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Step 1
In a large pot, heat water over high heat. Generously salt the water as this infuses flavor into the pasta as it cooks.
Step 2
While the pasta is cooking, carefully scoop out 1 cup of pasta water and set it aside to add to the sauce later.
Step 3
Heat a large skillet over medium heat. Add butter and let it begin to melt. Add in garlic and saute for ONLY 1 minute. Add heavy cream and stir. Add lemon zest, lemon juice, red pepper flakes, salt, and pepper. I suggest using a whisk to continually stir to make it extra creamy. Cook until the sauce begins to thicken -about 5 minutes.
Step 4
Add in parmesan cheese, only 1 Tablespoon at a time, to avoid clumping. Stir well with whisk after each addition.
Step 5
Stir in 3/4 cup of pasta water into the sauce. Let it thicken for about 3-4 minutes. Taste the sauce and add more salt and pepper and lemon zest, if needed.
Step 6
Toss the drained cooked pasta with the lemon cream sauce. Garnish with red pepper flakes, lemon zest, grated parmesan cheese.