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Step 1
In a heavy bottomed skillet, heat the cream and butter over medium low heat until the butter is melted.
Step 2
Use a grater to finely grate the Parmesan cheese.
Step 3
Add the freshly shredded Parmesan cheese to the sauce a few tablespoons at a time, stirring between each addition so that the cheese melts evenly. Be sure not to add the cheese too quickly. Take your time and add it slowly, stirring constantly!
Step 4
After all the cheese is added, stir in the pepper and garlic, stirring over low heat for 1 minute.
Step 5
Remove the skillet from the heat and serve immediately over fettuccini or your favorite pasta.