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Step 1
Preheat oven to 400°F. Line a sheet pan with parchment paper or grease with nonstick spray.
Step 2
Toss the broccoli, asparagus, mushrooms and leeks with the olive oil and salt and pepper. Spread into an even layer on the sheet pan and roast until fork tender, stirring a few times as needed, 25-30 minutes.
Step 3
Meanwhile, bring a pot of salted water to a boil. Add fettuccine and cook until al dente. Drain, reserving 1 cup of pasta water.
Step 4
While the pasta is cooking, melt the butter in a large skillet. Add the heavy cream and half of the cheese and stir until smooth. Season with salt and pepper to taste.
Step 5
Add the drained pasta and toss until coated in the sauce. If the sauce is too thick, add some pasta a little at a time until it loosens up.
Step 6
Add the roasted vegetables and remaining cheese and toss until combined.
Step 7
Serve immediately.