Creamy Tomato Fettuccine Recipe with Garlic, Basil and Parmesan

This creamy tomato fettuccine is perfect as a side for dinner or as a main course. The sauce is rich, flavorful, and incredibly easy to make—my family can’t get enough of it.

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

Creamy Tomato Fettuccine

We eat a lot of pasta at our house, so I like to keep quick, comforting recipes on hand. This creamy tomato fettuccine is one of those easy dishes that works as a side or a vegetarian main. It pairs especially well with roasted or grilled chicken, but you can also add sausage or beef to make it heartier.

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

When I need a fast side, I often reach for stovetop mac and cheese or garlic parmesan noodles. Lately this creamy tomato fettuccine has been a favorite because it’s comforting and takes just about thirty minutes from start to finish.

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

I hadn’t made this in a while and almost forgot how cozy it feels on a cooler evening. The sauce is simple—onion, garlic, a jar of marinara (or plain tomato sauce), cream, Parmesan, and a few herbs—yet the result is rich and satisfying. If there are leftovers, they reheat nicely: I seal them in a freezer bag and warm the bag in simmering water or gently reheat in a skillet.

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

This recipe feeds a family and is very budget-friendly. I often prepare a pound of cooked fettuccine to serve four people as a side. If you want to transform it into a main, stir in cooked sausage, shredded chicken, or roasted vegetables before serving.

Tips: use a good-quality jarred marinara if you’re short on time, or swap in plain tomato sauce and adjust seasonings to taste. For a lighter version, substitute half-and-half for heavy cream, though the sauce will be slightly less rich.

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Ingredients

  • 1 finely diced onion
  • 1 tsp minced garlic
  • 1 tbsp olive oil
  • 1 jar (24 oz) marinara sauce (or plain tomato sauce)
  • 1/4 tsp crushed red pepper (adjust to taste)
  • 1 tsp dried oregano
  • 1 tsp dried basil
  • 1 cup heavy cream
  • 1/4 cup shredded Parmesan
  • 1 lb cooked fettuccine noodles, drained

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Directions

  1. Heat the olive oil in a large pan over medium heat.
  2. Add the diced onion and minced garlic and sauté until softened and fragrant, about 3–5 minutes.
  3. Pour in the marinara (or tomato) sauce and stir in the basil, oregano, and crushed red pepper.
  4. Reduce the heat to low and let the sauce simmer gently for 20–25 minutes to deepen the flavors.
  5. Remove the pan from the heat and stir in the heavy cream until the sauce is smooth and well combined.
  6. Add the shredded Parmesan and stir until melted and incorporated.
  7. Toss the drained fettuccine into the sauce until fully coated. Serve immediately.

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Notes

  • Prep time: about 15 minutes. Cook time: about 25 minutes. Serves: 4 as a side.
  • To make this into a main dish, add cooked Italian sausage, shredded rotisserie chicken, or roasted vegetables.
  • Leftovers keep well in the refrigerator for 2–3 days. Reheat gently on the stove to avoid separating the cream.

Nutrition (per serving)

  • Calories: 472 kcal
  • Carbohydrates: 43 g
  • Protein: 11 g
  • Fat: 30 g (Saturated fat: 16 g)
  • Cholesterol: 119 mg
  • Sodium: 1023 mg
  • Potassium: 691 mg
  • Fiber: 4 g
  • Sugar: 9 g
  • Vitamin A: 1747 IU, Vitamin C: 15 mg
  • Calcium: 159 mg, Iron: 3 mg

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Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

Do you have a favorite pasta side dish you make often? I’d love to hear what your family enjoys and any twists you add to this sauce.

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

Creamy Tomato Fettuccine - perfect for a dinner side dish or even a meal. The pasta dish is creamy, full of flavor, and so easy to make. My family LOVES it!

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