In a medium sauté pan, melt butter over medium heat. Add minced garlic and cook for about 30 seconds.
Stir in heavy whipping cream and cream cheese. Whisk until cream cheese is completely melted.
Add Italian seasoning, salt, ground pepper, and nutmeg. Continue cooking until the sauce begins to simmer.
Reduce the heat to low and gradually stir in parmesan cheese until smooth. Add additional salt and pepper to taste. When sauce begins to thicken, remove from heat.
Serve over your favorite meats and veggies. Enjoy!
Notes
Ways to serve keto alfredo sauce: serve over chicken, shrimp, or salmon; also great over veggies like broccoli, zoodles (zucchini noodles), asparagus, mushroom, spinach, spaghetti squash; or you could make a keto friendly alfredo chicken pizza.Leftovers can be stored in the refrigerator for 3 to 5 days.I don’t have parmesan, can I use another type of cheese? Romano or asiago cheese would be great alternatives to parmesan.Not all butter is created equal in the keto world. My favorite brand is Kerrygold grass-fed butter because it has zero carbs.You can decrease the amount of garlic if you would like an even lower carb count. Your sauce will thicken up further once it’s removed from the heat.If your sauce is too thick, stir in more cream. If your sauce is too thick, stir in more parmesan cheese.I recommend grating your cheese by hand. Freshly grated cheese melts faster and doesn't have preservatives and hidden carbs like store bought grated cheeses have.