Amazing Grilled Salmon Shrimp Alfredo

As seen in: Evening Meals That Deliver Results

Treat yourself to this fancy yet simple dish with savory grilled salmon and shrimp layered over Alfredo-coated fettuccine. Start by boiling the pasta until firm yet tender, seasoning seafood lightly with pepper, Italian herbs, and salt. Grill the shrimp until they turn pink and the salmon until flaky. Meanwhile, make the sauce using heavy cream, Parmesan, and a touch of garlic. Mix the pasta into the sauce, then serve with the seafood arranged nicely on top. Sprinkle parsley for an extra fresh finish and serve this crowd-pleaser any time you want to impress.

Sarah Crisp
Contributed By Sarah Crisp
Last modified on Mon, 16 Jun 2025 16:27:11 GMT
Fettuccine with Grilled Salmon & Shrimp Save This
Fettuccine with Grilled Salmon & Shrimp | cookrisp.com

With this combo of juicy seafood and velvety pasta, you’ll have a creamy, fancy dinner that feels straight from your favorite spot. Smoky, grilled flavors meeting smooth, cheesy sauce take this dish to another level—perfect if you wanna spoil yourself, or share something special.

I started cooking this after craving my go-to pasta from a local spot. Messed with the sauce a few times until it felt just right. Now, whenever something good happens in the family, this is what we celebrate with.

Inviting Ingredients

  • Heavy cream is key for that dreamy, silky texture
  • Olive oil (extra virgin is ideal) gets the seafood nice and charred
  • Fettuccine pasta for a base that soaks up every drop of sauce
  • Salmon fillets (leave the skin on for max flavor from the grill)
  • Parmesan cheese, freshly grated so it melts without lumps
  • Large shrimp, raw and fresh if you can, for tenderness
  • Butter, unsalted gives you better control of seasoning
  • Italian seasoning builds a cozy, herby layer in both sauce and seafood
  • Garlic, minced fresh for punchy, mouthwatering alfredo
  • Fresh parsley for some color and balance up top

Step-by-Step Directions

Finish and plate
Twirl up the fettuccine inside shallow bowls, nestle in a piece of salmon, and add a few shrimp up top. Sprinkle some fresh parsley and more parmesan if you want a little extra kick.
Bring it together
Sauce is ready? Toss the cooked pasta right into that pan and mix well. Use your tongs to coat every noodle with the creamy alfredo so it’s not just sitting on top.
Add the cheese
Move the pan away from the heat before stirring in the parmesan bit by bit. This avoids any clumping and keeps your sauce smooth.
Get the sauce going
Once you’ve toasted the garlic in butter, slowly pour in the cream and let it come up to a happy simmer. Stir now and then, letting it thicken just enough to cling to a spoon.
Start the sauce base
Melt the butter first, then add the chopped garlic. You want it fragrant, not brown—it takes a minute or so to get just right.
Sear the shrimp
Skewer those jumbo shrimp so they don’t slip through the grill. Cook them about 2 minutes per side—they’ll be pink and cooked through but not rubbery.
Grill up the salmon
Once the grill or pan’s hot, place the fish skin-down first for about 4 minutes, then flip and give it another few minutes. Done when it flakes easy with a fork.
Prep the seafood
Dry both salmon and shrimp with paper towels first—you want them brown, not steamed. Season thoroughly with salt, pepper, and Italian seasoning, giving each piece a gentle press.
Start the pasta
Drop the noodles into salted water, cooking till just al dente (1 minute less than the box says). Save 1/4 cup of that starchy water for later in case your sauce needs loosening.
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Here’s what changed my mind: springing for a real wedge of Parmigiano Reggiano instead of the green jar. Ever since I started grating it myself, the sauce always turns out perfect. My husband even says it’s better than what we get in town!

Essential Seafood Tips

Look for salmon that’s firm with a nice color and a fresh sea smell—try wild if you want extra flavor but farmed is just fine. Fresh shrimp should be see-through, never have black spots, or smell weirdly like ammonia. Thaw frozen shrimp slowly in the fridge overnight so they taste and feel their best.

Prep Ahead Ideas

This meal’s at its prime straight off the stove, but you can split up the work. Grill your fish and shrimp up to a day ahead, pop them in the fridge, and make the sauce before serving. Warm the sauce gently with a little extra cream so it comes together smooth again—never crank the heat or it’ll split. Mix everything at the end for the tastiest result.

Serving Ideas

Since this pasta’s so rich, pair it with something light—an arugula salad with lemony vinaigrette works great. Crisp white wines like Pinot Grigio or unoaked Chardonnay cut through the sauce and bring out the seafood’s flavor. Want to snag every last bit of alfredo? Toasty garlic bread is a must on the side.

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Common Queries

→ What’s the trick for a smooth Alfredo sauce?

For the smoothest texture, stick to heavy cream and freshly grated Parmesan. Keep stirring until it’s silky, but don’t let it get too hot—it might split otherwise.

→ Can I pick a different pasta type?

Sure! Swap fettuccine for your fave—think spaghetti, penne, or even a healthier whole-grain option if you'd like.

→ How do I know the salmon’s ready?

Perfectly done salmon flakes apart with ease and hits 145°F (63°C). The color will also shift from a see-through tone to a solid, even pinkish hue.

→ What works as a shrimp substitute?

No shrimp? No problem! Switch it up with scallops, chicken breast, or extra salmon—whatever you’ve got handy should taste great.

→ How do I make sure my shrimp doesn’t get rubbery?

Shrimp don't take long—just grill them for 2-3 minutes a side until they turn bright pink and lose their see-through look. Any longer and they’ll be too tough.

→ Can this meal be prepped early?

Yup! You can grill the seafood, boil up the pasta, and whip up the sauce in advance. Just reheat gently while combining everything to keep it creamy and not dried out.

Salmon & Shrimp Alfredo

Creamy Alfredo pasta with seasoned salmon and shrimp on top.

Preparation Time
15 Minutes Required
Cooking Duration
20 Minutes Required
Overall Time
35 Minutes Required
Contributed By: Sarah Crisp

Recipe Type: Dinner Victories

Skill Level: Moderate

Cuisine Type: Italian

Serving Size: 4 Number of Servings

Dietary Preferences: ~

What You’ll Need

→ Main Ingredients

01 1 cup Parmesan cheese, shredded
02 1 1/2 cups heavy cream
03 1 tablespoon olive oil
04 2 tablespoons butter
05 8 oz fettuccine noodles
06 Salt and pepper, as needed
07 1/2 lb large shrimp, cleaned and peeled
08 2 salmon fillets (6 oz each)
09 Fresh parsley, chopped (optional)
10 1/2 teaspoon Italian herbs
11 2 garlic cloves, finely chopped

Steps to Follow

Step 01

Follow the package for cooking the fettuccine. Drain it, then leave it aside.

Step 02

Sprinkle Italian herbs, salt, and pepper over the salmon and shrimp.

Step 03

Brush the salmon with olive oil and grill on medium heat for 4-5 minutes each side until fully done.

Step 04

Grill shrimp for 2-3 minutes per side until cooked fully and pink. Set shrimp and salmon aside.

Step 05

Over medium heat in a large pan, melt the butter. Stir in garlic and cook for 60 seconds.

Step 06

Add the cream and bring it to a gentle simmer. Give it a stir every now and then for 3-4 minutes until it thickens slightly.

Step 07

Mix in shredded Parmesan until it melts completely. Adjust salt and pepper to your liking.

Step 08

Stir the cooked fettuccine into the creamy sauce, mixing well.

Step 09

Layer the pasta onto plates, place the grilled salmon and shrimp on top, and throw on some parsley if you'd like. Serve straight away!

Tools to Have

  • Grill pan or grill
  • Big skillet

Allergen Information

Double-check ingredients for allergens, and seek medical guidance if necessary.
  • Dairy is included
  • Has shellfish
  • Contains wheat

Nutrition Info (Per Serving)

These figures are estimates and shouldn’t replace professional health advice.
  • Calories Per Serving: 650
  • Fat Content: ~
  • Carbohydrates: ~
  • Protein Amount: ~