Become a Better Cook in 4 Days!

Fettuccine in Cream, Tomato & Basil Sauce - A simple and delicious recipe (similar to Fettuccine Alfredo) but with fresh and fantastic flavors!

This Fettuccine in Cream, Tomato & Basil Sauce is a delicious and easy recipe that I’ve had in my recipe box for years! It’s similar to a Fettuccine Alfredo in some ways – but with a lighter, fresher flavor thanks to diced fresh tomatoes, fresh basil and parsley added to the delicious cream sauce!

What I also love about this fettuccine in cream, tomato & basil sauce is that it cooks up very quickly – about as long as it takes to boil your pasta! You do want to drain the diced tomatoes ahead of time so that the tomatoes’ excess water is removed – but that step can be done well ahead of time (or even the night before) so that once you’re ready to eat – you can cook this dish up in minutes!

Fettuccine in Cream, Tomato & Basil Sauce - A simple and delicious recipe (similar to Fettuccine Alfredo) but with fresh and fantastic flavors!

You can also change up this recipe with other vegetables, herbs and cheeses. Try adding diced zucchini instead of – or in addition to – the fresh diced tomatoes. Or – use some fresh oregano for a more Mediterranean twist. And – you can even add diced mozzarella for a thicker texture to the cheese sauce if you’d like!

clock clock iconcutlery cutlery iconflag flag iconfolder folder iconinstagram instagram iconpinterest pinterest iconfacebook facebook iconprint print iconsquares squares iconheart heart iconheart solid heart solid icon
Fettuccine in Cream, Tomato & Basil Sauce - A Family Feast

Fettuccine in Cream, Tomato & Basil Sauce

  • Prep Time: 40 mins
  • Cook Time: 20 mins
  • Total Time: 1 hour
  • Yield: 4-6 servings


  • 2 large ripe tomatoes
  • Salt
  • 3 tablespoons butter
  • 2 teaspoons all-purpose flour
  • 1½ cup heavy cream
  • Freshly ground black pepper (about 7 grinds on a mill)
  • ½ teaspoon salt
  • 2 cloves garlic, peeled and finely minced or pressed through a garlic press
  • 1 cup finely shredded fresh basil leaves
  • 1 pound fettuccine or linguini
  • 2 tablespoons finely minced fresh parsley
  • Freshly grated Parmesan cheese


  1. Cut each tomato into slices (do not peel). With your fingers, remove seeds and discard. Dice the remaining tomato slice. Place the tomatoes in a sieve over a bowl, sprinkle with salt and let drain for at least 30 minutes. (This step can be done well ahead of time.)
  2. In a large saucepan, bring some salted water to a boil.
  3. While the pasta water is heating up – in a large cast-iron skillet, heat the butter and sprinkle with flour. Add the cream and bring to a boil. Reduce heat slightly and let simmer until the cream is reduced by about 1/3rd or until it coats the back of spoon dipped into the mixture. Season with salt and pepper. Then add garlic and basil and set aside.
  4. Add the fettuccine to the boiling water and cook until just tender. Drain and add to the cream mixture in the skillet.
  5. Place the skillet over low heat, heating the fettuccine in the sauce without letting the sauce come back to a boil. Remove from the heat and add the drained diced tomatoes and the fresh parsley. Toss to combine. Sprinkle with freshly grated parmesan cheese and serve immediately.

You may also like:

Lemon Pasta

Lemon Pasta - A Family Feast

Pasta with Pesto Cream Sauce

Pasta with Pesto Cream Sauce - A Family Feast

  • Share
  • Pin
  • Tweet
  • Email
  • Meet The Author: Martha

  • Leave a Reply

    Your email address will not be published. Required fields are marked *

    Recipe rating

    What type of comment do you have?

    This site uses Akismet to reduce spam. Learn how your comment data is processed.


  • Jeanette Todd-Marrone wrote:

    Everything seems so simply and can’t wait to try

    • Martha wrote:

      Hope you love the recipe Jeanette!

  • Ann Farquharson wrote:

    The taste was fabulous but there isn’t enough sauce. I would double the sauce next time I make it.

    • Martha wrote:

      Thanks for taking the time to share your feedback Ann!

  • Mama2ways wrote:

    I found this on Pinterest today and had all the ingredients on hand. The family loved it. The only thing I did differently was add a bit of tarragon to the basil and parsley. Delicious!

    • Martha wrote:

      Sounds like a great addition – thanks for sharing!

  • Carol at Wild Goose Tea wrote:

    I just made something similar last week, when I was given some wonderful little freshly picked tomatoes. So I can tell right off that this is a much better recipe than mine. Maybe I will luck out and get more tomatoes again before the season is over.

    • Martha wrote:

      I’m sure your version was delicious too Carol! 🙂 Thanks for visiting us today!

  • A Family Feast ® is a registered trademark of A Family Feast, Inc. All content, including recipes, text, visual elements, and photographs are copyright © A Family Feast, Inc. 2012-2020, unless otherwise stated. All rights reserved.