Kylee says
Am I able to use cream cheese instead of mascarpone? I don’t have any..
Mellissa Sevigny says
Yes, you can use cream cheese instead.
Hot Pasta Helena says
I’ve seen many of these pour ‘n bake noodle recipes and tried one but the pasta was cold after drying & with no directions for reheating, my grated zucchini and haloumi chilli pasta wasn’t appealing. I’ve seen posts adding these noodles to soup so they must be able to hold their shape in hot liquid. Why are there no instructions for reheating? Especially after thawing. Any ideas please? I don’t have a microwave.
Thankyou!
August says
This recipe saved my egg fast! I was on day 5 and starting to get realllly cranky and over it and was like let me finish the night off with this recipe and we will see. HOLY MOLY did it fulfill me! It really helped push me into day 6 (transition thank goodness). I had to add an additional 5 minutes to my “pasta” bake time. I also added about another tbsp of mascarpone cheese to the sauce. It really does taste like Alfredo!
Cheryl says
I’ll admit as it came out of the oven (and it took about 20 minutes for mine to cook) I had low expectations. I was making fettuccine Alfredo for the fam…and I was eating “eggs”. BUT y’all! This was so delicious and hit the spot soooo much! Does it taste like pasta? No. But did it hit the noodle feel with sauce , absolutely!!! I’ve been doing keto a while and am so thrilled to have found this recipe! Totally works! I’ll be making this again without a doubt!
Mellissa Sevigny says
Yay! So happy to hear this!
Cyerra says
This was so good! It’s of course different but so good especially for an egg fast when your tired of eggs! Sauce is also very good!
Annraya says
Oh my goodness, I never leave posts but I just made this and was so surprised that it tasted as good as it did (meaning it’s gone so no photo lol). What a delightful change for the egg fast. If there’s foods like this for egg fast I’m sure I can stay on it for 3-5 days lol. Thank you so much for posting this.
Mellissa Sevigny says
Thanks Annraya, so happy you enjoyed it!
Faiqa says
I’ve made it for the first time tonight.
Couldn’t find mascarpone at the local store, so used it the other way. Super delicious and easy. I’ve started my egg fast today and I loved it. Was a bit hungry though on the portion sizes But still trying. Hope I get into ketosis soon. Thanks mellisa.
Sarah says
Is the egg fast printed in book form or did you have to write everything down, including the recipes?
Cyara says
Hi!! I have made this recipe SO many times and I have been obsessed since finding it, so thank you SO much for that!!!
Recently, my grocery store and local walmart stopped carrying mascarpone 😧 i see you mention subbing cream cheese/heavy cream when not on an egg fast and am wanting to try that. But I’m unsure.. should I soften cream cheese? Heat them once mixed together? I’m not much of a cook and rely heavily on recipes so I’m hoping for more direction on how to make just as great a dish with those as it was with mascarpone!!!
Kelly says
This is absolutely delicious! I’ve made it several times now. Thank you so much for the recipe!