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    Healthy Fettuccine Alfredo with Cauliflower Sauce and Peas

    By Julia | Updated: Mar 11, 2018 | Published: May 21, 2013 | 52 Comments

    84.6K shares
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    This post may contain affiliate links. Read my disclosure policy.

    Healthy fettuccine alfredo with cauliflower sauce and peas - if you're craving pasta with a creamy sauce but want a skinny version of a regular alfredo, this is the recipe for you! Healthy alfredo sauce is made with cauliflower, shallots and garlic, with a small amount of cream and Parmesan cheese. A healthier alternative to a classic alfredo sauce. I combined this healthy cauliflower alfredo sauce with fettuccine and peas for a delicious weeknight dinner!

    Healthy fettuccine alfredo with cauliflower sauce, healthy pasta sauce, healthy alfredo sauce

    When I first saw the recipe for healthy fettuccine alfredo with cauliflower sauce by Pinch of Yum on Foodgawker, I immediately fell in love with the idea of making a perfectly healthy alternative to my favorite alfredo sauce. Plus, seeing this sauce immediately brought back the memories of a few years back,  when I used to make "fake" mashed potatoes using cauliflower and how much I enjoyed it!

    Healthy fettuccine alfredo with cauliflower sauce, healthy pasta sauce, healthy alfredo

    Making this healthy alfredo sauce has long been on my mind but what stopped me from making it was simple logistics: I would forget to buy cauliflower at the store! Finally, here we are - with several cauliflower florets in the refrigerator, I was ready to go!

    I made several adjustments to the recipe to bring it closer to the true fettuccine alfredo:

    1) I sauteed shallots and garlic in a little bit of butter which added a really nice subtle flavor.

    2) I added ½ cup of Parmesan cheese to the sauce - you are, of course, free to add more if you like.

    3) I added sweet peas which add a touch of sweetness and perfectly compliment just about any pasta dish. Sweet peas went perfectly with the creamy cauliflower sauce!

    Healthy fettuccine alfredo with cauliflower sauce

    What can I say about the result of this endeavor? I simply love cauliflower in mashed form! With the addition of a little bit of heavy cream, Parmesan cheese, shallots, garlic, and sweet peas, this dish becomes a pure vegetarian heaven! I literally could not stop eating it. Right now, my head is full of many other variations I'd love to try with the cauliflower sauce in place of alfredo, but for now, please enjoy this healthy fettuccine alfredo with cauliflower sauce and peas.

    Healthy fettuccine alfredo with cauliflower sauce and sweet peas

    Cauliflower head:

    Cauliflower head

    Boil cauliflower for 30-40 minutes until soft.

    how to make cauliflower alfredo sauce from scratch

    Creamy cauliflower "alfredo" sauce:

    using food processor to make cauliflower alfredo sauce

    Healthy fettuccine alfredo with cauliflower sauce and peas
    4.75 from 4 votes

    Healthy Fettuccine Alfredo with Cauliflower Sauce and Peas

    Healthy alfredo sauce is made with cauliflower, shallots and garlic, with a small amount of cream and Parmesan cheese. A healthier alternative to a classic alfredo sauce. I combined this healthy cauliflower alfredo sauce with fettuccine pasta and peas for a delicious weeknight dinner!
    Print Recipe Pin Recipe Save RecipeSaved!
    Prep Time 20 minutes mins
    Cook Time 1 hour hr
    Total Time 1 hour hr 20 minutes mins
    Course Main Course
    Cuisine American
    Servings 4 people
    Calories per serving 435 kcal

    Ingredients

    Cauliflower "Alfredo" Sauce

    • 1 lb cauliflower (1 cauliflower head)
    • 1 tablespoon butter
    • 2 shallots , minced, or 2 tablespoons of minced onion
    • 2 garlic cloves , minced
    • ¼ cup heavy cream
    • ½ cup Parmesan cheese , shredded
    • ½ teaspoon salt or more, to taste
    • ¼ teaspoon ground black pepper
    • ¼ teaspoon nutmeg

    Pasta and Peas

    • 2 cups peas , fresh shelled or use frozen
    • 8 oz fettuccine pasta
    • 2 tablespoons fresh parsley , chopped, for garnish, optional
    Prevent your screen from going dark

    Instructions 

    Make Cauliflower "Alfredo" Sauce

    • Clean the cauliflower head from green leaves, and chop it into reasonably large but manageable pieces. Place it in the big sauce pan with water, bring to boil and boil for 30-40 minutes until cauliflower is really soft. Remove from heat and drain cauliflower from water. Do reserve some cooking water.
    • Melt the butter in a medium saucepan over medium-high heat. Add minced shallot (or 2 tablespoons of minced regular onion) and minced garlic and saute until tender. Add heavy cream and Parmesan cheese and bring to a boil. Cook just for a minute, stirring, until cheese melts. Remove from the heat.
    • In a food processor, combine cooked cauliflower with the creamy sauce. Process really well, until a very creamy sauce forms. Feel free to add more heavy cream or cooking water (using ¼ measuring cup) to thin the sauce if it is too thick. Transfer sauce into a large sauce pan and keep it warm on the stove top. Season with salt and pepper, and nutmeg, to taste.

    Pasta and Peas

    • Cook the peas in boiling water for about 5 minutes, or according to instructions if using frozen peas.
    • Bring a large pot of water to boil and cook the fettuccine in boiling salted water until al dente. Drain.
    • Combine some of the cauliflower sauce (do not use all, you might need only half of this sauce), cooked shelled peas, and pasta cooked al dente. Toss to combine thoroughly – over medium heat. Stir the sauce constantly. Garnish with parsley, if desired. Serve immediately.  Season with salt and pepper, if needed.

    Notes

    Recipe Inspired by Pinch of Yum.
    This cauliflower sauce reheats beautifully, so feel free to refrigerate the leftovers and reheat them later.

    Nutrition

    Nutrition Information
    Healthy Fettuccine Alfredo with Cauliflower Sauce and Peas
    Amount per Serving
    Calories
    435
    % Daily Value*
    Fat
     
    13
    g
    20
    %
    Saturated Fat
     
    7
    g
    44
    %
    Cholesterol
     
    36
    mg
    12
    %
    Sodium
     
    565
    mg
    25
    %
    Potassium
     
    717
    mg
    20
    %
    Carbohydrates
     
    62
    g
    21
    %
    Fiber
     
    8
    g
    33
    %
    Sugar
     
    8
    g
    9
    %
    Protein
     
    18
    g
    36
    %
    Vitamin A
     
    1125
    IU
    23
    %
    Vitamin C
     
    87.8
    mg
    106
    %
    Calcium
     
    223
    mg
    22
    %
    Iron
     
    2.7
    mg
    15
    %
    * Percent Daily Values are based on a 2000 calorie diet.

    Nutrition Disclaimer:

    The nutritional information on this website is only an estimate and is provided for convenience and as a courtesy only. The accuracy of the nutritional information for any recipe on this site is not guaranteed. It should not be used as a substitute for a professional nutritionist’s advice.

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      Recipe Rating




    1. Jacqueleen

      September 03, 2013 at 8:06 pm

      Made this for my husband and he thought it was wonderful.. he had thirds!!! as a wife of a picky eater this was a a small victory getting him to eat something healthy that I like too.. Thanks for the recipe

      Reply
      • Julia

        September 06, 2013 at 4:43 am

        So glad you both liked it! I love this sauce so much, I have thirds, too. 🙂

        Reply
    2. Nadia

      July 22, 2013 at 7:34 pm

      Omg! Delish!! I just devoured this alfredo! My brother,8, (who hates vegetables) ate a cauliflower based sauce which he said tasted sooo yummy.. I always hated making alfredo until I came across this one... Thanks for sharing! It's definitely a keeper in my recipe book 😉

      Reply
      • Julia

        July 23, 2013 at 12:51 am

        So glad you liked it! I love this recipe myself and it's got so much potential for more variations by adding various ingredients to dress it up! Thank you for stopping by and letting me know that it worked for you! 🙂

        Reply
    3. Tallya

      July 08, 2013 at 2:25 pm

      I don't get it. You are still using heavy cream and cheese, and you are boiling the cauliflower for so long which kills a lot, if not all of the nutrients. It might be a bit less calories than the original alfredo but really not healthy at all.

      Reply
      • Julia

        July 08, 2013 at 10:57 pm

        The recipe uses 1/4 cup (up to 1/2 cup) of heavy cream for 6 servings. That's 1/24 cup (1/12 cup) of heavy cream per serving. The recipe also uses 1/2 cup of Parmesan for the whole recipe, which is 1/12 cup of Parmesan per serving. As you see, simple math demonstrates how little of actual heavy cream and Parmesan goes into each serving, majority of food on the plate is cauliflower. And I don't even know the nutrients of cauliflower - nutritious value was not the objective of this recipe.

        Reply
    4. Kiersten @ Oh My Veggies

      June 04, 2013 at 6:05 pm

      I love the taste of alfredo sauce, but I can only have a little bit before I start feeling sick--it's just way too rich! This version sounds much better. 🙂

      Reply
    5. what katie's baking

      May 31, 2013 at 10:19 pm

      the photos of this are beautiful! and it sounds super tasty, too!

      Reply
    6. Beth

      May 30, 2013 at 4:42 pm

      Hard to believe that this recipe could be made so healthy!

      Reply
    7. Baltic Maid

      May 29, 2013 at 9:23 pm

      Healthy Alfredo sauce with cauliflower? This is brilliant!!! I really want to try this. Thank you for sharing this. 🙂

      Reply
    8. Kiran @ KiranTarun.com

      May 28, 2013 at 4:27 am

      Cauliflower is so so versatile these days 🙂

      Reply
    9. Sarah K. @ The Pajama Chef

      May 26, 2013 at 9:58 pm

      i've made this recipe before...soooo good! lovely photos 🙂

      Reply
    10. Laura Dembowski

      May 26, 2013 at 3:20 pm

      I have made a similar recipe and love this so much! I saute the onions and garlic in evoo, then add the cauliflower and saute for a few minutes before adding chicken stock and simmering. Then I blend it, add a little pepper and almond milk and serve. I will for sure try adding peas next time!

      Reply
    11. Michelle

      May 26, 2013 at 12:43 pm

      Can anyone opine on the calories/fat in the dish? Maybe if you used GF pasta or Whole Wheat fettuccine? Thanks.

      Reply
      • Julia

        May 28, 2013 at 6:46 pm

        Michelle, here is the link for the recipe that also uses cauliflower as alfredo sauce base (Pinch of Yum blog) - and if you scroll down, right after the recipe, they've got the calorie and nutrition break-down per serving: 286 calories, 4 grams fat, 50 g carbs, 9 g protein. My recipe will have a little bit more fat because I add 1/2 cup of Parmesan cheese (for 6 servings).

        Reply
    12. Daniela

      May 25, 2013 at 3:17 pm

      What a creative, delicious looking recipe.
      Love the idea of cauliflower with pasta, it looks so rich and creamy.

      Reply
    13. Rosie @ Blueberry Kitchen

      May 24, 2013 at 5:08 pm

      I really love the idea of the cauliflower sauce - this looks and sounds totally yummy!

      Reply
    14. Suzanne Perazzini

      May 24, 2013 at 6:41 am

      What a lovely idea to make a sauce with cauliflower. Pasta is always a great staple for a meal.

      Reply
    15. Gina

      May 23, 2013 at 11:41 pm

      I remember those potatoes too, clever and can't go wrong with less calories. Like that you cooked the shallots for more flavor. I probably wouldn't be able to stop myself either.
      -Gina-

      Reply
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    Hi, I'm Julia!

    I am a full-time food blogger living in beautiful Colorado. I focus primarily on savory recipes (protein-based & fiber-rich main dishes, pasta, salads) using fresh & seasonal ingredients. A food blogger since 2012, I help home cooks create well-balanced and visually appealing dinners (many of which are 30-minute ONE-PAN meals). Find out more about me and my cooking philosophy. 

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