Go Back
+ servings
Keto Fettuccine Alfredo topped with Homemade Pesto Sauce and crispy chicken

Creamy Shirataki Fettuccine Alfredo with Crispy Chicken Thighs - Keto

With only 7 net carbs per serving this creamy Fettuccine Alfredo sauce is whipped up in minutes with shirataki noodles, crispy chicken thighs and an optional dollop of homemade pesto
Cook Time: 15 minutes
Total Time: 15 minutes
Servings: 4 servings
Calories: 812kcal


Crispy Chicken:

  • 2 teaspoons salt
  • 1 teaspoon black pepper
  • 4 chicken thighs bone removed
  • 1 teaspoon red chili flakes

Fettuccine Alfredo:

  • 2 tablespoons unsalted butter
  • 5 cloves garlic minced
  • 6 oz. cream cheese sliced
  • 1 ¼ cup heavy cream
  • ¼ cup Parmesan grated, plus more for garnish
  • ½ teaspoons kosher salt
  • ½ teaspoons white pepper
  • 16 oz. Shirataki Fettuccini noodles rinsed


  • chopped parsley garnish
  • 4 tablespoons pesto sauce


Crispy Chicken:

  • In a bowl combine salt, pepper and chili flakes. Evenly season chicken on both sides, add to a skillet skin side down and cut heat up to medium-high and cook for 8 minutes without touching. Turnover and cook for 4 minutes on the other side, remove chicken and sit to the side. Let rest for 5 minutes then slice.

Fettuccine Alfredo:

  • Prepare noodles as instructed on packaging and set aside.
  • In a sauce pan over medium heat, melt butter and cook garlic for 15 seconds. Add cream cheese, heavy cream, parmesan, salt and white pepper and cook until cream cheese has melted about 5 minutes. Add noodles and coat evenly.
  • To assemble add pasta, dollop of pesto (optional), chicken and garnish with parmesan and parsley, serve immediately.
Tried this recipe?Mention @MeikoAndTheDish or tag #MeikoAndTheDish


Shirataki Noodles: follow package preparation instructions to rinse thoroughly under running water for a few minutes. Then set in a paper towel to dry off excess water.


Serving: 4g | Calories: 812kcal | Carbohydrates: 10g | Protein: 27g | Fat: 74g | Saturated Fat: 36g | Polyunsaturated Fat: 6g | Monounsaturated Fat: 21g | Trans Fat: 1g | Cholesterol: 280mg | Sodium: 1955mg | Potassium: 385mg | Fiber: 1g | Sugar: 2g | Vitamin A: 2430IU | Vitamin C: 2mg | Calcium: 211mg | Iron: 1mg


Bowl Set
Medium Skillet

*Nutrition information is a rough estimate.

**The equipment section above contains affiliate links to products I use and love. As an Amazon Associate I earn from qualifying purchases.