Ready in less than 10 minutes, gluten free AND low carb! Alfredo-style Creamy Pesto Shrimp Alfredo is a winner with the whole family. Serve over zucchini noodles or cauliflower rice (OR pasta if you’re not watching your carb intake)! The sauce is EVERYTHING.

How To Make Shrimp Alfredo

Some Alfredo sauce recipes usually start with a roux, and some are based on butter/heavy cream. For the sake of keeping this recipe low carb and delicious, I went the butter/cream option, mixed with a homemade basil pesto and parmesan cheese. We added in blistered grape tomatoes to add even more flavour to the sauce, but you can leave them out if you wish! This recipe is so easy it has only three steps to it:

Cook shrimp Add sauce ingredients Thicken

With the right quantity of each ingredient, you end up with a beautiful silky creamy pesto sauce perfect for serving over anything, really.

Low carb Alfredo

For the low carb option, serve over zucchini noodles, cauliflower rice, or any steamed veggies you have on hand. You could also use Konjac noodles!

Pasta Alfredo

Pasta of choice is linguine and fettuccini. You can also serve with penne, spaghetti, or any other pasta you like.

How do you make shrimp Alfredo pasta?

Add 2 cups cooked pasta along with ¼ cup of reserved pasta water into the sauce. Gently mix the sauce through until combined. Add in the shrimp and serve immediately.

What can I use instead of heavy cream for Alfredo sauce?

The recipe includes half and half, which is an American product made from equal parts light cream and milk. Substitute with half light cream and half 2% milk (or full fat if not worried about calories and fat counts). Alternatively, use all light cream or thickened cream.

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