Creamy Cacio E Pepe (Fettuccine with Cream and Pepper)

Prep Time	Cook Time	Total Time
10 min	15 min	25 min

Introduction

This creamy cacio e pepe takes the classic Roman pasta and gives it an ultra-comforting twist with rich cream and butter.

It’s perfect for busy weeknights, cozy date nights at home, or whenever you’re craving a restaurant-style pasta without leaving the house.

With tender fettuccine, lots of freshly grated Parmesan and Pecorino, and plenty of black pepper, every bite is silky, cheesy, and peppery.

Prep mode (keeps screen active)

Cook the fettuccine

Bring a large pot of well-salted water to a boil and cook the fettuccine until just al dente.

Before draining, scoop out about 1 cup of the starchy pasta water and set it aside.

Drain the pasta, but do not rinse, so the sauce clings better.
Warm the cream and butter

In a large skillet, melt the butter over medium heat until foamy but not browned.

Add the minced garlic and cook, stirring, until fragrant, about 30 seconds.

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Build the creamy pepper sauce

Pour in the heavy cream and bring it to a gentle simmer, stirring so it heats evenly.

Stir in the freshly ground black pepper and a small pinch of salt.
Melt in the cheeses

Reduce the heat to low, then add the Parmesan and Pecorino in small handfuls, stirring constantly.

Let each addition melt into the cream before adding more, creating a smooth, thick sauce.
Toss the pasta with the sauce

Add the hot drained fettuccine to the skillet and toss with tongs to coat every strand.

Splash in a little reserved pasta water, a few tablespoons at a time, until the sauce looks glossy and silky.

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Adjust seasoning and texture

Taste the pasta and add more salt or black pepper to your liking.

If the sauce feels too thick, loosen it with another splash of hot pasta water.
Serve immediately

Twirl the creamy fettuccine into warm bowls and garnish with extra grated cheese and more black pepper.

Serve right away so the sauce stays smooth and the pasta keeps its perfect bite.

Heavy cream -> half-and-half with extra butter: Use 1 cup half-and-half plus 1 extra tablespoon butter for similar richness. The sauce will feel slightly lighter but still silky.
Pecorino Romano -> more Parmesan or Grana Padano: Replace Pecorino with the same amount of Parmesan or Grana Padano. The flavor becomes milder and nuttier, with less sharp tang.
Fettuccine -> spaghetti or bucatini: Use spaghetti or bucatini if you prefer a different long pasta shape. The sauce will cling a bit differently but still tastes great.

Salt the pasta water generously: The water should taste almost like the sea so the pasta is well seasoned. This lets you use less salt later.
Grate cheese very finely: Finely grated cheese melts faster and blends smoothly into the cream. Coarse shreds can clump and give the sauce a grainy feel.
Keep the heat low when adding cheese: High heat can cause the cheese to separate and turn greasy. Gentle heat keeps the sauce glossy and stable.
Use pasta water like a tool: Add pasta water slowly and toss constantly until the sauce looks loose but clings. This creates that restaurant-style silky coating.
Warm the serving bowls: Rinse bowls with hot water or warm them in a low oven. Hot bowls keep the sauce fluid and creamy longer.
Serve the pasta right away: Cream and cheese sauces thicken as they sit. Serving quickly keeps the texture light and the pepper aroma bright.

Why did my sauce turn grainy or clumpy?: This usually happens when the cheese hits liquid that is too hot. Next time, lower the heat before adding cheese. Add it in small handfuls, stirring until melted before adding more. Also be sure the cheese is very finely grated and not pre-shredded with anti-caking agents.
How can I make this pasta ahead of time?: This dish tastes best right after tossing the pasta with the sauce. You can grate the cheeses and mince the garlic up to a day ahead. To rewarm, add a splash of cream and pasta water, then gently reheat while tossing.
What if my sauce is too thin?: Let the pasta sit in the skillet over low heat, tossing until the sauce thickens slightly. You can also add a bit more grated cheese, sprinkling it in gradually while stirring.
Can I reduce the amount of cream?: Yes, but the sauce will be less rich and may thicken faster. Try using 3/4 cup cream and a little extra pasta water to keep everything silky. Keep the heat low so the lighter sauce does not separate.